| Summary: | 碩士 === 國立政治大學 === 統計學系 === 106 === Catastrophic illness (CI) is one of the main features in National Health Insurance (NHI) Database. People with CI card can enjoy waiver of copayment and other medical benefits which reduce the financial burden of CI patients. As of October 2017, Ministry of Health and Welfare calculated that 900 thousand people has CI card, it means about 4% Taiwan’s population were with the CI card and they spend more than 27% of total medical expenditure of NHI. Since the probability with CI increases with age and decrease with death rate, the population aging and prolonging life are expected to worsen the financial burden of the NHI.
We use NHI database to explore the difference of medical need with cancer patients before and after they got CI card. Hope the results can be used for early detection of cancer. In addition to prevention, it can efficiently control the expenditures of NHI. We analysis the feature of cancer patients by using the data from the NHI Database, including Registry for catastrophic illness patients (HV) and HV’s Ambulatory care expenditures by visits (HV_CD). We calculated prevalence rate, incidence rate, death rate and survival rate, and explore the medical need of cancer patients, and then explore the difference of medical need with cancer patients before and after they got CI card. We found that cancer incidence rate is increasing and cancer death rate is decreasing year by year. The cancer patients have a peak of medical treatments before getting CI cards, and cancer patients’ number of medical treatment before getting CI cards was higher than the average person. If cancer patients got the first CI card that was cancer card, and there was high probability to get another cancer card.
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