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頁籤選單縮合
題名 | Estimation of Costs due to Hospitalization for First-Ever Stroke Patients in Northern Taiwan=臺灣北部地區第一次罹患中風的病人住院成本的估算 |
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作者 | 屈蓮; 洪啟宗; 徐偉成; 張大邦; Chiu, Lian; Hong, Chi-tzong; Shyu, Woei-cherng; Chang, Ta-pang; |
期刊 | 中華醫學雜誌 |
出版日期 | 19990500 |
卷期 | 62:5 1999.05[民88.05] |
頁次 | 頁261-267 |
分類號 | 419.45 |
語文 | eng |
關鍵詞 | 成本估算; 住院照顧; 中風; Cost estimation; Hospital care; Stroke; |
中文摘要 | 背景:因中風而使醫療服務的使用量及成本增加是可以預見的,但少有研究估 算臺灣地區罹患中風的人口所耗用的直接醫療與非醫療的成本支出。 方法:本資料取自"中風、糖尿病與高血壓流行病學調查"(包含追蹤8,705位35歲以上的個 案)和"中風的成本"(包括追蹤660位第一次罹患中風的病人)2項研究。中風病人的住院成 本分2個步驟進行估算:首先,將一年中初次中風的發病個案教加上再次住院次教,所得 總數再乘以每次住院的平均住院日;然後,將總住院醫療與非醫療成本,除以由第一步計 算所得的總住院日數,即為初次中風個案每一日的住院成本。 結果:在1995年估計有6,691次中風新個案與因中風而再次住院的個案(其中男性4,041次 ,女性2,650次),總住院病人日為233,569天(男性144,264天,女性89,305天);平均每一 住院病人日成本支出為美金251.4元(臺幣6,788元),後者男性比女性高(男性美金287元( 臺幣7,749元);女性美金208元(臺幣5,616元),因而得出1995年總住院成本約為美金58, 710,000元(臺幣1,585,000,000元)。 結論:在1995年,每減少一住院病人日,全年約可減少美金1,682,000元(臺幣45,410, 000元)之成本支出。 |
英文摘要 | Background. The need for healthcare services and the related costs for stroke patients may rise steadily in the future. Even with the predictable and substantial burden of stroke, little effort has been devoted to measuring the population-based direct medical and nonmedical costs in Taiwan. Methods. Data from the study "Epidemiological Study of Stroke, Diabetes, and Cardiovascular Disease, which included 8,705 people older than 35 years of age, and the study "Costs of Stroke, which included 660 first-ever stroke patients, were used for the cost calculations. The cost of hospital care for stroke patients was obtained in two steps. First, the incidence of stroke and readmissions within one year were tallied; the sum was then multiplied by the average length of stay. Second, the total medical and nonmedical costs were divided by the sum obtained from step 1. The resulting quotient obtained was the cost of hospital care for stroke patients per day. Results. There were 6,691 incidents of stroke and stroke-related readmissions in 1995 (4,041 men and 2,650 women). The total person-days of hospital stay were 233,569 days (144,264 for men and 89,305 days for women). The average medical and nonmedical costs of hospital care per person-day was US $251.4 (NT $6,788 at an exchange rate of US $1 = NT $27). Cost for men ( US $287, NT $7,749) was more than for women (US $2081 NT $5,616). The total direct costs of hospital care were US $58,710,000 (NT $1.585,000,000) in 1995. Conclusions. An average of US $1,682,000 (NT $45,410,000) in hospital care costs for stroke could have been saved in 1995 if the person-day stay had been decreased by only one day. |
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