常見中西藥併服之醫療利用型態研究
黃怡超
國立陽明大學
補充及替代醫學之風潮，不僅是病人的需求，學術界也對CAM不同療法之療效亦充滿研究興趣。國外研究指出，有16%的病患在使用處方藥的同時，也併用草藥補充品，而且少於40%的民眾會主動告知醫師，自己正同時服用草藥補充品；醫師本身也忽略對草藥及西藥合併使用產生交互作用的潛在風險。傳統中醫藥在許多亞洲國家皆屬最受歡迎的療法之一，在台灣，全民健保於1995年開辦之初，便將中醫藥醫療服務納入給付範圍。因此廣泛豐富的全民健保資訊提供絕佳機會，讓研究人員能藉以探討一般民眾使用中醫藥醫療服務的利用狀況。根據這個資料庫，本研究針對使用傳統中藥及西藥合併使用的人口進行觀察，特別是合併使用常用傳統中藥及心血管用藥的族群，以1997年迄今之全民健保人口為樣本，分析常用中草藥併用西藥相關利用型態及長期趨勢。常用中藥合併使用心血管西藥可能增加病人出血的風險，在慢性病患及老年人口用藥安全考量上值得關切。我們期待本研究成果能為我國中西醫界臨床照護及中醫藥委員會相關藥政單位提供重要的決策參考。
關鍵字：中藥；西藥
A population-based study on co-prescription pattens of Chinese and Western medicines in Taiwan.
National Yang Ming University
Interest in complementary and alternative medicine is increasing, not only in patients seeking help, but also in researchers investigating the effectiveness of various therapies and interventions.In addition, surveys have indicated that as many as 16% of prescription drug users consume herbal supplements. Moreover, fewer than 40% of patients disclose their herbal supplement usage to health care providers and many physicians are unaware of the potential for herb drug interactions. Traditional Chinese medicine is one of popular therapeutic modalities in several Asian countries. Since 1995, Chinese medicine is listed under the NHI program in Taiwan. The NHI claimed database has provided unprecedented opportunities to access and analyze the prevalence and patterns of Chinese medicine utilization in general population. Base on the above database, we examined the scale of Chinese medicine (CM) utilization and CM-western drugs co-prescriptions in a population-based fashion. In particular, this proposed study focuses on cardiovascular drugs and CM. Such co-prescriptions are worthy of awarenes of, and concern for increased risk of bleeding in patient safety. This population-based research is undertaken to investigate utilization patterns and trends of Chinese medicine plus western medicines under the National Health Insurance program in Taiwan. We anticipate that the present study could provide important information for both health policy makers and clinicians in Taiwan.
關鍵字：Chinese medicine；Western medicine
