A Study on Emergency Medical Care Utilization and Related Factors of Older Veterans in Taiwan

• Main Authors: CHEN, MING-CHU, 陳明珠
• Other Authors: Chen, Chu-Chieh
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/11650087610081750421

碩士 === 國立臺北護理健康大學 === 健康事業管理研究所 === 105 === BACKGROUND: According to the Ministry of Health and Welfare (2013), the number of elderly people aged 65 or above who have been attending the emergency department or the emergency department for every 100,000 population is higher than that of the elderly in Taiwan. As of the end of 2015 older veterans accounted for the national elderly population ratio of 6.8%, non-functional citizens enjoy universal health insurance premiums and medical expenses full subsidy, coupled with the demographic characteristics of aging, and the elderly to study the object, The medical use of the study is still a minority, to further explore the older veterans frequent use emergency medical research is limited. OBJECTIVES: To explore the 2012 emergency care utilization of older veterans in Taiwan and frequent access of emergency care and correlation factors. METHODS: In this study, LHID 2010 released by National Health Research Institute was processed and analyzed with SAS 9.4 Package. Descriptive statistics was used to explore the 2012 emergency care utilization data of Taiwanese older veterans population. Chi square (χ2 test), complex logistic regression was used to explore the correlation factors of older veterans population emergency care utilization and frequent access of emergency care, respectively. RESULT: In 2012, 8,593 Taiwanese people were older veterans aged 65 or older, where 2,931 （34.11%）have accessed emergency care with 6,605 person-time, on an average of 2.25 time each individual. Of the emergency care users, 459（15.66%） were frequent users. Men aged 85 or older had more than 90 outpatient visits and/or hospital stay in the previous year, and with CCI classification of 3 or higher are associated with higher utilization of emergency care and become frequent emergency care users. CONCLUSION: The emergency care utilization rate of older veterans population is 34.11%, with 2.25 times annually on average. The factors contributing to frequent utilization of emergency care include age group, and the medical utilization and health status of patients in the previous year.