Yang Ling-Yu, Lynn An-Min, Chen Tzeng-Ji
Department of Pediatrics, School of Medicine, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 112, Taiwan.
Department of Medical Education, Taipei Veterans General Hospital, No. 201, Section 2, Shi-Pai Rd., Taipei 112, Taiwan.
Int J Environ Res Public Health. 2015 Nov 2;12(11):14043-54. doi: 10.3390/ijerph121114043.
Pediatricians play a key role in the healthy development of children. Nevertheless, the practice patterns of pediatricians have seldom been investigated. The current study analyzed the nationwide profiles of ambulatory visits to pediatricians in Taiwan, using the National Health Insurance Research Database. From a dataset that was randomly sampled one out of every 500 records among a total of 309,880,000 visits in 2012 in the country, 9.8% (n = 60,717) of the visits were found paid to pediatricians. Children and adolescents accounted for only 69.3% of the visits to pediatricians. Male pediatricians provided 80.5% of the services and the main workforces were those aged 40-49 years. The most frequent diagnoses were respiratory tract diseases (64.7%) and anti-histamine agents were prescribed in 48.8% of the visits to pediatricians. Our detailed results could contribute to evidence-based discussions on health policymaking.
儿科医生在儿童的健康发展中起着关键作用。然而，儿科医生的执业模式很少受到研究。本研究利用国民健康保险研究数据库分析了台湾地区儿科门诊就诊的全国概况。从2012年该国总计3.0988亿次就诊记录中每500条记录随机抽取1条的数据集里，发现有9.8%（n = 60,717）的就诊是看儿科医生。儿童和青少年仅占看儿科医生就诊人数的69.3%。男性儿科医生提供了80.5%的服务，主要劳动力是40 - 49岁的医生。最常见的诊断是呼吸道疾病（64.7%），在48.8%的儿科医生就诊中开具了抗组胺药。我们的详细结果有助于为卫生政策制定的循证讨论提供依据。
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