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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/80341完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 董鈺琪(Yu-Chi Tung) | |
| dc.contributor.author | Ying-Hsuan Lin | en |
| dc.contributor.author | 林映萱 | zh_TW |
| dc.date.accessioned | 2022-11-24T03:04:46Z | - |
| dc.date.available | 2021-07-20 | |
| dc.date.available | 2022-11-24T03:04:46Z | - |
| dc.date.copyright | 2021-07-20 | |
| dc.date.issued | 2021 | |
| dc.date.submitted | 2021-06-22 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/80341 | - |
| dc.description.abstract | "研究背景與目的：相較於慢性病患者，腦中風病患出院後一年內死亡風險高，而且住院次數和總醫療費用也相對較高，病人出院後接受片段式的照護，是導致住院次數、醫療費用增加的主因。過去研究指出，腦中風病人出院後一年內門診照護連續性越高，出院後一年內死亡率越低，然而腦中風病人出院後的門診照護連續性與住院次數及醫療費用之關係仍未明瞭。本研究目的為針對缺血性腦中風病人，探討出院後一年內，門診照護連續性與照護結果及費用之相關性。 研究方法：本研究使用衛生福利資料科學中心之「兩百萬人世代追蹤抽樣檔」進行次級資料分析，以2015年至2018年期間因缺血性腦中風住院之病人為研究對象。依出院後一年門診申報資料計算照護連續性指標(Continuity of Care Index, COCI)，將樣本分為為低、中、高三組，利用羅吉斯迴歸(logistic regression)、負二項迴歸(negative binomial regression)及伽瑪迴歸(gamma regression)，分析門診照護連續性對出院後一年內的死亡風險、住院次數、總醫療費用之相關性。 研究結果：本研究共納入2,447位研究對象。缺血性腦中風病人出院後一年之門診照護連續性較高，與出院後一年內住院次數及死亡風險較低相關，照護連續性較高亦與出院後一年內總醫療費用較低相關。 結論：缺血性腦中風病人出院後門診照護連續性高與降低住院次數及死亡風險有關。因此，建議衛生主管機關未來可將病人長期預後與增強出院後照護連續性做連結，透過提升病人出院後照護連續性，改善缺血性腦中風病患的照護結果及降低總醫療費用。" | zh_TW |
| dc.description.provenance | Made available in DSpace on 2022-11-24T03:04:46Z (GMT). No. of bitstreams: 1 U0001-2106202109280100.pdf: 1318979 bytes, checksum: 57b4c6726745b89c67d4c42fe33c1216 (MD5) Previous issue date: 2021 | en |
| dc.description.tableofcontents | 誌謝 I 中文摘要 II 英文摘要 III 目錄 IV 表目錄 VI 圖目錄 VII 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 3 第三節 研究重要性 4 第二章 文獻探討 5 第一節 腦中風之介紹 5 第二節 照護連續性之定義及測量方法 10 第三節 照護連續性與照護結果及醫療費用之關係 18 第四節 腦中風病人照護連續性與照護結果關係之實證研究 21 第五節 綜合評論 25 第三章 研究方法 26 第一節 研究設計與架構 26 第二節 研究假說 28 第三節 研究對象 29 第四節 資料來源與資料處理流程 30 第五節 研究變項操作型定義 33 第六節 統計分析方法 37 第四章 研究結果 39 第一節 描述性統計 39 第二節 自變項與各變項之雙變項分析 43 第三節 依變項與控制變項之雙變項分析 50 第四節 多變項分析 60 第五章 討論 69 第一節 研究方法 69 第二節 研究結果 71 第三節 研究限制 73 第六章 結論與建議 74 第一節 結論 74 第二節 建議 75 參考文獻 76 | |
| dc.language.iso | zh-TW | |
| dc.subject | 缺血性腦中風 | zh_TW |
| dc.subject | 照護結果 | zh_TW |
| dc.subject | 醫療費用 | zh_TW |
| dc.subject | 照護連續性 | zh_TW |
| dc.subject | outcomes of care | en |
| dc.subject | continuity of care | en |
| dc.subject | medical expenses | en |
| dc.subject | ischemic stroke | en |
| dc.title | 缺血性腦中風病人出院後照護連續性與照護結果及醫療費用之關係 | zh_TW |
| dc.title | Associations of Continuity of Post-Discharge Care with Healthcare Outcomes and Expenses among Ischemic Stroke Patients | en |
| dc.date.schoolyear | 109-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 鄭建興(Hsin-Tsai Liu),楊銘欽(Chih-Yang Tseng) | |
| dc.subject.keyword | 缺血性腦中風,照護連續性,照護結果,醫療費用, | zh_TW |
| dc.subject.keyword | ischemic stroke,continuity of care,outcomes of care,medical expenses, | en |
| dc.relation.page | 84 | |
| dc.identifier.doi | 10.6342/NTU202101070 | |
| dc.rights.note | 同意授權(限校園內公開) | |
| dc.date.accepted | 2021-06-23 | |
| 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 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| U0001-2106202109280100.pdf 授權僅限NTU校內IP使用（校園外請利用VPN校外連線服務） | 1.29 MB | Adobe PDF |
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