Lin T, Chou P, Lai M S, Tsai S T, Tai T Y
Bureau of National Health Insurance, 7Fl.-3, No.98, Dah-Jong South St. Taichung 403, Taiwan, ROC.
Diabetes Res Clin Pract. 2001 Nov;54 Suppl 1:S43-6. doi: 10.1016/s0168-8227(01)00308-4.
The purpose of the present study was to examine the characteristics of healthcare costs for diabetic patients in Taiwan. The study analyzed claim data from the Bureau of National Health Insurance for the period from July 1997 to June 1998. There were 536159 documented diabetic patients who were treated within the universal healthcare system in Taiwan during this study period. The annual number of visits of these diabetic patients was 6.2% of the total outpatient visits of all patients due to all causes during the one-year study period. Diabetes-related problems were the causes of 25.2% of outpatient visits among diabetic patients, while 74.8% of visits were for causes unrelated to diabetes. The distribution of treatment for the diabetic patients was by oral hypoglycemic agents 88.3%, insulin only 6.9%, and a combination of insulin and oral agents 4.8%. Diabetic patients accounted for 4,724,711 hospital inpatient days during the study period, which was 22.1% of the total inpatient days in Taiwan. Of the inpatient admissions, 13.9% were for diabetes as the principal cause, 23.4% were for diabetes-related disease, and 62.7% were for causes unrelated to diabetes. The direct costs of healthcare for the documented diabetic patients was 11.5% of the total costs of healthcare in Taiwan, and was 4.3 times higher than the average costs of care for non-diabetic individuals.
本研究的目的是调查台湾糖尿病患者的医疗费用特征。该研究分析了1997年7月至1998年6月期间国民健康保险局的理赔数据。在本研究期间，台湾全民医疗体系中有536159名有记录的糖尿病患者接受了治疗。在为期一年的研究期间，这些糖尿病患者的年就诊次数占所有患者因各种原因就诊总次数的6.2%。糖尿病相关问题导致糖尿病患者门诊就诊次数的25.2%，而74.8%的就诊是由与糖尿病无关的原因引起的。糖尿病患者的治疗分布为：口服降糖药占88.3%，仅用胰岛素占6.9%，胰岛素与口服药物联合使用占4.8%。在研究期间，糖尿病患者占台湾医院住院总天数的4724711天，占台湾住院总天数的22.1%。在住院病例中，13.9%以糖尿病为主要病因，23.4%以糖尿病相关疾病为病因，62.7%以与糖尿病无关的病因。有记录的糖尿病患者的直接医疗费用占台湾医疗总费用的11.5%，比非糖尿病个体的平均医疗费用高4.3倍。
