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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 蘇喜 | |
| dc.contributor.author | Piu-Cheung Mui | en |
| dc.contributor.author | 梅彪祥 | zh_TW |
| dc.date.accessioned | 2021-06-13T06:37:44Z | - |
| dc.date.available | 2005-10-27 | |
| dc.date.copyright | 2005-10-27 | |
| dc.date.issued | 2005 | |
| dc.date.submitted | 2005-09-26 | |
| dc.identifier.citation | 中文部分
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Ann Oncology ,2002 ;13:16-18 32 Pignone Recent Developments in Colorectal Cancer Screening and Prevention, Am Family Physician 2002;66:297-302 33 WM Flangagan et al Potential impact of population-based colorectal cancer screening in Canada Chronic Dis Can, 2003:24($):81-88 34 R McLead et al Reducing Canadian Colorectal cancer mortality through screening CMAJ 2001;165(2):206-201 35 R McLead et al Technical report for the National Committee on Colorectal Cancer Screening Public Health Agency of Canada, 2002; 36 WM Flangagan et al Potential impact of population-based colorectal cancer screening in Canada Chronic Dis Can, 2003:24($):81-88 37 R McLead et al Reducing Canadian Colorectal cancer mortality through screening CMAJ 2001;165(2):206-201 38 R McLead et al Technical report for the National Committee on Colorectal Cancer Screening Public Health Agency of Canada, 2002; 39 Lockhart-Mummery H, Dukes C. The pre-cancerous changes in the rectum and colon. 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N Engl J Med 1993;329:1977-1981 43 Citarda et al Colonoscopic polypectomy and the incidence of colorectal cancer Gut 2001;48:753-754 ( June ) 44 Citardaa, G Tomasellia, R Capocacciab, S Barcherinib, M Crespia, The Italian Multicentre Study Group Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence Gut 2001;48:812-815 ( June) 45 WS Atkin and BP Saunders Surveillance guideline after removal of colorectal adenomatous polyps Gut, Oct 2002;51:6-9. 46 Winawer SJ, Fletcher et al, Colorectal Cancer Screening and Surveillance ;clinical guideline and rationale-update based on new evidence ; Gastroenterology 2003;124:544-560 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/34964 | - |
| dc.description.abstract | 研究發現本模式架構的東區篩檢試辦方案，可以在試辦區進行，從參與比例，以較合理的科學推論，在全區145,935名接受篩檢民眾中，在理想涵蓋率下，篩檢進行一年間，將可發現677名大腸腫瘤風險患者；在這些個案當中，良性風險前期腺息肉腫瘤案例285名，後期侵襲性大腸癌案數目是44名，腫瘤前期患者是86.2%，良性腺息肉腫瘤例案較多，這些例案預後也較好，處治耗用醫療保險費用將較少。平均每一名風險前期患者將會分攤耗用1,780篩檢費用；但比較沒有提供篩檢方案地區的民眾，若發生侵襲性大腸癌症患者，每年要耗用151,976元醫療治療費用; 沒有篩檢民眾的損失，是每名患者將會冒著6.2年平均壽命損失風險，本研究摸擬篩檢分析結果，在東區執行篩檢試辦方案，可以達成早期發現，早期治療任務，本方案很有經濟價值，是一項很值得決策者投資推廣的公共政策。 | zh_TW |
| dc.description.abstract | The proposed population based Colorectal cancer screening project is a practical project that can be carried out in the less medical resource region of Taiwan. The ideal screening coverage rate of 50%, 677 colorectal risk cases can be identified amount 145,935 populations. The adenoma predictive rate is 86.2 %. expecting adenoma risk cases will be 285. The invasive colorectal cancer patient will be 44 cases. The screening charge for each colorectal risk case will be 1,780 NT. As comparing to the charge for the intervention for those high risk cases, the screening intervention charge is much more cost effective. This screening value predictive study introduced a cost effective option for the public health decision maker in making decision for screening strategy in the less resource region of Taiwan. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T06:37:44Z (GMT). No. of bitstreams: 1 ntu-94-P92843001-1.pdf: 1129603 bytes, checksum: 0194957e4366dc2a321a58d69bfd602d (MD5) Previous issue date: 2005 | en |
| dc.description.tableofcontents | 第一章 緒論
第一節 研究緣起---------------------------------2 第二節 研究目的---------------------------------3 第二章 研究背景 第一節 大腸直腸癌在臺灣地區流行近況-------------4 第二節 大腸直腸癌與醫療保險費耗用統計-----------6 第三節 癌症分級治療處理預後與東區醫療費用------ 6 第三章 文獻探討 第一節 篩檢指引研發背景及模式指標建構---------- 8 第二節 大腸直腸癌篩檢工具效能-------------------10 第三節 一般性風險組群篩檢決策流程與副選工具---- 12 第四節 各國篩檢模式探討-------------------------13 第五節 貝氏理論與貝氏的事前機率及事後機率-------17 第四章 研究方法與設計 第一節 結合基層醫療與社區醫院的篩檢模式與流程---19 第二節 結合基層醫療與社區醫院模式指標定義建構---23 第三節 篩檢模式的事前與事後機率指標建構---------27 第四節 研究限制---------------------------------29 第五章 研究實例應用：模擬篩檢模式運算 第一節 執行篩檢模式適用性與效能改善--------------30 第二節 模擬篩檢效能與數量運算--------------------32 第三節 篩檢項目數量與費用運算--------------------34 第四節 篩檢成果及篩檢經濟評估--------------------35 第六章 討論與結論 第一節 討論篩檢模式的應用與管理------------------38 第二節 篩檢結論----------------------------------39 第三節 研究建議----------------------------------40 參考文獻 中文部分 ----------------------------------------41 英文部份 ---------------------------------------43 | |
| dc.language.iso | zh-TW | |
| dc.subject | 模式評估 | zh_TW |
| dc.subject | 大腸直腸癌篩檢 | zh_TW |
| dc.subject | Model evaluation | en |
| dc.subject | Colorectal Cancer Screening | en |
| dc.title | 全民大腸直腸癌篩檢模式評估-以模擬基層醫療與社區醫院執行模式為例 | zh_TW |
| dc.title | Population Based Colorectal Cancer Screening Model Evaluation- Take the Simulated Primary Care and Community Hospital Based Model as an Example | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 94-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 翁昭文,王英偉 | |
| dc.subject.keyword | 大腸直腸癌篩檢,模式評估, | zh_TW |
| dc.subject.keyword | Colorectal Cancer Screening,Model evaluation, | en |
| dc.relation.page | 49 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2005-09-26 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 醫療機構管理研究所 | zh_TW |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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