https://scholars.lib.ntu.edu.tw/handle/123456789/514469
標題: | The utilization of radionuclide myocardial perfusion imaging and cardiac catheterization under Taiwan's universal health insurance program | 作者: | Lin M.-C. RUOH-FANG YEN Chen H.-Y. Muo C.-H. Wang H.-E. Chen C.-L. Kao C.-H. |
公開日期: | 2013 | 卷: | 29 | 期: | 5 | 起(迄)頁: | 1039-1042 | 來源出版物: | International Journal of Cardiovascular Imaging | 摘要: | This study examines the utilization patterns of myocardial perfusion imaging (MPI) and cardiac catheterization (CC) under Taiwan's national health insurance program. This study used the longitudinal health insurance database with 1,000,000 people were randomly selected from the national health insurance research database. This study obtained data from these patients with coronary artery disease (CAD) and comparison with the utilization of MPI or CC between 2005 and 2009. The incidence of CAD did not significantly change, while the prevalence of CAD, utilization of MPI, and the utilization of CC for the CAD patients increased annually. There were the most CAD patients in Northern Taiwan (43.5 %), followed by Southern, Central, and Eastern Taiwan. The utilizations of both of MPI (12.7 per 100 CAD patients) and CC (10.6 per 100 CAD patients) were most frequent in Northern Taiwan followed by Southern, Central, and Eastern Taiwan. However, the MPI/CC ratio was 1.20 in Northern Taiwan, followed by Southern, Central, and Eastern Taiwan (0.88, 0.64, and 0.52, respectively, P = 0.0008). The use of MPI was higher than CC only in Northern Taiwan. MPI may be underutilized to serve the role of gatekeeper for CC in the other regions. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/514469 | ISSN: | 1569-5794 | DOI: | 10.1007/s10554-012-0180-8 | SDG/關鍵字: | radioisotope; article; comparative study; coronary artery disease; data base; health care utilization; health insurance; heart catheterization; human; incidence; myocardial perfusion imaging; prevalence; Taiwan; Cardiac Catheterization; Coronary Artery Disease; Databases, Factual; Humans; Incidence; Linear Models; Myocardial Perfusion Imaging; National Health Programs; Physician's Practice Patterns; Prevalence; Radiopharmaceuticals; Taiwan; Time Factors; Universal Coverage |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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