疾病複雜度與跨區住院比例之分析

黃家慧

3.214.216.26，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 > Health Promotion & Hygiene
College of Health Science > Graduate Institute of Healthcare Administration

Bibliography Management Tool

Related Links

Report an Issue

Search for full text in Holdings

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

疾病複雜度與跨區住院比例之分析

The Analysis of Complexity of Disease and the Proportion of Cross-Region Admission

黃家慧 , Masters　　Advisor：楊志良;洪維河　　

繁體中文

跨區就醫；分級醫療；疾病複雜度； Cross-Region Admission ； Hierarchical Medical Care System ； Complexity of Disease

Abstract │ Reference (54) │ Times Cited (2) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

The objective of the Medical Care Network Project was to balance the development of medical resources in all regions by setting up regional medical network and hierarchy of medical services. The policy of hierarchical medical care differentiates the roles of different levels of hospitals so that patients can receive appropriate medical treatment. This study aims to examine the effect of the hierarchical medical care policy. We treat the medical care sub-regions as our unit of analysis. Hierarchical multiple regression models were employed to examine the correlation between determinants that including complexity of disease and the proportion of cross-region admission.
　　This study was based on the nationwide inpatient information in 2000, provided by the Department of Health. Diseases of secondary care include Pneumonia, Appendectomy, Peptic Ulcer, and Bone Fracture, which can be treated by community hospitals. Diseases of tertiary care include Cancer, Cerebral Vascular Accident (CVA), and Cardiac Catheterization, which should be treated in regional hospitals or hospitals of higher level. The major findings of this study are as follows:
1.In Taiwan, for the year 2000, the proportion of cross-region admission for secondary care is 57.3%+-27.3% in medical care sub-regions, the proportion of cross-region admission for tertiary care is 71.8%+-23.8%.
2.The medical care sub-regions which are more urbanized, more competitive, and having more intensive care units, were evidently lower proportion of cross-region admission.
3.Results from multiple regression analyses show that having hospitals of higher levels will lower the proportion of cross-region admission.
　　Based on results of this study, we suggest that we need to improve medical care quality of small community hospitals and establish a workable referral system.

Reference ( 54 ) 〈TOP〉

4.王香蘋（2002）：影響我國分級轉診制度發展因素的探討。弘光學報，40:45-51。
連結：
10.行政院衛生署（2000）：醫療網第四期計畫。行政院衛生署。
連結：
17.洪維河、鄭守夏、張睿詒、江東亮（1998）：臺灣醫療區跨區住院比例之變遷，1985-1995。臺灣公共衛生雜誌，17(5):388-394。
連結：
20.張苙雲、謝幸燕（1994）：就醫流向的長期變遷。臺灣公共衛生雜誌，13(1):54-76。
連結：
23.黃瑞珍（1997）：高雄市醫療資源對民眾門診利用及求醫流向之影響。高雄醫學院公共衛生學研究所碩士論文。
連結：

Times Cited (2) 〈TOP〉

Altmetrics

〈TOP〉

E-mail ：

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

E-mail ：