醫療院所特質與醫師特質對未成年氣喘患者醫療資源耗用的影響

Translated title of the contribution: Impacts of Characteristics of Medical Care Organizations and Physicians on Medical Resources Utilization of Children with Asthma

Research output: Contribution to journalArticle

Abstract

The time of treatment about asthma is long. Especially, children are the population who take medicine as order poorly. They will utilize medical resources much. Will the medical resources utilization of children with asthma be different between differ from medical care organizations and physicians?
We divided the Nation Health Insurance Research Database into outpatient, emergency and inpatient three parts to explore the correlation between medical resource utilization of children with asthma and the differ from medical care organizations and physicians. The characteristics of patient are age, sex and Charlson Comorbidity Index. The characteristics of medical care organizations were the branch about Bureau of National Health Insurance, ownership, level of medical institution and clinical specialty. The characteristics of physicians are age, sex, physician specialist and the seniority of physician specialist.
In outpatient, the branch about Bureau of National Health Insurance and clinical specialty didn’t correlate with medical resources utilization. The medical resources utilization in public medical institutions were higher at outpatient total medical expenses and outpatient medicine expense per day. The characteristics of physician didn’t correlate with medical resources utilization. In emergency, some branch about Bureau of National Health Insurance correlated with medical resources utilization, but others didn’t correlate with medical resources utilization. The physician specialist and patient age correlated with emergency medicine expense per day. In inpatient, the public medical institutions and medical centers correlated with inpatient medical resources utilization and the medical resources utilization in public medical institutions and medical centers were higher than ohters. The pediatrics correlated with inpatient medical resources utilization also. The inpatient medical resources utilization in pediatrics were higher than others.
It is recommended that first, children shold be treated for pediatrics. Second, health education avoid people tend toward higher level of medical institutions. Finally, the clinic takes the responsibility of primary doctor.
Translated title of the contributionImpacts of Characteristics of Medical Care Organizations and Physicians on Medical Resources Utilization of Children with Asthma
Original languageChinese (Traditional)
Pages (from-to)249-260
Journal醫務管理期刊
Volume13
DOIs
Publication statusPublished - 2012

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