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題名:影響職業傷害住院病患醫療費用因素探討
書刊名:勞工安全衛生研究季刊
作者:趙子雲黃茹筠鍾其祥簡戊鑑
作者(外文):Chao, Tzu-yunHuang, Ju-yunChung, Chi-hsiangChien, Wu-chien
出版日期:2013
卷期:21:4
頁次:頁404-431
主題關鍵詞:醫療費用職業傷害健保資料庫Medical costOccupational injuryNational health insurance research database
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:0
  • 點閱點閱:5
目的:描述職業傷害住院患者各項流行病學特性,並找出影響醫療費用之因素。方法:本研究以2009年健保「住院醫療費用清單明細檔(DD)」串連「醫事機構基本資料檔(HOSB)」及承保資料檔(ID),以國際疾病分類代號(ICD-9-CM),選取15歲以上之「職業災害」個案,以SPSS 19.0分析。結果:2009年職業傷害住院計有20,719人次,男性佔多數(73.0%),年齡以25~44歲為主(52.4%);就醫層級以區域醫院比例最高(46.1%);就醫科別以骨科最高(53.7%)。傷害類型以上肢及下肢骨折比例最高,分別為17.4%及15.4%;傷害原因以機動車事故比例最高(37.7%);平均住院天數為8.02天;平均醫療費用NT$52,126;住院死亡佔0.3%。影響職業傷害住院醫療費用的因素有性別、年齡、保險類別、傷害類型、傷害原因、重複住院、就醫地區別、都市化程度、就醫層級、就醫科別、住院天數、手術、治療處置及住院死亡。結論:本研究發現職業傷害病患各項流行病學特徵與醫療費用之分布,並找出醫療費用影響因素,其中,住院天數及手術對醫療費用上升影響最大。
Objectives: To describe epidemiological characteristics and to find the associated factors of medical cost among occupational injury inpatients. Methods: This research brought "inpatient expenditures by admissions (DD)", "registry for contracted medical facilities (HOSB)", and "registry for beneficiaries (ID)" from National Health Insurance Research Database in 2009 into analysis by using SPSS 19.0 software. We selected "occupational injury" samples according to International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) with aged 15 and over. Results: There were 20,719 events of occupational injuries inpatients. Males exhibited higher proportion (73.0%), and aged 25-44 occupied the most (52.4%). The proportions of inpatients were highest in regional hospital (46.1%) and the department of orthopedics (53.7%) separately. The dominant injury types were upper and lower limb fractures (17.4% and 15.4%, respectively), and the common causes were motor vehicle injuries (37.7%). The average of length of days was 8.02, and the average of medical cost was NT$ 52,126. Inpatient mortality accounted for 0.3%. The factors associated with medical costs caused by occupational injury inpatients were gender, age, insurance type, injury type, cause of injury, repeated hospitalization, geographic region, degree of urbanization, hospital level, departments of hospital, length of days, surgical operation, treatment, and inpatient mortality. Conclusions: The study found epidemiological characteristics, distribution of medical cost, and the associated factors of medical cost among occupational injury patients. Among the associated factors, length of day and surgical operation had dominant impact on increase of medical cost.
期刊論文
1.Davies R、Jones P、Nunez I(2009)。The impact of the business cycle on occupational injuries in the UK。Social Science and Medicine,69,178-82。  new window
2.Berdahl TA、Zodet M.(2010)。Medical care utilization for work-related injuries in the United States 2002-2006。Medical Care,48,645-51。  new window
3.Ozkan S、Kilic S、Durukan P、Akdur O(2010)。Occupational injuries admitted to the Emergency Department.。Ulusal Travma ve Acil Cerrahi Dergisi,16,241-7。  new window
4.Chang CY(2009)。Chang CY. Analyzing Research on Characteristics of Occupational Injury Inpatients under National Health Insurance.and Consumption of Occupational Injury Medical Resources.。Magazine of Occupational Medicine Association in ROC,16,183-92。  new window
5.Leigh, J. P.、Waehrer, G.、Miller, T. R.、McCurdy, S. A.(2006)。Costs differences across demographic groups and types of occupational injuries and illnesses。American Journal of Industrial Medicine,49,845-853。  new window
6.Huang, Yukai、Huang, Junhao(2011)。Exploring Relations between Labor Health Belief and Protections against Exposure in Noises。Taiwan Journal of Public Health,30,573-81。  new window
7.Tsaur CC、Zheng SF、Shi DS(2007)。Analyses on Characteristics and Causes of Severe Occupational Hazards Occurred to Foreign Labor Workers in Taiwan。Monthly of Industrial Safety and Health,6,9-25。  new window
8.Liu JY、Hong YG、Zhuang YL(2006)。Research on Types of Township Developments in Taiwan and Applying to Large-scale Health Survey Sampling Designs。Journal of Health Management,4,1-22。  new window
9.CDC(2011)。Nonfatal occupational injuries and illnesses among older workers-United States,2009。Morbidity and Mortality Weekly Report,60,503-8。  new window
10.Sorenson SB(2011)。Gender disparities in injury mortality: consistent, persistent, and larger than you,d think。American Journal of Public Health,101(1),353-8。  new window
11.Zhong QX、Liu CY、Jian WJ(2010)。Epidemiology of Inpatients of Burns in Taiwan。Taipei City Medical Journal,7,53-66。  new window
12.Lin, Jiaxin、Lai, Jinhuang、Zhong, Qixiang、Bai, Lu、Gao, Senyun、Jian, Wujian(2010)。Epidemiology of Inpatients of Falling and Tumbling Accidents from 2005 to 2007 in Taiwan。Taipei City Medical Journal,7,323-37。  new window
13.Young AE、Cifuentes M、Wasiak R,、Webster BS.(2009)。Urban-rural differences in work disability following occupational injury: are they related to differences in healthcare utilization?。Journal of Occupational and Environmental Medicine,51,204-12。  new window
研究報告
1.Institute of Occupational Safety and Health of Council of Labor Affairs(1997)。Occupational Hazards Statistical Analyzing Reports of Main Countries in the World.。Institute of Occupational Safety & Health of Council of Labor Affairs。  new window
學位論文
1.Yu XF(2003)。Analyzing Repeated Hospitalizations of Patients in Taiwan(碩士論文)。National Taiwan University。  new window
圖書
1.Chen QR、Ho JJ.(1999)。Cause Analyses on Occupational Hazards in Fishing Industry of Taiwan。Institute of Occupational Safety and Health, Council of Labor Affairs。  new window
2.Wang WQ(2008)。Research on Epidemiology of Traumatic Brain Injuries for Elderly in Taiwan。Graduate Institute of Injury Prevention and Control, Taipei Medical University;。  new window
3.(2010)。Statistical Yearbook of Human Resources.。Directorate-General of Budget, Accounting and Statistics, Executive Yuan。  new window
4.Huang YZ(2006)。Study of Road Accidents in Taiwan and Minan Regions.。Graduate Institute of Statistics of National Central University。  new window
5.Li ZL(2007)。Study on Training Effects of Attendance Transportation Prevention against Occupational Injuries.。Graduate School of Health and Environmental Engineering。  new window
6.(2010)。Statistical Yearbook of Human Resources.。Directorate-General of Budget, Accounting and Statistics, Executive Yuan。  new window
7.Cai JX.(2002)。Support and Deciding Periods before Operations for Taiwanese People.。Institute of Business Administration of National Central University。  new window
其他
1.ILO(1998)。The Sixteenth International Conference of Labor Statisticians,http://www.doh.gov.tw/CHT2006/DM/ DM2_2.aspx?now_fod_list_no=11962&class_ no=440&level_no=4。  new window
2.ILO.。Health and Life at Work: A Basic Human Right,http://www.ilo.org/wcmsp5/groups/ public/---ed_protect/---protrav/---safework/ documents/publication/wcms_108686.pdf。  new window
3.WHO/ILO。Number of Work-Related Accidents and Illnesses Continues to Increase。  new window
4.Directorate-General of Budget, Accounting and Statistics, Executive Yuan.。Cash Payment on Occupational Hazards Labor Insurance Cases Increased 5.6% between January and October in2010,http://www. stat.gov.tw/public/Data/11101644871.pdf。  new window
5.Council of Labor Affairs。Reviewing Principles of Injuries Resulted from Occupational Execution for Insured Objects in Labor Insurance,http://www.bli.gov. tw/sub.aspx?a=y34dx7RjjCI%3D。  new window
6.Council of Labor Affairs。List of Types of Labor Insurance Occupational Diseases & Increased Items of Types of Labor insurance Occupational Diseases,http://www.bli.gov. tw/sub.aspx?a=YeRuliCfuWQ%3d。  new window
7.Reimbursement of Occupational Hazards Insurance Medical Fee Payment hosted by Bureau of National Health Insurance,http://dohlaw.doh.gov.tw/Chi/ NewsContent.asp?msgid=2674。  new window
圖書論文
1.Serinken M、Karcioglu O、Zencir M、Turkcuer I.(2005)。Direct medical costs and working days lost due to non-fatal occupational injuries。Severe Occupational Hazard Impact: Evaluating Potential Person-year Loss and Currency Value of Pain of Crippled Labor。Institute of Occupational Medicine and Industrial Hygiene of National Taiwan University。  new window
2.Zhong QX、Lai JH、Qiu BS、Bai L、Jian WJ(2010)。Analysis on Accident Hospitalization of Souza L, Dantas RA, Gurgel RQ.。Occupational injuries in children and adolescents in emergency services of Aracaju。Brazil. Child:Care, Health and Development。  new window
 
 
 
 
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