澎湖地區實施整合性健康照護計畫對民眾健康的影響

Impact of the Integrated Delivery System on Health of Residents at Peng-Hu County

陳家容(Chia-Jong Chen) ； 柯成國(Chen-Guo Ker) ； 劉洪香水(Hsiang-Shui Hung Liu) ； 杜繼誠(Chi-Cheng Tu)

《南臺灣醫學雜誌》 3卷1期 (2007/06) Pp. 25-29

https://doi.org/10.6726/MJST.200706_3(1).0005

摘要

目的：探討在澎湖白沙、望安與七美三個離島鄉（介入組），實施整合性健康照護體系（Integrated Delivery System, IDS），是否有助於提升民眾健康，降低可避免死亡疾病之死亡數。方法：採非對等組前後測控制組類實驗設計，以未實施IDS的湖西鄉與西嶼鄉為對照組。資料來源為1996至2000年衛生署死因豋記檔，以「歐洲社區健康服務暨可避免死亡疾病研究小組」定義之可避免死亡疾病及適用年齡計算各鄉每月之死亡數，採用廣義估計方程式，控制時間趨勢、兩組可避免死亡數差異、與人口數後評估IDS成效。結果：控制上述變項後，介入組在實施IDS計畫後，可避免死亡疾病死亡數平均顯著下降3%。結論：澎湖地區實施IDS計畫，有助於改善民眾健康，減少可避免死亡疾病死亡數。

關鍵字

整合性健康照護體系 ； 可避免死亡疾病

並列摘要

Objective: The aim of this study was to evaluate the impact of the integrated delivery system (IDS) on health of the residents at Bai-sha, Wang-an, and Ci-mei townships in Peng-Hu county. Methods: We applied nonequivalent pretest-posttest control group quasiexperimental design using two townships without IDS as controls. Number and causes of death information were obtained from death certificate database provided by the Department of Health from 1996 to 2000. Monthly numbers of ”avoidable death” were calculated based on the definition developed by European Community Working Group on Health Services and Avoidable Death for each township. The Generalized Estimating Equation (GEE) model was applied to control the time trend, group difference on avoidable death, and size of population to evaluate the impact of IDS. Results: Number of avoidable death declined significantly (3%) after the implementation of IDS. Conclusions: IDS improve the health of the population and reduced the number of avoidable death at Peng-Hu country.

並列關鍵字

integrated delivery system ； avoidable death