醫療大數據：健保資料庫之臨床應用與研究

Examples of Data Analysis and Application Using Taiwan's National Health Insurance Database in Healthcare

台灣「全民健康保險學術研究資料庫」是傲稱全世界的醫療大數據，它涵蓋了全台灣百分之99人長達17年的就診紀錄，資料經層層加密後成為一個國家級的世代研究資料庫，蘊藏豐富學術價值。台灣利用健保資料庫研究產出質與量逐年快速增加，到2015年底，已經在656種世界知名期刊中發表超過3000篇論文，而且刊登期刊影響指數愈來愈高，其資料公信力已經獲得國際學術界肯定，是一個值得挖掘的寶藏。健保資料庫應用正在逐漸增加中，如能克服大數據資料技術與研究上可能的誤差，無論臨床醫療、群體健康、基層照護、實證照護、醫療政策方面都可以獲得重要的進展。

Taiwan's National Health Insurance Research Database (NHIRD), one of the largest administrative health care databases around the world, covered more than 99% of populations in Taiwan for 17 years, has been used widely in academic studies. The NHIRD studies expanded rapidly in both quantity and quality since the first study was published in 2000. NHIRD studies were also published diversely in a growing number of journals. The NHIRD had been used in more than 3,000 studies published in 656 scientific journals by 2015. A public administrative health care database will significantly promote scientific production in many ways. Once the technical barriers had been broken down, there should be great progress in clinical practice, population health, general practice, evidence-based healthcare and policymaking.