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題名 | 臺灣地區死因統計準確度評估(2):死亡證明書高頻率開具者特徵分析=Evaluating the Validity of Cause-of-Death Statistics in Taiwan(II):Characteristics of High Frequency Death Certificates Certifiers |
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作者 | 呂宗學; 石臺平; 賴華山; 李麗雪; 李孟智; 周明智; Lu, Tsung-hsueh; Shih, Tai-ping; Lai, Hwa-shan; Lee, Li-shu; Lee, Meng-chih; Chou, Ming-chih; |
期刊 | 中華公共衛生雜誌 |
出版日期 | 19970600 |
卷期 | 16:3 1997.06[民86.06] |
頁次 | 頁273-279 |
分類號 | 412.028 |
語文 | chi |
關鍵詞 | 死亡證明書; 死因; 生命統計; 醫師行為; Death certificate; Cause-of-death; Vital statistics; Physician behavior; |
中文摘要 | 本研究分析死亡證明書高頻率開具者特徵及死因診斷品質,提供改善死因統計品 質計畫擬定參考。 本研究分析民國 83 年臺灣地區的死亡證明書 111,927 張。研究結果發 現一年開具一百張以上者共 110 位,佔總開具人數 0.67%, 但所開具的死亡診斷書總張數 卻有 28,796 張,佔總張數 22.47%, 這些少數高頻率開具者對臺灣死因統計品質有重要影 響。高頻率開具者特徵為: 年紀較長、較高比率為甄試特考出身、較多為一般科且大多數在 非教學醫院及診所服務。死因診斷形式錯誤率,高頻率開具者較高。之所以會出現少數超高 頻率開具者,可能是因為臺灣特殊的「行政相驗」制度所造成,本文也針對行政相驗的可能 缺失提出檢討與改進建議。 |
英文摘要 | This study describes the characteristics of high-frequency death certificate certifiers and the quality of their cause-of-death diagnoses in order to provide information for designing a program to improve the quality of cause-of-death statistics. In Taiwan, there were 111,927 death certificates issued in 1994 and the frequency of death certificates issued by one certifier a year was highly skewed. One hundred and ten doctors issued more than 100 death certificates a year. They comprised 0.67% of all certifiers, but the death certificates issued by them accounted for 22.47% of all death certificates. These certifiers had great influence on the quality of cause-of-death statisties in Taiwan. Most of these high frequency certifiers were: older in age, not graduated from medical schools, general practitioners and served in non-teaching hospitals or clinics. The percentage of formative errors on cause-of-death diagnoses was higher for high-frequency certifiers as compared to low-frequency certifiers. The special "administrative certification" process in Taiwan is the reason for the large number of high-frequency death certifiers. The defects of this system are discussed and some proposals for improvements are raised in this study. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。