查詢結果分析
來源資料
頁籤選單縮合
題 名 | 2004年臺灣地區眼科門診執業內容分析=Ambulatory Care Visits to Eye Care Clinics in Taiwan: The Year of 2004 |
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作 者 | 柳逸嫻; 林宜璁; 陳曾基; 周麗芳; 黃信彰; 許紋銘; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 46:1 2007.03[民96.03] |
頁 次 | 頁13-19 |
分類號 | 416.7 |
關鍵詞 | 眼科; Ambulatory care; Eye care clinics; National health insurance; Taiwan; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:分析臺灣地區全民健康保險體系內2004年眼科門診所提供的醫療服務情形。 方法:本研究資料來自全民健康保險研究資料庫之2004年西醫門診系統抽樣檔(抽樣比例0.2%),擷取屬於眼科的申報資料,針對門診診斷、病患年齡分佈、醫療機構特性、醫療處置及處方情形,進行描述性的分析。 結果:在2004年的門診系統抽樣檔中,眼科共有34,398筆就診紀錄,佔健保西醫門診所有就診次數的6.1%。病人的年齡分佈以兒童青少年 (28.8%) 及老年病人 (32.6%) 為主,就診場所則以基層診所為大宗(75.6%)的診次。就診案件中,最多為結膜相關疾病,佔53.0%,第二是屈光異常,佔16.2%,第三是白內障,佔12.8%。相關門診處置以細隙燈顯微鏡檢查最多。處方則以磺胺類 (sulfonamides) 眼製劑為最多,類因醇眼製劑居次,硫酸甲脂第三。 結論:2004年臺灣地區眼科門診就診年齡層以兒童青少年及老人居多,且伴隨著日益增加的屈光異常及白內障。故兒童的視力保健及老年眼疾的早期診斷與治療實為目前國內眼科的兩個重要課題。 |
英文摘要 | Purpose: To analyze the ambulatory care of eye care clinics in Taiwan according to the claims of the National Health Insurance program. Methods: We obtained the systemic sampling datasets (0.2% sampling ratio) of the ambulatory care claims from the National Health Insurance Research Database of Taiwan and retrieved the records belonging to eye care clinics in 2004. A descriptive and cross- sectional analysis was performed. Results: Within the datasets, 34,398 visits to eye care clinics contributed to 6.1% of all visits to Western medicine clinics in 2004. Adolescents under 20 years (28.8%) and the elderly over 60 years (32.6%) accounted for most of visits to eye care clinics. The majority of visits occurred in practicing physician's clinics (75.6%). Conjunctival disorders (53.0%) were the major reason for visits to eye care clinics, followed by disorders of refraction and accommodation (16.2%) and cataract (12.8%). Slit-lamp examination was performed most frequently. The most prevalent medicine was sulfonamides eye preparations, followed by steroid eye preparations, and neostigmine. Conclusions: In 2004, adolescents and the elderly accounted for most visits to eye care clinics, accompanied with the increasing numbers of disorders of refraction and accommodation and cataracts. So vision care in childhood and early diagnosis with treatment of aged eye disorder are two important problems in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。