Chan Wing P, Liao Chih-Hsien, Hsu Chung-Huei, Yang Che-Ming
Department of Radiology, School of Medicine, Taipei Medical University, Taiwan.
Nucl Med Commun. 2010 May;31(5):375-9. doi: 10.1097/MNM.0b013e3283367327.
The aim of this study is to estimate how much scintigraphy the population will need in a well-developed healthcare system with fairly equitable access to healthcare.
This is a retrospective population-based study. The data used came from Taiwan's National Health Insurance reimbursement claims dataset, the National Account compiled by Taiwan's Statistical Bureau of the Directorate General of Budget, Accounting and Statistics, and the National Health Account by Taiwan's Department of Health from 2001 to 2005. Frequency and expenditure variables were derived from these datasets.
The annual scintigraphy use rate in Taiwan was 13.57/1000 people from 2001-2005. On average, expenditures for scintigraphy accounted for 0.24% of National Health Insurance expenditures, 0.13% of the nation's total health expenditures and 0.00008% of the gross domestic product of Taiwan. The ratio of scintigraphy to computed tomography use was 0.37 and the scintigraphy to magnetic resonance imaging ratio was 1.14. The ratio of expenditures for scintigraphy and computed tomography was 0.23 and that for scintigraphy and magnetic resonance imaging was 0.36.
A comparative approach is useful for assessing healthcare needs. Although the Taiwanese experience might not apply to all countries, the results of this study can serve as an international benchmark for assessing the need for scintigraphy in countries around the world.
本研究旨在估算在一个医疗保健体系发达且医疗保健可及性较为公平的环境下，民众对闪烁扫描检查的需求量。
这是一项基于人群的回顾性研究。所使用的数据来自台湾地区全民健康保险报销申请数据集、台湾地区主计总处统计局编制的国民账户以及台湾地区卫生署2001年至2005年的国民健康账户。频率和支出变量源自这些数据集。
2001年至2005年台湾地区闪烁扫描检查的年使用率为每1000人中有13.57人次。平均而言，闪烁扫描检查的支出占全民健康保险支出的0.24%，占国家总卫生支出的0.13%，占台湾地区国内生产总值的0.00008%。闪烁扫描检查与计算机断层扫描检查的使用比例为0.37，与磁共振成像检查的比例为1.14。闪烁扫描检查与计算机断层扫描检查的支出比例为0.23，与磁共振成像检查的支出比例为0.36。
比较方法有助于评估医疗保健需求。尽管台湾地区的经验可能不适用于所有国家，但本研究结果可作为评估世界各国闪烁扫描检查需求的国际基准。
