研究目的本研究主要目的在利用全民健保資料庫，探討台南市民發生胸痛的病人特性及其是否做心導管的相關因素。為滿足研究目的需要，進行下列假說，(1)胸痛病人的年齡與是否做心導管有相關(2)胸痛病人的性別與是否做心導管有相關(3)胸痛病人戶籍地和是否做心導管有相關。研究方法採用橫斷式事後回溯性次級資料分析，採用資料為1997-2011年台南市民健保資料申報資料，分析資料來自中央健康保險局，全民健康保險研究資料庫的:門診處方及治療明細檔(CD)、門診處方醫令明細檔(OO)、住院醫療費用醫令明細檔(DO)。資料以Excel 2010 建檔，以IBM SPSS statistics version 22統計套裝軟體進?資?處?，依研究目的進行統計分析。結果因胸痛來台南地區就醫病人特質性別分佈，西元1997-2011因胸痛來就診的男性高於女性，平均比例約3:2。住院病人特質性別分佈，男性住院佔66.84%，女性住院佔33.16%。住院病人特質年齡分佈，50歲以上因胸痛住院者佔90%。就醫型態醫學中心占40.65%；區域醫院佔37.44%；地區醫院佔21.91%，就醫比例為4:4:2。住院醫院特性，住院比例醫學中心佔40.78%；區域醫院佔47.64%；地區醫院佔11.57%，住院比例為4:5:1。胸痛病人的性別與是否做心導管有顯著相關。胸痛病人的調整年齡層分布與是否做心導管有相關。胸痛病人的戶籍地與是否做心導管有部分之相關。 Research Objective:The main purpose of this study is to explore related factors of patient characteristic of a chest pain and a chest pain patient whether or not making cardiac catheter in Tainan. We use the patient data of the National Health Insurance database to do this study. We have the following hypotheses: (1) The age of the chest pain patient is a significant factor of treatment of cardiac catheterization. (2) The gender of the chest pain patient is a significant factor of treatment of cardiac catheterization. (3) The domicile of the chest pain patients are significantly related of treatment of cardiac catheterization.MethodsThe analysis was executed by using cross - sectional retrospective secondary data collected from 1997 to 2011 of Tainan public health insurance claimed information of the National Health Insurance Bureau of National Health Insurance Research including Database of Outpatient prescriptions and treatment details files (CD), Medical Outpatient Prescription Order Detail file (OO), Hospital medical expenses Medical Order Details file (DO). Excel 2010 and IBM SPSS statistics version 22 statistical software package were our tools to do data processing and the statistical analysis of the research purpose.ResultThe results showed that the chest pain patient traits gender distribution are men more than women to seek treatment for chest pain in Tainan area with an average ratio of about 3:2 AD 1997-2011. The sex distribution of chest pain patients to stay in hospital was male for 66.84% and women for33.16% in Tainan area. The characteristics of the age distribution of patients after medical treatment in Tainan area, over 50 years old were hospitalized because of chest pain accounted for 90%. To go to a doctor because of chest pain in Tainan area, the hospital characteristics were medical centers accounted for 40.65%, regional hospitals accounted for 37.44%, regional hospitals accounted for 21.91 percent, and the medical care ratio was about 4: 4: 2. After medical treatment in hospital because of chest pain to Tainan, the hospital characteristics were the proportion of hospital medical center accounted for 40.78%, regional hospitals accounted for 47.64%, accounted for 11.57% community hospital, and the hospital ratio was about 4: 5: 1. Chest pain patient's gender and whether doing cardiac catheterization do have significant association. The adjusted age distribution of chest pain patient’s and whether doing cardiac catheterization is significant associated. Chest pain patient's domicile and whether or not to do cardiac catheterization have partial association.
