Evaluation of clinical benefits of conization after hospitalized positive cervical Pap smear test on national health insurance

• Main Authors: Jen-Jung Cheng, 鄭仁榮
• Other Authors: Su-Chiu Chen
• Format: Others
• Language: zh-TW
• Published: 2002
• Online Access: http://ndltd.ncl.edu.tw/handle/93598398444870082649

碩士 === 國立台北護理學院 === 醫護管理研究所 === 90 === ABSTRACT Graduate School: Department of Healthcare Management, National Taipei College of Nursing. Title: Evaluation of clinical benefits of conization after hospitalized positive cervical Pap smear test on national health insurance. Advisor: Su-Chiu Chen Author: Jen-Jung Cheng Background: Little research has been done on the understanding preventive health benefits, through the evaluation of clinical benefits of conization after hospitalized positive cervical Pap smear test on national health insurance. Objective: The purpose was to study how the incidence of invasive cancer yearly and further treatment (hysterectomy and radical hysterectomy) needed after conization of positive cervical Pap smear. Medical expenses among different operational methods were also compared. Data sources: 26,344women was all cases performed conization, hysterectomy and radical hysterectomy after hospitalization due to positive Pap smear test during 1977 and 2000, collected by National Health Insurance Research Database of National Heath Research Institute. Methods: Description statistics were mainly used, In addition, logistic regression was for the women who had conization, independent variable was severity of cervical disease, control variables were different hospital types, year and age, dependent variable was hysterectomy and radical hysterectomy. Results: Invasive cancer incidence decreased gradually yearly, and proportion of further treatment (hysterectomy and radical hysterectomy) needed also decreased gradually yearly, and therefore medical expenses will be saved finally.