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| 題 名 | 2007年臺灣65歲以上老人急診傷害類型及醫療費用=The Injury Types and Medical Expenditure of Taiwanese Elderly Patients Admitted to Emergency Department in 2007 |
|---|---|
| 作 者 | 周秋璇; 鍾其祥; 白璐; 高森永; 賴錦皇; 簡戊鑑; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
| 卷 期 | 6:1 2011.02[民100.02] |
| 頁 次 | 頁15-28 |
| 分類號 | 417.7 |
| 關鍵詞 | 老人; 傷害; 醫療費用; 急診室; Elderly; Injury; Medical expenditure; Emergency departmenta; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 目的:探討2007年台灣65歲以上老年人因事故傷害至急診就醫的傷害類型及醫療花費情形。 方法:使用2007年全民健康保險資料庫的「門診處方及治療明細檔 (CD)」中之案件分類為急診就醫,並串聯「醫事機構基本資料檔 (HOSB)」,選取年齡為 65歲以上的老人,在國際疾病分類代號(ICD-9-CM)主診斷為800-999的事故傷害個案。統計分析採用SPSS 1.0。 結果:2007年共計146,971位老人因傷害急診,病患平均年齡為75.7歲,男女比為 2.48.2%,而總醫療費用為新台幣 4.3億餘元(每人平均2,951元)。老人急診的醫院層級以區域醫院43.4%最多,傷害主要類型為皮膚表面挫傷(26.1%)、頭頸軀幹開放性傷口 (12.1%)及顱內損傷(9.5%),三者所耗用的醫療費用分別佔總費用的20.8%、13.0%及 17.2%。若以單次傷害計算,胸腹骨盆內傷(計330次)是醫療費用最高的傷害類型(每人 10,301元)。 結論:皮膚表面挫傷為老人急診最常見的傷害類型,而胸腹骨盆內傷則是醫療費用最高類型,未來應找出老人常見傷害類型的發生原因,並提出適當防制措施,降低老人事故傷害的發生,減少傷害嚴重程度及醫療照護成本。 |
| 英文摘要 | Objectives: The goal of this study is to investigate the injury types and medical expenditure of Taiwanese elderly patients admitted to emergency room because of injuries in 2007. Methods: The data used in present study was obtained from the 2007 Ambulatory care expenditures by visits (CD) and Registry for contracted medical facilities (HOSB) of National Health Insurance Research Database (NHIRD). Patients aged 65 years or older with principal injury diagnoses in the range of ICD-9-CM 800-999 were included in this study. SPSS 18.0 was used for data analysis. Results: In 2007 there were 146,971 cases of injuries in emergency departments. The average age of those elderly patients were 75.7 years, and the rates of men and women were 51.8% and 48.2% respectively. The total medical expenditure reached NT$400 million while the average expenditure of each case was NT$2,951. Of all, 63,772 cases (43.4%) were from local hospitals. The common injury types were cutaneous contusion (26.1%), open wound in head, neck and trunk (12.1%) and intracranial injury (9.5%), accounting for respectively 20.8%, 13.0% and 17.2% of the total medical expenditure. Internal injury of chest, accounting for abdomen and pelvis (330 cases) was the injury type incurring the highest medical cost (NT$10,301 per case). Conclusion: Cutaneous contusion is the most common injury among the elderly patients admitted to emergency room while internal injury of chest, abdomen and pelvis cost most. In order to decrease the incident of injuries and the degree of injury and to lower the expenditure of medical care, the causes of these injuries and effective preventive measures merit further and more thorough investigations in the future. |
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