| 摘要: | 1999年9月21日凌晨1點47分台灣中部地區發生芮氏規模7.3級的強震，這次重大災難造成台灣地區房屋全倒51,712戶，房屋半倒53,768戶，2,494人死亡。 本篇研究的目的為評估九二一震災造成災區民眾疾病型態的變化，結果顯示，急性上呼吸道感染、腎絲球腎炎腎症候群、高血壓性疾病及糖尿病在震災前後均名列前四大醫療費用支出。受災民眾與一般民眾震災前後十大醫療支出疾病別，重度差異（20%以上）之疾病別包括急性上呼吸道感染、良性脊柱損害、關節方面、皮膚科疾病、白內障、急性支氣管炎、結膜炎、胃腸炎胰臟炎胃炎等八項疾病別。受災民眾在皮膚科疾病與胃腸炎的醫療支出漲幅達67%～79%；另外如糖尿病、高血壓及心臟血管疾病的醫療支出均明顯高於一般民眾，尤其以組合屋災民更為明顯。 此外，本研究試圖定出重大災難發生後特定疾病別的復原期（recovering time），並嘗試建立統計模式。; On September 21, 1999 at 1：47 am, a powerful earthquake (7.3 Richter scale) struck center Taiwan, This critical disaster made 2,494 people die, 51,712 houses collapse and 53,768 houses seriously damage. The purpose of this paper is to evaluate the variability of disease type for people in the 921 earthquake affected region. And the final result reveals that before and after earthquake, the front four medical expenses (in sequence) are: Acute upper respiratory infection, Nephrotic syndrome with glomerulosclerosis, Hypertensive disease and Diabetes Mellitus. Compare with the victims of the 921 earthquake and average people in front ten medical expenses, before and after earthquake, the heavy diversity (>20%) disease types are: Acute upper respiratory infection, Benign spine lesion, Degenerative Joint Disease, Dermal disease, Cataract, Acute bronchitis, Conjunctivitis, Gastroenteritis, etc. The increase rate of victims medical expenses is 67%~79% in Dermal disease and Gastroenteritis; others likes Diabetes Mellitus, Hypertensive disease and Heart-vessel disease is higher than average, especially in temporary house residant. Besides, this research is attempt to determine the recovering time for specific disease after critical disaster, and tries to set up statistics model. |
