Chien I-Chia, Lin Yu-Chung, Chou Yiing-Jenq, Lin Ching-Heng, Bih Shin-Huey, Lee Cheng-Hua, Chou Pesus
Jianan Mental Hospital, Department of Health, and Chia Nan University of Pharmacy & 8cience, Tainan, Taiwan.
J Geriatr Psychiatry Neurol. 2008 Jun;21(2):142-8. doi: 10.1177/0891988708316859.
The National Health Insurance database to determine the treated prevalence and incidence of dementia in Taiwan was used in this study. A population-based random sample of 22 118 subjects aged 65 or older was obtained as a dynamic cohort. Those study subjects who had filed at least one service claim from 1996 to 2003 for either outpatient care or inpatient care with a principal diagnosis of dementia were identified. The annual treated prevalence increased from 0.71% to 1.92% from 1996 to 2003. The annual treated incidence rates were around 0.76% to 1.04% per year from 1997 to 2003. The annual treated incidence rates for the 5-year age groups, from 65 to 90 years and older, were 0.44%, 0.65%, 0.98%, 1.46%, 1.81%, and 1.80%, respectively. Both the treated prevalence and incidence rates of dementia in National Health Insurance were lower than those of community studies.
本研究使用了台湾国民健康保险数据库来确定痴呆症的治疗患病率和发病率。以65岁及以上的人群为基础,随机抽取了22118名受试者作为动态队列。确定了那些在1996年至2003年期间至少提交过一次门诊或住院服务申请且主要诊断为痴呆症的研究对象。1996年至2003年,年度治疗患病率从0.71%上升至1.92%。1997年至2003年,年度治疗发病率约为每年0.76%至1.04%。65岁至90岁及以上的5岁年龄组的年度治疗发病率分别为0.44%、0.65%、0.98%、1.46%、1.81%和1.80%。国民健康保险中痴呆症的治疗患病率和发病率均低于社区研究中的患病率和发病率。