An Analysis of Depression Patients'' Health Services Utilization--Using National Health Insurance Registry for Beneficiaries Claims Data Files

• Main Authors: Tsai Hsu Shin, 蔡述信
• Other Authors: 郝宏恕
• Format: Others
• Language: zh-TW
• Published: 2003
• Online Access: http://ndltd.ncl.edu.tw/handle/89932459406325948203

碩士 === 中國醫藥學院 === 醫務管理研究所 === 91 === According to the reports of the World Health Organization (WHO), it discovered that the numbers of people who had depression disorders problem were three in a hundred in 2001. The depression disorders problem might bring the body illness and completely destruction. In 2002, the National Institute of Mental Health (NIMH) pointed out that the numbers of Western people who had a depression disorders problem were between 4 % to 18% in their lifetime and the chance rate to have depression disorders problem once was between 50% and 85 %. Moreover, the Americans had the depression disorders problem were up to 15 % during their lifetime. The reactions of depression disorders problem could cause the body illness, unemployed, social problem, and the relationships between the people, even suicide and injury. Furthermore, it could increase the costs of the patients, patients’ family and society. Therefore, the WHO pointed that the depression disorders problem would be the second place of the cause of human disability disease in 2020. It was an important subject to understand that the cost control of the resources of medical treatment for NHI. It might be a contribution for the resource of NHI, if analyzed and practiced the use rate of the patients of depression disorders problem. This study was used the National Health Insurance Registry for 100,000 Beneficiaries Claims Data Files from 1996 to 2000. According to ICD-9-CM, the doctor diagnosed 300.4, 296.2, 296.3, 309 and 311. Moreover, analyzed the medical treatment fee and medical treatment service for the patients of the depression disorders of A212, A214 and A219 in A-code. The results were concluded as follows: 1. The demographic characteristic Female utilized more ambulatory care of depression disorders visits than male in 2000. 2. The utilizing rates of depression disorders beneficiaries in ambulatory care of psychiatric department were revealed increased. 3. The annual total depression disorders utility frequency differences before and after 921 earthquake After 921 earthquake, the annual total utility frequency of depression disorders revealed decreased. 4. The annual total medicine costs in ambulatory care, emergency care, and inpatient care all increased from 1996 to 2000. 5. The utilization rate of services offered by basic clinics by depression patients was apparently the highest in the four medical levels. 6. The average number of medicine offering days for ambulatory care by medical center 22.98 was the most, and the basic clinics 9.90 was the least.