| Summary: | 碩士 === 高雄醫學大學 === 醫務管理學研究所碩士在職專班 === 100 === Purpose
The medical care cost of psychiatric illnesses is not only a financial burden for the National Health Insurance, it is also a indirect burden to the society and family care givers. We hope to understand the medical care use condition of patients in the psychiatric department compared to other departments to avoid the psychiatric department fares being underestimated.
1.Compare the differences in the demographic characteristic (sex, age) in the medical use of chosen outpatient departments.
2. Compare the differences in the number of medical use of chosen outpatient departments.
3. Compare the differences in the medical cost of chosen outpatient departments.
4. Compare the differences in the high medical use of chosen outpatient departments.
5.Investigate the effect of demographic characteristics and outpatient department use on the number of visits and the cost of medical use.
Methods
This study used the five year sampling of "National Health Insurance Academic Research Database" from 2006 to 2010, including a total of 63,823,095 sets of data, using SPSS for Windows 19.0 software package to sort and analyze data.
Results
Female had a higher number of medical visits than male, however, male had a higher medical cost use than females. Additionally, those older in age, their medical cost is higher. The average psychiatric medical cost is only lower than the dialysis department. The ranking of medical cost is dialysis, psychiatric, internal medicine, dentistry, traditional Chinese medicine, and otolaryngological department. From the average use of number of visits per person per year, the psychiatric department is also ranked in the top five.
Conclusion and Suggestion
The government is actively promoting prevention and care programs, for instance, the suicide prevention and community care programs promoted by the national health bureau. Furthermore, those with abnormal number of medical visits should be referred to the psychiatric department for assessment to screen out psychiatric patients, providing them with adequate treatment to prevent the waste of medical resources.
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