影響腸病毒感染重症通報確診病例之因子 ---以法定傳染病通報系統為例

曾筑君

3.237.66.86，Hello！

Close
Search Quick Search Advanced Search Publication Search	Personal Service Member Login Searching History Use Bonus Card SYMSKAN
Browse Browse by University of Graduate Thesis Browse by Pinyin of Graduate Thesis Browse by Conference Proceedings Topic Browse by Conference Proceedings Publisher Browse by Pinyin of Conference Proceedings Browse by eBook Category Browse by eBook Topic Browse by eBook Publisher
Customer Services Authorize Airiti Recommend a Journal

Search Symbol (Half-width)	Description of Search Symbols
Space	"AND" indicates the intertwining of key terms used in a search
Double Quotation Marks ("") ( " " )	Double quotation marks indicate the beginning and end of a phrase, and the search will only include terms that appear in the same order of those within the quotations. Example: "image process" ： " image process "
?	Indicates a variable letter. Entering two ? will indicate two variable letters, and so on. Example: "Appl?", search results will yield apple, apply… e , appl y … ( (often used to English word searches) )
*	Indicates an unlimited number of variable letters to follow, from 1~n. Example: Enter "appl*", search results will yield apple, apples, apply, applied, application…(often used in English word searches) e , appl es , appl y , appl ied , appl ication … ( (often used to English word searches) )
AND、OR、NOT	Boolean logic combinations of key words is a skill used to expand or refine search parameters. (1) AND (1) AND: Refines search parameters (2) OR (2) OR: Expands search parameters (3) NOT: Excludes irrelevant parameters

DOI stands for Digital Object Identifier （ D igital O bject I dentifier ） ,
and is the unique identifier for objects on the internet. It can be used to create persistent link and to cite articles.

Using DOI as a persistent link

To create a persistent link, add「http://dx.doi.org/」「 http://dx.doi.org/ 」 before a DOI.
For instance, if the DOI of an article is 10.5297/ser.1201.002 , you can link persistently to the article by entering the following link in your browser: http://dx.doi.org/ 10.5297/ser.1201.002 。
The DOI link will always direct you to the most updated article page no matter how the publisher changes the document's position, avoiding errors when engaging in important research.

Cite a document with DOI

When citing references, you should also cite the DOI if the article has one. If your citation guideline does not include DOIs, you may cite the DOI link.

DOIs allow accurate citations, improve academic contents connections, and allow users to gain better experience across different platforms. Currently, there are more than 70 million DOIs registered for academic contents. If you want to understand more about DOI, please visit airiti DOI Registration （ doi.airiti.com ）。

Data Source

Health & Medical Care > Hospital Administration & Medical Affair Management
College of Public Health > School of Health Care Administration
Social Sciences > Management

Bibliography Management Tool

Related Links

Report an Issue

Search in Library

There is no full-text available at the moment. Airiti would like to request author's authorization. I would like to provide authorization.

影響腸病毒感染重症通報確診病例之因子 ---以法定傳染病通報系統為例

Factors of Influence for Confirming Severe Enterovirus Infection in the Reporting System ─ The Example of Mandatory Communicable Disease Reporting System

曾筑君 , Masters　　Advisor：楊哲銘　　

繁體中文

腸病毒感染重症；確診；醫師看診行為；醫院層級；疾病特性； severe enterovirus infection ； confirming ； physician’s behavior for treatment ； hospital ； disease characters

Abstract │ Reference (35) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Background: Since the 1998 outbreak of Enterovirus 71 type infection in Taiwan, a large-scale pandemic would take place between early March and the beginning of autumn every year, which was causing panic all over Taiwan. The children under five years old have become the most vulnerable ones infected with severe complications such like aseptic meningitis, pulmonary edema and acute myocarditis, which even caused approximately 10% to 25.7% of those infected children died. Not only in Taiwan, but seventeen countries including U.S.A, France and Australia have severe enterovirus infection outbreak. The Centers of Disease Control, Taiwan has listed the severe enterovirus infection as the secondary mandatory communicable disease and established an instant notification system for tracing the epidemic situation; the doctors who found the infected case have to inform, report, confirm the case and trace the situation in order to prevent the epidemic of enterovirus infection. This research focuses on what factors in Mandatory Communicable Disease Reporting System could help doctors confirm who the real case is for severe enterovirus infection. 
Methods: Secondary data was used in this research. Variables analyzed included patient characters, hospital level, physician’s behavior for treatment, and disease characters from 1999~2008 Mandatory Communicable Disease Reporting System Database. There are 2611 suspected cases in the reporting system. Descriptine analysis, chi-square test, and logistic regression were applied to explore relationships between independent variables and confirmed cases of severe enterovirus infection. 
Results:There are 1503 confirmed cases of severe enterovirus infection and 1084 non-severe enterovirus infection cases according to the reporting system. We found the diagnosis accuracy rate is 58.1%. After calculating the diagnosis accuracy rate each year, the proportion has the tendency to rise gradually every year. In comparing with all variables, there is a significant difference among hospital levels (P<0.01), especially medical center has a higher accuracy rate then local hospital (45.1% vs. 1.4%, OR=1.4). Physician’s behavior is also significant. The other results show that season and the county where patients lived are both positively related to the rate of confirmed cases of severe enterovirus infection cases. Conclusions: These results should be taken into account when the public health policies are reviewed. The research shows the part of factors in Mandatory Communicable Disease Reporting System could do preliminary confirming, and it can also monitor the epidemic tendency effectively.

Reference ( 35 ) 〈TOP〉

王珠鳳(2005)。南台灣近二十年來腸病毒之分子流行病學暨單株抗體的製備與特性分析。高雄醫學大學基礎醫學研究所碩士論文，高雄。
連結：
江大雄(2005)。台北市某市立醫院腸病毒住院病人之流行病學研究。疫情報導，21(2)，80-95。
連結：
林翠莉、陳國東、王恩慈、李宜學、黃教威、徐秋菊、吳和生(2007)。1998~2006年台灣地區腸病毒重症個案血清型之分析探討與警愓。疫情報導，23(9)，514-530。
連結：
涂醒哲(2001)。傳染病症狀群通報的重要性。疫情報導，17(2)，66-72。
連結：
張鑾英(2002)。腸病毒71型臨床、重症危險因子、致病機轉及流行病學研究。長庚大學臨床醫學研究所博士論文，台北。
連結：

Altmetrics

〈TOP〉

E-mail ：

When an article is available to download, a notice will be sent to your mailbox address.

E-mail ：