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題 名 | 以1997-2008年臺灣健保抽樣歸人檔分析唾液腺閃爍造影之現況=Current Status of Sialoscintigraphy in Taiwan by Analyzing the Systematic Sampling Cohort Database of Bureau of National Health Insurance from 1997 to 2008 |
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作 者 | 李碧芳; 翁孟玉; 蕭振仁; 邱南津; 廖美秀; 沈立漢; | 書刊名 | 核子醫學雜誌 |
卷 期 | 24:1 2011.03[民100.03] |
頁 次 | 頁15-21 |
關鍵詞 | 核子醫學; 唾液腺閃爍造影; 健保資料庫; Nuclear medicine; Sialoscintigraphy; National health insurance database; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:近年來研究發現全民健保制度實施後,核醫醫療需求之民眾呈現增加趨勢;核醫醫療服務之一的唾液腺閃爍造影檢查,亦是增加的情形。唾液腺閃爍造影檢查可以於早期對於唾液腺疾病所造成的口乾症狀,加以客觀之評估,幫助臨床鑑別診斷。本研究希望藉由分析全民健康保險研究資料庫中的50萬人抽樣歸人檔,以了解國內目前唾液腺閃爍造影檢查診療之概況。方法:本研究資料由國衛院所提供1997-2008年的50萬人抽樣歸人檔(LHID2005)。主要分析內容包括唾液腺閃爍造影檢查申報次數、就醫科別、就醫病因、醫院分局別、醫院權屬別、醫院層級別之描述性統計。結果:唾液腺閃爍造影檢查以門診申報次數較多,且以40~59歲女性最多。依就醫科別來看申報最多為內科的風濕免疫科,其次為放射腫瘤科。門診申報的就醫病因大多為修格蘭氏症候群,次之為鼻咽惡性腫瘤。住院申報的就醫病因大多亦是修格蘭氏症候群,其次為全身性紅斑性狼瘡。若以權屬別來看,門診申報最多為財團法人醫院,住院申報最多為榮民醫院;若以分局別來看,門診及住院皆是以台北分局申報居多;以醫院層級別來看,門診及住院皆是以醫學中心申報最多。討論及結論:可執行唾液腺閃爍造影檢查的醫院,以醫學中心為主,其次為地區醫院,最少的是區域醫院;再者大多數設置核醫科醫院集中在都市化程度高區域,故非都市區域醫院以上建議可以增設「核子醫學設備」,以提供唾液腺閃爍造影檢查醫療服務於疑似唾液腺疾病患者,可以對於唾液腺疾病加以正確診斷,對症治療。 |
英文摘要 | Background: The increasing demand for the medical care of nuclear medicine, including the sialoscintigraphy, after the execution of the National Health Insurance (NHI) program in Taiwan has been founded. The sialoscintigraphy plays an important role to early diagnose and monitor the progress of the Sjogren's syndrome. The aim is to investigate the current status of sialoscintigraphy by analyzing the systemic sampling cohort database of 500,000 insureds in Taiwan.Methods: This study used the Longitudinal NHI Database, including registration files and original claims data for reimbursement for 500,000 enrollees (LHID2005) from 1997 to 2008. The demographic characteristics of sialoscintigraphy, physician specialty, cause of disease, district hospitals, hospital ownership, and hospital characteristics were carried out to explore the current status of sialoscintigraphy in Taiwan.Results: At the frequency of the sialoscintigraphy, the prevalence of outpatients is larger than that of inpatients. As for the age and the gender, the top one is the woman with 40-59 years old. The physician specialty reported more frequently as the section of rheumatology in department of internal medicine, followed by the radiation oncology. The diseases of outpatients reported more frequently as the Sjogren's syndrome, followed by the malignant neoplasm of nasopharynx, unspecified. The diseases of inpatients reported more frequently as the Sjogren's syndrome, followed by the systemic lupus erythematosus. The ownership of the hospital reported more frequently as foundation hospitals of in inpatients and veterans hospitals of outpatients. The Taipei branch of the NHI bureau is the top one of the frequency of the sialoscintigraphy. Among the hospital characteristics, the medical center is the top one.Discussion and conclusion: Sialoscintigraphy was performed more frequently at the medical centers, followed by district hospitals, at least the regional hospitals. Most hospitals with the department of nuclear medicine are situated in the urbanized areas. It is worth to set up the department of nuclear medicine at the non-urban regional hospitals, and to provide the sialosicintigraphy in patients with suspected salivary gland disease to get accurate diagnosis and the favoable therapy. |
本系統中英文摘要資訊取自各篇刊載內容。