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台湾的帕金森病患者的医疗保健利用率和医疗费用

Kuan-Chen Chen¹, Li-Jung Elizabeth Ku², Ya-Hui Hu²

¹Department of Health Care Management, National Taipei University of Nursing and Health Sciences, No. 365, Mingde Road, Peitou District, Taipei City, 112, Taiwan.

|January 3, 2025

概括

帕金森病 (PD) 在台湾显著增加了医疗保健费用,医疗和药物费用随着疾病的严重程度而增加. 这项研究强调了PD对患者和医疗保健系统的巨大经济负担.

科学领域:

老年学是指老年学的学科.
公共卫生公共卫生
卫生经济学卫生经济学

背景情况:

帕金森病 (PD) 对老年人群来说是一个重大的健康挑战.
缺乏关于台湾PD的长期经济影响的全面数据.

研究的目的:

分析台湾帕金森病患者的长期医疗资源利用和相关成本,包括药物费用.
在长达15年的随访期间,提供对PD经济负担的见解.

主要方法:

利用国家健康保险 (NHI) 研究数据库识别发生的帕金森病 (PD) 病例,并匹配非PD对照.
从2003年到2018年,使用了通用线性模型来比较PD和非PD组之间的年度医疗保健利用率和成本,根据PD严重程度,年龄,性别和随访时间进行了分层分析.

主要成果:

该研究确定了50290例PD病例和201153例对照,显示PD患者的平均总医疗费用 (NT$631,080) 和药物费用 (NT$222,810) 与非PD患者相比显著更高.
病发病患者的医疗和药物总成本仍然很高,从诊断后第一年的NT$138,487到15年NT$154,676,门诊护理 (55%) 和药物 (35%) 是最大的成本组成部分.
随着PD的严重程度,医疗费用上升,随着病情恶化,患者的门诊,住院和药物费用增加.

结论:

这项研究提供了对台湾帕金森病患者长期医疗保健利用率和成本的首次全面分析.
帕金森病在台湾造成了相当大的经济负担,医疗和药物费用分别是非PD患者的1.31倍和1.59倍.
调查结果强调需要有效的卫生政策来解决帕金森病的医疗保健需求和财务影响,特别是考虑到与疾病严重程度相关的成本上升.

关键词:

费用费用费用费用费用费用费用经济负担经济负担医疗保健利用率医疗保健利用率国家医疗保险国家健康保险帕金森病是帕金森氏症的一种疾病.

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