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題 名 | Sex Differences in Terminal Inpatient Hospice Care for the Elderly Aged 90 Years and Over: A Nationwide Dataset Analysis=性別對九十歲及以上末期住院安寧療護患者的影響:一個全國性分析 |
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作 者 | 林恆毅; 康世肇; 張茵絜; 陳育群; 王緯書; 羅世薰; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 27:3 2017.09[民106.09] |
頁 次 | 頁135-145 |
分類號 | 419.77 |
關鍵詞 | 老年; 健康服務; 安寧療護; 緩和醫療; 性別; 臺灣; Elderly; Health services; Hospices; Palliative care; Sex; Taiwan; |
語 文 | 英文(English) |
中文摘要 | 背景:近年台灣90歲及以上的高齡人口顯著增加,但在末期住院安寧療護的特性及性別差異,相關資料不多。方法:本研究採回溯方法,利用2007至2010年間台灣健保資料庫,選取接受住院安寧療護之90歲及以上病人之末期住院申報資料進行分析。結果:共545位病人,包含276名男性及269名女性納入分析。其中518人為癌症病人,27人非癌症病人。胃腸道及腹膜相關癌症為最常見主診斷(42.9%)。在非癌病人中,肺部疾病為最常見主診斷(n=15)。家庭醫學科提供最主要末期住院安寧療護(45%)。私立財團法人醫院提供約四成(37.8%)的末期住院安寧療護。女性病人有較高比例採取彌留出院、罹患骨結締組織乳房腫瘤(ICD 175)、罹患非癌末期疾病、入住私立醫院體系、以及較少罹患泌尿系統腫瘤。迴歸分析顯示:相較於男性病人,女性病人較高比例是彌留出院、罹患骨結締組織乳房腫瘤(修正後勝算比=1.63, 20.52; p<0.05)。結論:在90歲及以上高齡末期住院安寧療護病人中,女性病人有不同於男性的健康照護特性。過短的末期住院(≤3天)在本高齡族群仍屬普遍,且須進一步研究探討。 |
英文摘要 | Background: The number of people aged 90 years and over has markedly increased in Taiwan. However, the characteristics of terminal inpatient hospice care for this group and the impact of sex differences remain unclear. Methods: This was a retrospective and descriptive study using the Taiwan National Health Insurance Research Database of 2007-2010. We analyzed claims data for elderly patients aged 90 years and over undergoing terminal inpatient hospice care. Results: A total of 545 patients (276 males and 269 females) were enrolled, including 518 cancer patients and 27 non-cancer patients. Gastroenterological/peritoneal cancers were the most common primary diagnoses (42.9%). Among the 27 non-cancer patients, pulmonary problems were the most common diagnosis (n=15). Family medicine was the most common department for subjects’ terminal admissions (45%). Private/enterprise corporation hospitals accounted for most of the terminal admissions (37.8%). The female patients had a higher tendency of impending death discharge, bone/connective tissue/breast cancers, non-cancer terminal diseases, admission to private hospital systems, and a lower rate of genitourinary cancer than the male patients. After binary logistic regression analysis, the female patients were positively correlated with impending death discharge and bone/connective tissue/breast cancers (OR: 1.63, 20.52 respectively; p<0.05). Conclusion: Among the elderly aged 90 years and over undergoing terminal inpatient hospice care, the female patients had different healthcare characteristics than the male ones. A short hospice stay was still common in this age group, and further investigations are warranted. |
本系統中英文摘要資訊取自各篇刊載內容。