活動性肺結核病人之共病與住院天數及健保費用之探討

劉雅絃; 翁紹仁; 潘忠煜; 劉士嘉; 黃惠美; 陳俊朋

doi:10.6174/JHM.202006_21(2).93

18.232.31.206，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 ）。

ACI:

Data Source: Academic Citation Index (ACI)
As Taiwan's largest Citation Index, we currently have on record all Humanities, and Sociology journals that were published in Taiwan. The number of periodicals that are published on a regular basis total around 400 different types. If periodicals that were added to the collection but then halted are counted as well, the number of periodicals total over 500 types. Every year we announce the recorded periodicals' impact factor, etc. to the public, and allow scholars utilize our materials to carry out academic research for free.

Impact Factor: The statistic indicating the average number of times a journal's articles published in the past two years have been cited in the counting year.
Formula: (Number of cites in counting year to articles published in the span of two years ) ÷ (Number of articles published in the span of two years)
Example: The impact factor in 2010 (determined in 2011)
In 2009, Journal A published 15 articles, and these 15 articles were cited 20 times in 2010.
In 2008, Journal A published 16 articles, and these 16 articles were cited 30 times in 2010.
→ →2010's Impact Factor = (20+30) ÷ (15+16) = 1.61 =（20+30）÷（15+16）≒1.61

What is "Preprint"?

In order to provide readers the forefront academic information, after articles are accepted to publish in the journal, we publish them in network before they're printed. Those "on-line first articles" are called the "preprint articles". The preprint articles do not have volume No., page No., publication date, but can be identified by the DOI number. 「 http://dx.doi.org/ 」 Link to the latest version of the article.

How to cite Preprint Articles?

Please use the online publication date and the DOI number of the preprint article to cite the literature.

Cited example (may vary with different formats you cited):

Author name. Article name. Journal name. YYYY/MM/DD online publish in advance.

doi:DOI Number

Data Source

P93 - 110

Health & Medical Care > Hospital Administration & Medical Affair Management

DOI： 10.6174/JHM

My Subscriptions

Bibliography Management Tool

Related Links

Report an Issue

Purchase Single Articles

Download PDF

活動性肺結核病人之共病與住院天數及健保費用之探討

Influence of active tuberculosis comorbid with other diseases on days of hospitalization and health insurance costs

劉雅絃(Ya-Hsien Liu) ；翁紹仁(Shao-Jen Weng) ；潘忠煜(Chung-Yu Pan) ；劉士嘉(Shin-Chia Liu) ；黃惠美(Hui-Mei Huang) ；陳俊朋(Jun-Peng Chen)

醫務管理期刊； 21卷2期 (2020 / 06 / 01) ， P93 - 110

繁體中文 DOI： 10.6174/JHM.202006_21(2).93

活動性肺結核；共病；住院天數；健保費用； Active tuberculosis ； comorbidity ； days of hospitalization ； health insurance costs

Abstract │ Reference (19) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Objectives: Tuberculosis is the most common statutory communicable disease in Taiwan and has the highest mortality rate. Patients with tuberculosis require long-term hospital isolation and treatment, which can cause physical and psychological discomfort and incur social and medical costs. The purpose of this study was to investigate the relationship of comorbidity with days of hospitalization and health insurance costs in patients with active tuberculosis, relationship of sputum smear findings and comorbidity with days of hospitalization in patients with pulmonary tuberculosis, and factors affecting days of hospitalization in patients with active tuberculosis. Methods: Medical records of 221 patients with active tuberculosis were collected from the clinical database of medical center for the period between June 1, 2014, and June 30, 2017. SPSS software was used for statistical analysis, and an independent -samples t-test was used for continuous data. Data of different groups of comorbidities were compared using a chi-square test. Data of three or more groups were analyzed using analysis of variance and post-mortem using the Bonferroni test; relevant factors were analyzed using Poisson regression. Results: Active tuberculosis comorbid with erythematosus lupus engendered significant increases in days of hospitalization and health insurance costs. Moreover, the presence of three or more comorbidities including diabetes resulted in a significant increase in days of hospitalization. Factors such as patient age, gender, sputum smear results, and comorbidities affected days of hospitalization and health insurance costs. Conclusions: When tuberculosis is comorbid with both lupus erythematosus and diabetes, controlling the disease is difficult because of immune diseases and infections. Patients with positive smear results for severe bacteria would require a longer time for the results to change to negative; therefore, their days of hospitalization would be longer. The results of this study can provide reference for making preventive health care, clinical care, and future health care decisions.

Reference ( 19 ) 〈TOP〉

郭靜燕,潘人豪,陳麗資,陳厚全,詹前隆(2016)。評估脊椎融合術納入全民健保診斷關聯群對醫療費用影響因子分析。醫學與健康期刊，5(2)，57-71。
連結：
趙子雲,黃茹筠,鍾其祥,簡戊鑑(2013)。影響職業傷害住院病人醫療費用因素探討。勞工安全衛生研究季刊，21(4)，404-431。
連結：
Almeida-Junior, J. L.,Gil-Santana, L.,Oliveira, C. A.,Castro, S.,Cafezeiro, A. S.,Daltro, C.,Andrade, B. B.(2016).Glucose Metabolism Disorder I s Associated with Pulmonary Tuberculosis in Individuals with Respiratory Symptoms from Brazil.PLoS One,11(4),e0153590.
Getahun, H.,Matteelli, A.,Abubakar, I.,Aziz, M. A.,Baddeley, A.,Barreira, D.,Raviglione, M.(2015).Management of latent Mycobacterium tuberculosis infection: WHO guidelines for low tuberculosis burden countries.European Respiratory Journal,46(6),1563-1576.
Gil-Santana, L.,Almeida-Junior, J. L.,Oliveira, C. A.,Hickson, L. S.,Daltro, C.,Castro, S.,Andrade, B. B.(2016).Diabetes Is Associated with Worse Clinical Presentation in Tuberculosis Patients from Brazil: A Retrospective Cohort Study.PLoS One,11(1),e0146876.

Altmetrics

〈TOP〉

E-mail ：

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

E-mail ：