Lynn An-Min, Lai Li-Jung, Lin Ming-Hwai, Chen Tzeng-Ji, Hwang Shinn-Jang, Wang Peng-Hui
Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shi-Pai Road, Taipei 112, Taiwan.
School of Medicine, National Yang-Ming University, No.155, Sec. 2, Linong Street, Taipei 112, Taiwan.
Int J Environ Res Public Health. 2015 Jun 16;12(6):6832-41. doi: 10.3390/ijerph120606832.
Although obstetrician-gynecologists (OB-GYNs) are the main actors in the provision of health care to women, their practice patterns have rarely been analyzed. The current study investigated the nationwide ambulatory visits to OB-GYNs in Taiwan using the National Health Insurance Research Database. From the 1/500 sampling datasets indicating 619,760 ambulatory visits in 2012, it was found that 5.8% (n = 35,697) of the visits were made to OB-GYNs. Two-fifths of the services provided were performed by male OB-GYNs aged 50-59 years. Women of childbearing age accounted for more than half of the visits to OB-GYNs (57.2%), and elderly patients above 60 years accounted for only 7.7%. The most frequent diagnoses were menstrual disorders and other forms of abnormal bleeding from the female genital tract (13.1%). Anti-infective agents were prescribed in 15.1% of the visits to OB-GYNs. The study revealed the proportion of aging practicing OB-GYNs, and our detailed results could contribute to evidence-based discussions on health policymaking.
尽管妇产科医生是为女性提供医疗保健服务的主要从业者，但他们的执业模式却很少得到分析。本研究利用国民健康保险研究数据库，调查了台湾地区全国范围内妇产科医生的门诊就诊情况。从表明2012年有619,760次门诊就诊的1/500抽样数据集中发现，5.8%（n = 35,697）的就诊是去看妇产科医生。所提供服务的五分之二是由50至59岁的男性妇产科医生进行的。育龄妇女占妇产科医生门诊就诊人数的一半以上（57.2%），60岁以上的老年患者仅占7.7%。最常见的诊断是月经紊乱和女性生殖道其他形式的异常出血（13.1%）。15.1%的妇产科医生门诊就诊开具了抗感染药物。该研究揭示了执业妇产科医生老龄化的比例，我们的详细结果可为基于证据的卫生政策制定讨论提供参考。
