由多重死因診斷檢視糖尿病世代死亡記載有糖尿病之相關分析研究

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由多重死因診斷檢視糖尿病世代死亡記載有糖尿病之相關分析研究

DM-mentioned multiple cause-of-death analysis of DM cohort’s death certificate in Taiwan

詹士賢 , Masters　　Advisor：賴美淑　　

繁體中文

糖尿病世代；多重死因；死亡證明書；生前就醫； diabetes cohort ； multiple cause of death ； death certificate ； medical certificate

Abstract │ Reference (52) │ Altmetrics

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Background: Death certification is important informaion that was concerned with private right and duty of decedents’ kinsfolk. To assess the quality of the information supplied on the certificate can follow diabetes cohort to death mentioning diabetes on the certificate, and it also will improve accuracy of coding underlying cause of death.
Purpose: This study discussed the relationships of multiple causes of death mentioning diabetes as factors associated with diabetes cohort (specific, geographic, hospitals or clinics, medical utilization, inpatient or outpatient, and a number of medical certificates).
Methods: Our sample was diabetes cohort obtained from secondary data (Depatment of heath: DOH94–NH-1001 in 2002-2005). The objectives of this study were to analyze rate of mentioning diabetes on death certificate using logistic model and stepwise multivariable logistic model.
Result: Our diabetes cohort sample (n=20,443) was recorded as diabetes on 39% of death certificate (n=8,072). Stratifying by hospitals and clinics, sample mentioning diabetes were 36% in hospitals and 47% in clinics. We found out some factors related to death rate mentioning diabetes. Death certificate from clinics and public institution, more medical utilization (cost or times) at one year age (attributed to cardiovascular, cerebrovascular disease and nephropathy), institutions using most medical utilization, equal institution from between death certification and medical certification were assiociated with death rate mentioning diabetes.
Conclusions: To examine the relationship of factors can potentially provide useful information about accuracy of cause of death coding, policy and assessment of health public and developing standard operating procedure to improve recording quality on death certificates.

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連結：
Chen, HH., Yen, MF, & Tung, TH . Computer simulation model for cost-effectiveness analysis of mass screening for type 2 diabetes mellitus. A Diabetes Res Clin Pract 39(suppl.1):S37-S42,2001
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