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IEH-1214AnalysisoftheUtilizationofChineseMedicineServiceunderNationalHealthInsuranceinTaiwan8965014i---2003/07ii1996-200125.84%28.37%26,140,78028,174,8435,178,8866,142,8291.301.371.305.054.591998~19992000(921E)200155(5)75%525%133%200123.90%17.46%16.53%14.34%10.83%200140.74%23.73%iii8,386,621524,6202.100.9515~5465~742000~200135~4496%ivABSTRACTTheaimofthisstudywastoanalyzetheutilizationofChinesemedicineunderNationalHealthInsurance(NHI)inTaiwan.WeusedtheNHIProgramClaimsdatatoprofiletheambulatoryserviceutilizationofChinesemedicine.StratifiedAnalysiswasbybranch,ageandgender.Thisisasecondarydataanalysis.AlldatawasfromChinesemedicinefilesanddevelopedbyNationalHealthResearchInstitutes(NHRI)from1996to2001.Majorfindingsofthisstudyaresummarizedasfollow:(1)TheutilizationofChinesemedicinehasincreasedgraduatelyfrom1996to2001.Outpatientvisitshaverisenfrom26,140,780in1996to28,174,843in2001.ThenumberofpersonutilizedChinesemedicinehavealsoelvated5,178,886in1996to6,142,829in2001.(2)ThetrendofutilizationofChinesemedicineforaverageoutpatientvisitshowsinverseUshape.Itincreasesfrom1.30visitsperinsuredperyearin1996to1.37visitsin1999,andthendecreasedto1.30visitsin2001.StratifiedAnalysisbyageandgenderhassimilarresults.(3)ThepercentofinsuredutilizedChinesemedicinehaveincreasedfrom25.84%in1996to28.37%in2001.However,femaleinsuredhadahigherutilizedpercentagethandidmaleinsured.(4)Theoverallaverageperpersonwas5.05in2001.Twenty-fivepercentofinsuredwerefrequentusersofChinesemedicine(more5visitsayear).Theaveragefrequencyofutilizationperpatientincreasedasageincreases.Thepersonrangedbetween65and74yearsoldhavethehighestutilizationrate.(5)Themosttreateddiseaseswererespiratorysystemdisorders(23.90%),dislocationandsprain(17.46%),muscularskeletalsystemdisorders(16.53%),symptomsandill-definedconditions(14.34%)anddigestivesystemdisorders(10.83%).(6)TheresultsofstratifiedanalysisbybranchshowthattheCentralbranchofBureauofNationalHealthInsurancehadthehighestutilizationofChinesemedicinefromperyear.(7)GeographicvariationinthenumberofChinesemedicinedoctorper10,000peoplehadimpactontheutilizationofChinesemedicine.PeoplelivinginregionwithhigherChinesemedicinehavehigherutilizationofChinesemedicine.Theresultsofthisstudycanassistpolicy-makeraswellasthemanagerofChinesemedicinehospitals.Keywords:Chinesemedicine,HealthServiceutilizationv12345791516252831343637vi3839425164686973771ICD-9-CMA-CODE952199495vii2-1(Adersen,1968)192-2(AdayAdersen,1974)222-3(AdayAdersen,1995)232-4(AdayAdersen,1995)243-1344-11997~2001734-21996~2001734-31996~2001744-42001744-52001754-62001754-72001764-81997~200176viii2-11996~200172-2102-3112-4122-5()122-61996~2001132-7333-1364-1-11996~2001-774-1-21996~2001-784-1-31996~2001794-1-41996~2001794-2-11996~2001804-2-21996~2001804-2-31996~2001814-2-41996~2001814-2-51996~2001824-2-61997~2001824-2-71997~2001834-2-81997~2001834-2-91997~2001844-2-101997~2001844-2-11200184ix4-2-121996~2001854-2-131996~2001854-2-141996~2001864-2-151996~2001864-2-161996~2001874-2-171996~2001874-2-181996~2001884-2-191996~2001884-2-202001894-2-212001904-2-221996~2001914-2-231996~2001924-2-241996~2001931(WHO)(1)(2-5)1983(5-9)50%19953120011221,653,55596.64%1655890.65%226987.67%(10)(NHRI)21996~1998(11-14)200071~2()31996-20011234496%5(15-16)1978198119831985~1989162131988198961995320007719953(17)2-11996~200120011222,405,56821,653,55596.64%2-11996~20011996215254332004148893.11%1997217428152049231794.25%1998219285912075718594.66%1999220923872108985995.46%2000222766722140082696.07%2001224055682165355596.64%2001(4-1-1)25~343,686,04617.02%35~443,676,41516.98%75712,42865~741,238,3063.29%5.72%33.5910,805,83449.90%10,847,72150.10%(4-1-2)7,863,71936.32%3,995,58918.45%510,6152.36%4,263,32119.69%2,828,31013.06%50,1270.23%82001206,917,533,763168,373,009,04181.37%24,802,22612.91%11,832,307,1915.72%313,946,781260,969,71283.13%24,802,2267.90%28,174,8438.97%65964510774209(2001)(18)2-2()12020056(1998)(19)1-2216.3%(2000)(20)21-2522.98%18.63%93.33%()19841002-21-894.1%10()19971995~19967.5%4.5%1997~19981.5%2.1%19502000315.81%982-21989~199489.2%2-2(%)(1-24)213735916.8(1-8)37435294.1(1989-1994)50244889.21998200118,265(2-3)16,55890.65%2,5882,544442,269(222544)87.67%(2-4)71060441(21)2-51120013,8973,36986.45%52813.55%(2-6)20013.41.80.430.3520011,08527.84%84421.66%6180.62%22(22)22-31996~20011996166451542992.69%2076181587.43%1997173981586891.21%2248190084.52%1998177311609490.77%2331194783.53%1999177701616990.99%2383207286.95%2000180821633290.32%2513215285.63%2001182651655890.65%2588226987.67%1996~2001122-41996~2001()1997526229571284256341998508233602296272361999552235655294297392000570251683293317382001604266710312336411996~20012-5()()()1671155288263304816380642822120523888508601.2.8890132-61996~2001*1996199719981999200020011.6696833781,0891,2301,2771,3501,4271,5591.36390,9663637484348531.86,244,0542.112,633,8023904304354724845231.583,610,2523964334504614955620.99465,7993745495147461.551,762,9631502052092322512641.37819,5960.9446,3004139383639401.93373,2963941485563712.3756459829811,0921,1781,2011,2601,3251