[[alternative]]The Utilization of Psychiatric Services for Adolescents in Taiwan

[[abstract]]背景：國內外雖有多篇與精神醫療服務利用之相關研究，但對象大多為成年人或老年族群，以全國青少年為研究對象且比較長期的年代趨勢變化的研究仍相對有限。目的：探討臺灣地區10-24歲青少年精神醫療利用及其年代趨勢的變化。方法：本研究利用「衛生福利部統計處」公告的1998年至2012年「全民健康保險醫療統計」資料，以全國人口中10-24歲的青少年為研究樣本，使用EXCELL 2010試算表軟體及Cytel Studio 8套裝軟體進行資料整理及統計分析。結果：1998年至2012年臺灣地區10-24歲青少年精神醫療利用總人數有增加的趨勢。以標準化就診率來看，每十萬人約有2,413人至3,805人求診，連續15年與上一年比較只有2006年、2007年及2008年略為下降外，其餘年度之標準化就診率皆呈現上升的趨勢；男生與女生精神疾患標準化就診率比值介於0.66至1.13之間，男生精神醫療利用率也從2008年開始高於女生。經年代趨勢檢定發現整體、性別分層、各年齡層男生及10-14歲與20-24歲女生的精神醫療就診人數皆呈上升趨勢，僅有15-19歲女生青少年的精神醫療就診人數呈下降趨勢，全數p<0.05皆達到統計上顯著意義。結論：臺灣地區10-24歲青少年精神醫療利用有增加的趨勢，近年來男生精神醫療利用率開始高於女生，以標準化就診率來看，各年齡層以20-24歲的年齡層精神醫療的使用比率最高，但以10-14歲的年齡層就診率成長趨勢最為明顯。關鍵詞：青少年、精神醫療利用、就診率[[abstract]]Background:Although studies regarding the utilization of psychiatric service mainly in adults and the elderly population-based exist, comparative studies of adolescents long-term trends in the era of change is still relatively limited.Objectives:This study attempts to investigate the utilization of psychiatric service for adolescents and the change of the utilization according to the era in Taiwan. Methods:This study used data analysis that adopted the sample of the age among 10-24 from Taiwan’s National Health Insurance Research Database (NHIRD) from 1998 to 2012. All statistical analysis were performed in Excel 2010 spreadsheet software and Cytel Studio 8.Results:In this study, among adolescent10 to 24 years of age, the rate of the utilization of psychiatric service has increased. In terms of standardized clinic visiting rates, there were 2,413 to 3,805 people out of every 100,000 . It demonstrated a upward trend in the past 15 years, while 2006, 2007 and 2008 illustrated a downward trend, the specific ratio of standardized clinic visiting rates between male and female psychiatric patients were found to be 0.66 - 1.13. The utilization of psychiatric medical services of male has been higher than that in female since 2008.After investigating the trend over time, we found out that there is a upward trend of clinic visiting rates in all-aged male and female aged 10-14 and 20-24.while a downward trend is revealed in the female teenagers aged 15-19.The p values are all < 0.05, which is statistically significant.Conclusions:In Taiwan, the utilization of psychiatric service in adolescents have grown increasingly, and the utilization rate was significantly higher in female than in male populations. In terms of standardized clinic visiting rates, the highest utilization rate of psychiatric service was noted for people aged 20-24 y/o. People who aged 10 to 14 years old shows growth trend obviously.Keywords: adolescents、psychiatric service、utilization