查詢結果分析
相關文獻
- 臺灣老人精神醫療利用之醫療申報資料分析研究
- 失能老人家庭尋找平衡點的照顧過程及相關因素探討
- 護理於老人健康政策的重要性
- 臺灣社區老人的健康觀念與健康行為
- 活躍的銀髮族--社區老人健康體能促進方案的經驗與前瞻
- 社區殘病老人照護的挑戰
- 喪偶對社區老人身體、精神及社會功能之影響
- Quantitative Assessment of Balance in Elderly Fallers and Nonfallers
- 老人非正式和正式照顧體系關係之初探:從家人和日託中心工作員協助項目的比較分析出發
- The Causes of Eating Problems Found in Hospitalized Psychogeriatric Patients
頁籤選單縮合
題 名 | 臺灣老人精神醫療利用之醫療申報資料分析研究=Utilization of Psychiatric Services for the Elderly in Taiwan: A Health Claims Data Analysis |
---|---|
作 者 | 溫靖宇; 柯明中; 陳楚杰; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 10:1 2015.02[民104.02] |
頁 次 | 頁28-41 |
分類號 | 415.9518 |
關鍵詞 | 老人; 精神醫療利用; 就診率; The elderly; Psychiatric service utilization; Clinic visitation rate; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討台灣地區1998年至2011年65歲以上老人之精神醫療利用種類、就診 率及年代趨勢的變化。 方法:本研究利用「衛生福利部統計處」所公告之1998年至2011年之「全民健 康保險醫療統計」資料,以當年度65歲以上老人為研究對象。使用EXCEL 2007試算 表軟體及Cytel Studio 8套裝軟體進行資料的整理與統計分析;並以卜瓦松回歸分析 檢定年代趨勢。 結果:在精神醫療利用種類方面,就診人數比率佔率最高的是精神官能症,約 佔各年的之18.4-55.1% (成長了36.6%),佔率次高的是老年期及初老期器質性精神 病,約佔各年的10.9-24.9% (成長14.1 %)。而精神疾患之性別年齡標準化就診率為每 十萬人口有19,408人至21,230人,女性之精神疾患年齡標準化就診率為每十萬人口 有22,625人至24,781人,男性之精神疾患年齡標準化就診率為每十萬人口有16,666 人至18,204人,檢定結果均為微幅上升的趨勢。女性與男性之精神疾患年齡標準化 就診率比值介於1.3至1.4之間,2005年以後有逐年上升的趨勢。在年齡層標準化就 診率方面,65-69歲與70-74歲兩年齡層呈現下降趨勢,而75-79歲、80-84歲與85歲以 上三年齡層則是呈現上升趨勢,以85歲以上年齡層成長最快,從每十萬人口18,170 人成長至28,469人。 結論:台灣老人精神醫療利用有微幅上升的趨勢,女性利用率高於男性。又85 歲以上年齡層就診率成長速度最快。精神官能症及老年期及初老期器質性精神病是 精神疾患主要的種類。 |
英文摘要 | Objectives: To investigate the utilization of psychiatric service for Taiwanese elderly people over 65 years of age, examine clinic consultation rates, and trace the changes in trend between 1998 and 2011. Methods: The present study is based on the data presented in the “Statistical Annual Report of Medical Care for National Health Insurance” (1998 to 2011) published by the MOHW (Ministry of Health and Welfare) Department of Statistics with elderly people surveyed during the period serving as the study subjects. Excel 2007 and Cytel Studio 8 software were used for data sorting and statistical analysis, while Poisson regression analysis was conducted to investigate the changes in trend over time. Results: Among elderly people aged over 65 years receiving psychiatric service during the period between 1998 and 2011 in Taiwan, neurotic disorders ranked the highest with a percentage escalating from 18.4% in 1998 to 55.1% in 2011 (up 36.6%), followed by senile and presenile organic psychotic conditions with a percentage rising from 10.9% to 24.9% (up 14.1%). Based on age-gender-standardized clinic consultation rates, the number of subjects receiving psychiatric service read 19,408 to 21,230 out of every 100,000. In terms of age-standardized clinic consultation rates, the numbers of female and male subjects utilizing psychiatric service were respectively 22,625 to 24,781 and 16,666 to 18,204 out of every 100,000, showing a slight but steady upward trend in both genders. The specific values of age-standardized age clinic consultation rates of female and male subjects were respectively 1.34 and 1.42, with a gradual upward trend observed in each year after 2005. Analysis by age group indicated that the age-standardized clinic consultation rate reported a downward trend in the groups of 65-69 and 70-74 years of age and a upward trend in the groups of 75-79, 80-84, and >85 years of ages. The age group of >85 registered the highest growth with its number of psychiatric patients moving up from 18,170 to 28,469 in every 100,000. Conclusion: There was a slight upward trend in the psychiatric service utilization for the elderly in Taiwan, with female subjects showing a higher utilization rate than their male counterparts and the age group of >85 reporting the highest growth in terms of clinic consultation rate. Neurotic disorders and senile and presenile organic psychotic conditions were found to be the major disorders in psychiatric patients. |
本系統中英文摘要資訊取自各篇刊載內容。