| Summary: | 碩士 === 國立陽明大學 === 醫務管理研究所 === 94 === Objectives: The purpose of this study is to explore the utilization pattern of medical care on low back pain patients and the related factors.
Methods: This study applied secondary data analysis to NHI research database in 2004 provided by the National Health Research Institute. ICD-9-CM with initial three codes as 721, 722, 724, and 729.1 was selected from the database. Cases with the illness located at cervix or thorax were excluded. A total of 3,732,567 patients on low back pain in 2004 were retrieved as the study subjects. Logistic regression model and multinomial logit model were used to analyze the factors affecting the utilization pattern and tendency of medical care.
Results: 1) Approximately two-third (67.18%) of patients on low back pain are the pattern of western medicine; follow by the pattern of Chinese medicine (22.89%), and the pattern of plural medicine (9.93%). 2) Logistic regression model shows that the patients retaining the following characteristic were more likely to be the tendency towards Chinese medicine: female, younger, better health status, and living at areas with more sufficient manpower in Chinese medicine or less sufficient manpower in western medicine. 3) Multinomial logit model shows that the patients retaining the following characteristic were more likely to be the pattern of plural medicine: poorer health status, and living at areas with higher urbanization degree.
Conclusions: The results show that low back pain patients’ utilization pattern were western medicine resource. The patients characteristics, socio-economic level, health status, local resources were significant impact on low back pain patients’ utilization pattern of medical care.
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