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題名 | 探討急性軟組織損傷病人之中醫利用因素=Exploring Factors Associated with Utilization of Traditional Chinese Medicine in Acute Soft Tissue Injury |
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作者 | 鄭婷宜; 葉裕祥; | 書刊名 | 北市醫學雜誌 |
卷期 | 16:3 2019.09[民108.09] |
頁次 | 頁232-243 |
分類號 | 413.423 |
關鍵詞 | 軟組織損傷; 慢性狀態; 中醫; 利用率; Soft tissue injury; Chronic condition; Chinese medicine; Utilization; |
語文 | 中文(Chinese) |
中文摘要 | 目的:在臺灣急性軟組織損傷有許多人利用中醫治療,但目前並無這些人利用中醫之相關因素探討,故欲探究之。方法:本研究使用2000、2005、2010年全民健保資料庫的百萬抽樣歸人檔。研究中計算急性軟組織損傷者(2000年112,364人、2005年190,777人、2010年196,698人)中醫的利用率。使用多變量羅吉斯迴歸分析來評估每一特性和中醫利用的相關性。結果:中醫利用率在損傷類別為扭傷或拉傷合併挫傷或壓砸傷者(2010年Odds ratio(OR)=3.00)高於單獨扭傷或拉傷及挫傷或壓砸傷者(2010年OR=0.95及OR=1)、無合併骨折者(2010年OR=1)高於骨折者(2010年OR=0.29)、擁有慢性狀態數目愈少者則愈高、在30歲後隨著年齡增長而減少。結論:在高齡及愈多重慢性狀態者中醫利用少,或因這疾病的發生加重了他們的失能狀態,而影響了中醫的就醫率。在政府未來居家醫療納入中醫的推動後,應可以照顧到年老失能有急性軟組織損傷而無法來就診中醫的病人。 |
英文摘要 | Objective: In Taiwan, many people use traditional Chinese medicine (TCM) in the treatment of acute soft tissue injury, but so far there has been no research exploring factors associated with TCM use in this population. Methods: We used three nationally representative randomly sampled cohorts of one million people each from the insured people enrolled in the National Health Insurance program in 2000, 2005, and 2010 to explore the associations. The usage rate of TCM in people with acute soft tissue injury (n = 112,364 in 2000, n = 190,777 in 2005, n = 196,698 in 2010) was counted in the study. Multivariate logistic regression analysis was used to evaluate the association between each characteristic and TCM use. Results: The probability of TCM use among people with a combination of sprain or strain and contusion or crushing (odds ratio [OR] 3.00 in 2010) was higher than those with distinct sprain, strain, contusion or crushing (OR 0.95 and 1 in 2010). Higher probability of TCM use was found in patients without concurrent fracture (OR 1 in 2010) compared with those with concurrent fracture (OR 0.29 in 2010). The probability of TCM use decreased along with the increment of chronic conditions. After the age of 30, with the increase of age, the probability of TCM use declined. Conclusion: Possibly because of the occurrence of disease aggravates disability status, the probability of TCM use was lower in patients with more chronic conditions or advanced age and acute soft tissue injury. In the future, the Taiwan government will incorporate TCM into home care programs and should be able to take care of disabled seniors with soft tissue injury who are not capable of traveling for TMC consultation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。