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題名 | 以健保資料庫資料探究40歲以上慢性阻塞性肺部疾病和支氣管性氣喘病人之診斷與處置=Using the National Health Insurance Database to Analyze Diagnoses and Treatment Procedures in Chronic Obstructive Lung Disease and Bronchial Asthma in Patients over 40 Years Old |
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作者 | 廖浩欽; 胡百敏; 吳清平; 陳淑芳; 廖訓禎; | 書刊名 | 臺灣急診專科醫師期刊 |
卷期 | 3:4 2011.12[民100.12] |
頁次 | 頁105-111 |
分類號 | 415.428 |
關鍵詞 | 支氣管性氣喘; 慢性阻塞性肺疾病; 診斷; 處置; Chronic obstructive pulmonary disease; Bronchial asthma; Diagnosis; Management; |
語文 | 中文(Chinese) |
中文摘要 | 慢性阻塞性肺病 (chronic obstructive pulmonary disease, COPD)與支氣管性氣喘 (bronchial asthma, BA)為急診部門常見的疾病。本計劃以全民健康保險研究資料庫之抽樣歸人檔資料,選取其中 2001與2002年、 40歲以上之新發生病人,追蹤五年之資料進行分析,以評估台閩地區年長 COPD與氣喘病人的醫療診斷與處置程序之狀況。研究結果發現,1/4台灣地區 40歲以上的 COPD與氣喘病人有兩組診斷交替出現的狀況,就醫次數越多者交替出現比例越高;僅有 1/5病人於五年內曾經接受過肺功能測驗之檢查。建議未來研究利用更大的樣本進行十年的資料分析,可更了解這些病人罹病後至死亡間的疾病與醫療處置過程。 |
英文摘要 | Chronic obstructive pulmonary disease (COPD) and bronchial asthma are often seen in the emergency department. A systematic random sample cohort from the national health insurance research database in Taiwan was applied in the present study. We analyzed a five-year cohort data from patients over 40 years old with new onset COPD and asthma to understand the diagnosis and management. The study found that one-fourth of COPD and asthma patients in Taiwan had the two diagnosis cross over, which had a positive correlation with the medical care utilization rate. Only 20% patients was performed pulmonary function tests within 5 years since diagnosed. We suggest that future studies apply a larger sample and analyze data over 10 years to understand the medical management of these patients from morbidity to mortality. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。