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| 題 名 | 智能障礙者急診醫療利用的頻率與結果=Frequency and Outcome of Emergency Department Utilization for People with Intellectual Disabilities |
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| 作 者 | 湯淑貞; 何秀玲; 謝明娟; 李文傑; 林欣誼; 陳楚杰; | 書刊名 | 醫務管理期刊 |
| 卷 期 | 24:2 2023.06[民112.06] |
| 頁 次 | 頁127-157 |
| 分類號 | 419.44 |
| 關鍵詞 | 智能障礙; 醫療利用; 急診; Intellectual disabilities; Health utilization; Emergency medicine; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6174/JHM.202306_24(2).127 |
| 中文摘要 | 目的:本研究旨在探討智能障礙者急診醫療利用頻率與結果。 方法:本研究資料來自衛生福利部衛生福利資料科學中心,以描述性統計來探討依 變項與自變項資料的分佈情形,以複邏輯斯迴歸探討智能障礙者急診醫療使用頻率 與結果的相關因素。本研究使用 SAS9.4 統計套裝軟體進行資料整理與統計分析, 顯著水準設定為 0.05。 結果:本研究對象共計 482,180 位,有 82,387 位(17.09%)有使用急診,智能障 礙者有使用急診(20.78%)的比率顯著高於非智能障礙者(16.16%)。但就有使 用急診者而言,智能障礙者使用急診醫療的頻率較高、為緊急程度的機率顯著較高 (AOR = 1.475)、當次急診住院的機率顯著較高(AOR = 1.324)、當次急診死亡 的機率顯著較高(AOR = 1.795)。 結論:有使用急診者中智能障礙者使用急診醫療的頻率、緊急程度、當次急診住院 及死亡的機率顯著較高。 |
| 英文摘要 | Objectives: This study aimed to investigate the frequency and outcome of emergency department utilization for people with intellectual disabilities. Methods: The data is from the Physical and Mental Disorder Information File provided by the Health and Welfare Information Science Center of the Ministry of Health and Welfare and the National Health Insurance Healthcare utilization Information. The dependent and independent variables were described in frequencies and percentages. Secondly, using complex logistic regression to explore the factors affecting the frequency and outcome of emergency department utilization for people with intellectual disabilities. This study used the statistical software package SAS9.4 to summarize data and perform statistical analyses. P values were used to indicate significance levels. The significance level (α level) was set to less than 0.05. Results: Of a total of 482,180 subjects in this study, 82,387 (17.09%) used the emergency department, and the rate of using the emergency department for the intellectually disabled (20.78%) was significantly higher than that of people without intellectual disabilities (16.16%). However, as far as emergency patients are concerned, the frequency of using emergency medical treatment is higher, the probability of emergency urgency (AOR = 1.475), emergency admission is significantly higher (AOR = 1.324), and emergency death was significantly higher (AOR=1.795). Conclusions: Among those who use the emergency department, the probability of the frequency and degree of urgency of emergency medical, hospitalization and death in the emergency department are significantly higher for people with intellectual disabilities. |
本系統中英文摘要資訊取自各篇刊載內容。