查詢結果分析
來源資料
頁籤選單縮合
| 題 名 | 影響臺灣精神疾病患者未持續或中斷就醫之風險因素探討 : 以精神分裂症及情感性精神病為例=Treatment Dropout Predictors for Patient with Psychiatric Disorder in Taiwan : Schizophrenia and Manic-Depression Psychosis |
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| 作 者 | 張作貞; 宋麗玉; 吳秀蘭; | 書刊名 | 醫護科技期刊 |
| 卷 期 | 12:4 2010.12[民99.12] |
| 頁 次 | 頁265-279 |
| 分類號 | 415.95 |
| 關鍵詞 | 精神分裂症; 情感性精神病; 未持續或中斷就醫; 多重復發事件之存活分析; 健保資料庫; Schizophrenia; Manic-depression psychosis; Treatment dropout; Repeated recurrent event survival analysis; Claim data; |
| 語 文 | 中文(Chinese) |
| 英文摘要 | Purposes: Mental health treatment dropout is common; however, dropout patterns and predictors are poorly understood in Taiwan. This study explored patterns and predictors of mental health treatment dropout in a nationally representative sample. Methods: Claim data were from the Longitudinal Health Insurance Database 2000 (LHID2000) of Bureau of National Health Insurance. Subjects were diagnostic with schizophrenia and manic-depression psychosis in 2000. Their medical services utilization was analyzed for 1997-2004. Repeated recurrent event survival analyses were used to identify dropout predictors. Results: The main findings of this study are as follows: (1) the female sex, young age, underinsured status, and schizophrenia were associated with high dropout risk. (2) sychiatric comorbidity was associated with a trend toward dropout. (3) Patients who use daycare services for the mentally ill and psychiatric community rehabilitation services were at higher dropout risk than those who did not use these services. (4) Patients who had a catastrophic illness card were at higher dropout risk than those without this card. Conclusions: Study findings underscore the importance of research to understand the clinical significance of dropout predicators, especially for populations at high dropout risk in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。