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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
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dc.contributor.advisor | 董鈺琪(Yu-Chi Tung) | |
dc.contributor.author | Hui-Ju Chiang | en |
dc.contributor.author | 江蕙如 | zh_TW |
dc.date.accessioned | 2021-06-16T09:51:05Z | - |
dc.date.available | 2017-03-01 | |
dc.date.copyright | 2017-03-01 | |
dc.date.issued | 2017 | |
dc.date.submitted | 2017-01-17 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/60021 | - |
dc.description.abstract | Background:Acute myocardial infarction (AMI) patients had high mortality, readmission and healthcare expenses within 1-year after discharge. A previous study indicated that high continuity of care before AMI admission could reduce 1-year post-discharge mortality. According to one study, heart failure patients with higher continuity of care after discharge are associated with better outcomes and lower expenses. However, the association of continuity of care from pre-admission to post-discharge with outcomes and expenses is still unclear.
Objective:This study examined the association of the pre-admission and post-discharge of continuity of care with mortality, readmission and expenses after discharge for AMI patients. Methods:This study used data from National Health Insurance Research Database and analyzed AMI patients discharged from January 2007 to December 2011. Generalized estimating equation and Cox proportional hazard models with robust sandwich variance estimates were performed to examine the association of outpatient continuity with 1-year all-cause mortality, readmission and expenses of post-discharge care. Results:High continuity of care after discharge can improve healthcare outcomes and reduce expenses. In contrast with pre-admission, we found increased continuity of care after discharge was significantly associated with a decreased risk of mortality, readmission and expenses. Conclusions:AMI patients with high continuity of care after discharge have better outcomes and lower expenses. To improve AMI patients’ outcome and control medical expenses after discharge, policy-makers and healthcare providers may adapt continuity of care index for monitoring healthcare quality. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T09:51:05Z (GMT). No. of bitstreams: 1 ntu-106-R03848014-1.pdf: 1708528 bytes, checksum: e912adae529bf94eeb4d897a4d884b68 (MD5) Previous issue date: 2017 | en |
dc.description.tableofcontents | 目錄
致謝 i 中文摘要 ii Abstract iii 目錄 iv 圖目錄 v 表目錄 vi 第一章 緒論 1 第一節 研究動機 1 第二節 研究目的 2 第三節 研究重要性 2 第二章 文獻探討 3 第一節 急性心肌梗塞之介紹 3 第二節 照護連續性之介紹及測量方法 7 第三節 照護連續性與照護結果及醫療費用之相關研究 12 第四節 實證研究 21 第三章 研究設計與方法 25 第一節 研究設計與架構 25 第二節 研究假說 27 第三節 研究對象 28 第四節 資料來源與處理流程 29 第五節 研究變項與操作型定義 32 第六節 統計分析方法 38 第四章 研究結果 40 第一節 描述性統計 40 第二節 雙變項分析 45 第三節 多變項分析 65 第五章 討論 72 第一節 研究方法討論 72 第二節 研究結果討論 73 第三節 研究限制 76 第六章 結論與建議 77 第一節 結論 77 第二節 建議 78 參考文獻 80 | |
dc.language.iso | zh-TW | |
dc.title | 急性心肌梗塞病患照護連續性與照護結果及醫療費用之關係 | zh_TW |
dc.title | Association of Continuity of Care with Healthcare Outcomes and Expenses among Acute Myocardial Infarction Patients | en |
dc.type | Thesis | |
dc.date.schoolyear | 105-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 李玉春(Yue-Chune Lee),鄭守夏(Shou-Hsia Cheng) | |
dc.subject.keyword | 急性心肌梗塞,照護連續性,照護結果,醫療費用, | zh_TW |
dc.subject.keyword | Acute myocardial infarction,continuity of care,outcomes of care,healthcare expenses, | en |
dc.relation.page | 85 | |
dc.identifier.doi | 10.6342/NTU201700096 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2017-01-17 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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