目標：本研究旨在比較不同生產方式婦女產後60天內的門診醫療利用。方法：本研究材料來自國家衛生研究院發行之20萬人全民健康保險承保抽樣歸人檔於1996-2003年之申報資料，以4,995位產婦為研究對象，並採用二部模型對產後有就醫的產婦進行分析，比較不同生產方式婦女產後60天內的門診醫療利用。結果：剖腹產婦女產後60天內有就醫者的平均門診就醫次數及門診就醫費用均高於自然產婦女，且平均門診就醫間隔天數則比自然產婦女短。結論：剖腹產可能會增加產後60天內門診醫療利用。

Objectives: The purpose of this study was to compare the mode of delivery and utilization of ambulatory care by women at 60-days postpartum. Methods: Claims data between 1996 and 2003 for a representative sample of 200,000 people randomly selected from all beneficiaries enrolled in Taiwan's NHI program in 2000 were analyzed. A total of 4,995 women were included to estimate ambulatory care utilization 60-days postpartum with the different modes of delivery using a two part model. Results: Women at 60-days postpartum with Caesarean delivery had higher average numbers of outpatient visits and expenditures with shorter intervals between visits, than women with vaginal births. Conclusions: The findings indicated that ambulatory care utilization may increase among women with Caesarean delivery at 60-days postpartum.

生產方式 ； 產後 ； 醫療利用

delivery method, postpartum, medical utilization