探討門診醫療資源利用情形：以上呼吸道感染患者為例

Explore Outpatient Medical Resources Utilization: The Cases of Upper Respiratory Tract Infection

張碧玉(Pi-Yu Chang) ； 黃毓婷(Yu-Ting Huang) ； 柯伶達(Ling-Ta Ko) ； 黃尚志(Shang-Jyh Hwang) ； 蔡忠榮(Jong-Rung Tsai)

《醫院雙月刊》 46卷5期 (2013/10) Pp. 22-31

摘要

Objective: The aim of this study was to explore the characteristic of medical resources utilization in the outpatients with upper respiratory tract infection (URI).Methods: This study used a nationwide-representative, sampled, longitudinal dataset of the National Health Research Institute (LHID2005). Multiple regression analysis was used to explore the distribution of medical resource utilization.Results: Total number of outpatient clinic visits during year 2007 to 2008 was 509,444. 33.74% of outpatient clinic visits came from family medicine, traditional Chinese medicine was 33.71% second high (33.71%) and internal medicine (25.9%) (p＜0.0001). The average fee of medical expense rank from high to low were internal medicine (462±1745 point), traditional chinese medicine (441±85 point), and family medicine (348±172 points) (p＜0.0001). Multiple regression model showed sex, ages, different specilist physicians, western and traditional Chinese medicine, different level hospitals and disease severity were the major risk factors. (p≤0.05)Conclusions: To avoid influencing the medical care quality and standardized clinical and medical resources utilization, we suggest hospital manager should understand that different specilist physicians, different level hospitals, ages and sex are the major predictors of outpatient medical source utility. This trend also will influence the distribution of national health insurance resources.

關鍵字

醫療資源利用 ； 上呼吸道感染

並列摘要

Objective: The aim of this study was to explore the characteristic of medical resources utilization in the outpatients with upper respiratory tract infection (URI).Methods: This study used a nationwide-representative, sampled, longitudinal dataset of the National Health Research Institute (LHID2005). Multiple regression analysis was used to explore the distribution of medical resource utilization.Results: Total number of outpatient clinic visits during year 2007 to 2008 was 509,444. 33.74% of outpatient clinic visits came from family medicine, traditional Chinese medicine was 33.71% second high (33.71%) and internal medicine (25.9%) (p＜0.0001). The average fee of medical expense rank from high to low were internal medicine (462±1745 point), traditional chinese medicine (441±85 point), and family medicine (348±172 points) (p＜0.0001). Multiple regression model showed sex, ages, different specilist physicians, western and traditional Chinese medicine, different level hospitals and disease severity were the major risk factors. (p≤0.05)Conclusions: To avoid influencing the medical care quality and standardized clinical and medical resources utilization, we suggest hospital manager should understand that different specilist physicians, different level hospitals, ages and sex are the major predictors of outpatient medical source utility. This trend also will influence the distribution of national health insurance resources.

並列關鍵字

Service utilization ； Upper Respiratory Tract Infection