| Summary: | 碩士 === 中國醫藥大學 === 中醫學系 === 98 === Asthma is one kind of chronic disease, it breaks out repeatedly, but sometimes it may Self-mitigation. Most of the asthma patients lack for the knowledge of this disease, and they are also scanty of well management for it. In order to improve the ability of asthma patients to take care of themselves and their living quality, National Health Insurance sets The Improvement Program of National Health Insurance Payment for asthma Medical Treatment into action in 2001, or called pay for performance program. It combined the concept of pay for performance and disease management, so the amount of payment will base on the care results of the patients. The research is dedicated to find out the elements for encourage the asthma patients admitted in the program to choose the treatment of Chinese and Western Medicine, the common used Chinese Medicine, and the relationship between the treatment of Chinese and Western Medicine and the care result. The research is a retrospective study, the study objects is the patients admitted in the program during 2001 to 2003, which are divided into two groups. The patients of the first group are under the treatment of Chinese and Western Medicine, and the patients in another group are only under the treatment of Western Medicine. Base on the status of the patients when they just admitted to the program, and analyze the medical resource utilities as the care results which consist of outpatient, admissions, and emergency. The research found out that how serious of the asthma and the gender of the patients both effect the willing of the patients to choose the treatment of Chinese and Western Medicine. In the result of care, two of the study objects only show remarkable difference in the amount of outpatient, but both of their medical resource utilities have a decreasing trend. In the common used Chinese medicine, the almond and the Ding Chuan Tang is the mostly used medicine.
The database of the research only contains a few years of data, and those data are most related to Western medicine. We suggest that the following study may increase the time for the research and replenish more data of Chinese medicine, which would represent the influence of the Chinese medicine treatment to the asthma patients more clearly.
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