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| 題 名 | Individual and Hospital Factors Associated with Hospitalization for Chronic Medical Conditions=個人及醫院因素與慢性病住院之關係 |
|---|---|
| 作 者 | 林正介; 石磊玉; 李采娟; | 書刊名 | 中臺灣醫學科學雜誌 |
| 卷 期 | 4:1 1999.03[民88.03] |
| 頁 次 | 頁9-21 |
| 分類號 | 419.47 |
| 關鍵詞 | 慢性病; 影響因素; 住院; Chronic medical conditions; Factor; Hospitalization; |
| 語 文 | 英文(English) |
| 中文摘要 | 慢性病患者若能有效的使用門診醫療服務,將可降低住院的機率,因此慢性病的住院率應可反應門診醫療的可近性。本研究之目的在探討與美國民眾慢性病(包括氣喘、高血壓、鬱血性心衰竭、慢性阻塞性肺病與糖尿病)住院相關之個人及醫院因素,並評估各因素和慢性病住院之相關是否相似於和門診敏感狀況(ambulatory care sensitivity conditions)而住院之相關。本研究資料來自1994年美國國家醫院出院調查研究,以雙變項統計方法比較因慢性病住院與非因慢性病住院二者之差異,再以羅吉斯迴歸分析探討與慢性病住院相關之自變項,羅吉斯迴歸分析之依變項為因慢性病住院及因門診敏感狀況住院,並比較二種模式中各相關因素之羅吉斯迴歸結果之相似程度。研究結果顯示顯著與慢性病住院相關之個人及醫院因素為年齡、性別、種族、婚姻狀態(個人傾向因素)、主要及次要住院醫療費用的來源(個人能力因素)、住院天數(個人需求因素)以及病床數與地理位置(系統因素)。有關比較慢性病住院或門診敏感狀況住院之相關因素,結果為二者相似。因此慢性病住院應可視為一種有效評估門診醫療服務使用是否有障礙之方法。 |
| 英文摘要 | This study identified individual and hospital characteristics significantly associated with U.S. hospital admissions for chronic medical conditions (i.e., asthma, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and disbetes) and assessed whether the results based on hospital admissions for chronic medical conditions were consistent with analysis based on hospital admissions for ambulatory care sensitive conditions (ACSC). Data for this study were from the 1994 U.S. National Hospital Discharge Survey. Bivariate statistical comparisons were performed to test the differences between hospitalized individuals with chronic medical conditions and those without. Logistic regression followed to determine the significance of independent variables in relation to hospitalizations for chronic medical conditions. The logistic regression results of using hospital admissions for chronic medical conditions as the dependent variable and using hospital admissions for ACSC as the dependent variable was compared to examine the level of congruence for the two models using different dependent measures. Individual and hospital characteristics significantly associated with hospital admissions for chronic medical conditions (objective 1) included age, gender, race, marital status (individual predisposing factors), principal and secondary sources of payment (individual enabling factors), length of stay (individual need factor), and number of hospital beds and geographic region (system factors). The results of analyses based on hospital admissions for chronic medical conditions were consistent with analyses based on hospital admissions for ACSC (objective 2). Hospital admissions for chronic medical conditions can serve as an efficient way of identifying subpopulations facing acces barriers. |
本系統中英文摘要資訊取自各篇刊載內容。