運用健保資料庫探討台灣乳癌病患於診所與醫院之中藥使用差異與療效

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運用健保資料庫探討台灣乳癌病患於診所與醫院之中藥使用差異與療效

Investigation of Difference and Efficacy of Chinese Herbal Medicine used Among Breast Cancer Patients in Taiwan from National Health Insurance Research Database

高資承 , Masters　　Advisor：楊哲銘　　

繁體中文

中醫；乳癌；全民健康保險；世代研究； Traditional Chinese medicine ； breast cancer ； hospitals ； National Health Insurance ； Cohort Study

Abstract │ Reference (15) │ Altmetrics

Abstract 〈TOP〉

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Breast cancer is the common cancer in Taiwan. The patients in Taiwan accept not only Western Medicine, but also accept Traditional Chinese Medicine therapy. Most Taiwanese people are included in National Health Insurance, so there are lots of research about breast cancer used Traditional Chinese Medicine. Besides, most of Chinese medical physicians work in clinics, but there are no thesis about the difference between hospitals and clinics. This thesis is about Chinese Herbal Medicine Utilization Among Breast Cancer Patients in Taiwan. 
Investigate the breast cancer patient in 2003-2012, whom included in the National Health Insurance Research Database and signed ICD-9-CM code for 174.0-174.9. Rule out male and sex unknown patients and track the patients who accepted the latest breast cancer surgery for 5 years with Chinese medicine over 3 times. Finally, investigate the Chinese medicine difference between clinics and hospitals.  
The result is that there are no difference between patient characteristics, physician characteristics, and habit of medical service between hospitals and clinics. But there are evident differences between hospitals and clinics about patient seeking medical service areas and hospital ownership in Taiwan (p<.001). However, there are no difference between hospitals and clinics about using Chinese medicine compounds. But the Chinese medical doctors who work in hospitals like to use the single herb: Hedyotis diffusa (p=.01) and Semen Ziziphi Spinosae (p<.001). The efficacy are also no difference between hospitals and clinics.

Reference ( 15 ) 〈TOP〉

2. 張金堅、郭文宏、王明暘(2008)。臺灣乳癌之流行病學。中華癌醫會誌，
連結：
2. Beijnen J. H. & Schellens J. H. Drug interactions in oncology. Lancet Oncol 2004 ; 5, 489-496.
連結：
3. Eileen Rakovitch J-PP, Carole Chartier, Michelle Ezer, Sunil Verma, George Dranitsaris, Mark Clemons. Complementary and alternative medicine use is associated with an increased perception of breast cancer risk and death. Breast Cancer Research and Treatment. 2005;90:139-48.(Scheid, Ward, Cha, Watanabe, & Liao, 2010)
連結：
4. Lisa M. DiGianni JEG, Eric P. Winer. Complementary and Alternative Medicine Use Among Women With Breast Cancer. Journal of Clinical Oncology. 2002;20(18):34-8. doi: 10.1200/jco.2002.07.176.
連結：
5. Lee, Y. W., Chen, T. L., Shih, Y. R., Tsai, C. L., Chang, C. C., Liang, H. H., Wang, C. C. (2014). Adjunctive traditional Chinese medicine therapy improves survival in patients with advanced breast cancer: a population-based study. Cancer, 120(9), 1338-1344. doi: 10.1002/cncr.28579
連結：

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