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題名：利用傷害型態及醫療利用辨識親密伴侶暴力受虐者
書刊名：醫務管理期刊
作者：鄭倩樺／鍾其祥／簡戊鑑
作者(外文)：Cheng, Chien-hua／Chung, Chi-hsiang／Chien, Wu-chien
出版日期：2012
卷期：13:1
頁次：頁32-47
主題關鍵詞：親密伴侶暴力；傷害；全民健保資料庫；Intimate partner violence；Injury；National Health Insurance Research Database
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:25
  • 點閱點閱:55
目的：比較18-64歲親密伴侶受虐及非受虐住院患者傷害類型及醫療利用，並進一步找出受虐的預測因子。方法：使用1997-2009年全民健保資料庫，選取國際疾病分類第九版臨床修訂版（ICD-9-CM），995.8x與E967.3為親密伴侶受虐個案及E800-E949為非受虐個案進行分析。結果：受虐者為女性、低收入戶、下頷骨骨折、顱內損傷、頸部開放性傷口及憂鬱的比例高於非受虐者；受虐者有2處以上傷害的比例為（70.6%），高於非受虐者（48.3%），然而，在住院天數、醫療費用及住院死亡比例，均低於非受虐者。年齡25-54歲、低收入戶、顱內損傷、顏面骨骨折、頸部開放性傷口、傷害部位2處以上及憂鬱是親密伴侶受虐的預測因子。結論：有頭、頸、臉部傷害及憂鬱等診斷較可能是親密伴侶虐待所致，醫療專業人員可利用各種預測因子，辨識住院傷患，以提高對於受虐者的保護。
Objective: To compare the types of injury and patterns of medical utilization in inpatients aged 18-64 in victims of intimate partner violence (IPV) and those with unintentional injuries.Method: Data were obtained from the National Health Insurance Research Database from 1997 through 2009. We defined IPV cases as those with ICD-9-CM N-code 995.8x and E-code E967.3 and controls (unintentional injuries) as E800-E949.Results: IPV was more common in females than in males. The proportion of cases in low-income households was higher than that of controls. Fractures of the face, intracranial injury, open wounds of the neck and depression were significantly higher for those coded IPV. The proportion of those with IPV who had more than 2 injury sites was 70.6%. In terms of average length of stay, average medical expenditure, and inpatient mortality, however, the proportion of those with IPV was lower than that of those with unintentional injuries. The predictors of coded IPV were female gender, low-income household, fracture of the face, intracranial injury, open wound of the neck, depression, and more than 2 injury sites.Conclusion: This study highlights several factors that might help in the detection of victims of IPV at a medical visit. Medical professionals could use them to detect victims of IPV and protect them from additional abuse.
期刊論文
1.陳秀峯(2010)。台灣家庭暴力防治之現況與未来：從被害人保護及加害人處遇角度觀察。亞洲家庭暴力與性侵害期刊，6(1)，187-210。new window  延伸查詢new window
2.Rivara, F. P.、Anderson, M. L.、Fishman, P.、Bonomi, A. E.、Reid, R. J.、Carrell, D.(2007)。Healthcare utilization and costs for women with a history of intimate partner violence。American Journal of Preventive Medicine，32(2)，89-96。  new window
3.Bonomi, A. E.、Anderson, M. L.、Rivara, F. P.、Thompson, R. S.(2009)。Health care utilization and costs associated with physical and nonphysical-only intimate partner violence。Health Services Research，44(3)，1052-1067。  new window
4.陳予修、黃志中(20090600)。臺灣護理論述中的婚姻暴力。護理雜誌，56(3)，36-45。new window  延伸查詢new window
5.黃志中、陳三能、黃旼儀、張淳茜、鄧淑如、陳建州、黃瑛琪、張高賓(20040300)。婚姻暴力受虐婦女的身體症狀。臺灣家庭醫學雜誌，14(1)，25-34。  延伸查詢new window
學位論文
1.呂佳芸(2011)。親密關係受暴女性求助行為分析(碩士論文)。國立臺北大學。  延伸查詢new window
圖書
1.黃志中(2008)。婚姻暴力：醫療社群現象之探討。臺北：合記。  延伸查詢new window
其他
1.內政部統計處(20110420)。家庭暴力事件通報案件統計。  延伸查詢new window
2.Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH.(2006)。Prevalence of Intimate Partner Violence : Findings from the WHO Multi- Country Study on Women's Health and Domestic Violence.。  new window
3.Fanslow JL, Robinson EM.(2011)。Physical Injuries Resulting From Intimate Partner Violence and Disclosure to Healthcare Providers: Results From a New Zealand Population-Based Study.。  new window
4.Saddki N, Suhaimi AA, Daud R.(2010)。Maxillofacial Injuries Associated with Intimate Partner Violence in Women.。  new window
5.Bhargava R, Temkin TL, Fireman BH.(2011)。A Predictive Model to Help Identify Intimate Partner Violence Based on Diagnoses and Phone Calls.。  new window
6.Gerber MR, Wittenberg E, Ganz ML, Williams CM, McCloskey LA.(2008)。Intimate partner violence exposure and change in women's physical symptoms over time.。  new window
7.林慈玲(2007)。從防暴實務與家暴防治新法中看受暴婦女困境。  延伸查詢new window
8.Cohn F, Rudman WJ.(2004)。Fixing Broken Bones and Broken Homes: Domestic Violence As a Patient Safety Issue.。  new window
9.邱鈺鸞、楊聰財、高森永、簡戊鑑(2011)。台灣1997-2008 年親密伴侶暴力住院傷患特性。  延伸查詢new window
10.World Health Organization(20110430)。World Report on Violencea and Health.。  new window
11.Saltzman LE, Fanslow JL, McMahon PM.(1999)。Intimate partner violence surveillance: uniform definitions and recommended data elements.。  new window
12.Btoush R, Campbell JC, Gebbie KM.(2009)。Care Provided in Visits Coded for Intimate Partner Violence in a National Survey of Emergency Departments.。  new window
13.Schafer SD, Drach LL, Hedberg K, Kohn MA.(2008)。Using Diagnostic Codes to Screen for Intimate Partner Violence in Oregon Emergency Departments and Hospitals.。  new window
14.Fishman PA, Bonomi AE, Anderson ML, Reid RJ, Rivara FP.(2010)。Changes in Health Care Costs Over Time Following the Cessation of Intimate Partner Violence.。  new window
15.Ziminski CE, Phillips LR, Woods DL.(2012)。Raising the Index of Suspicion for Elder Abuse: Cognitive Impairment, Falls, and Injury Patterns in the Emergency Department.。  new window
16.L au CL, Ching WM, Tong WL, Chan KL, Tsui KL, Kam CW.(2008)。1700 Victims of Intimate Partner Violence: Characteristics and Clinical Outcomes.。  new window
17.彭韻治(2006)。攻擊背後的真相--與男性暴力行為相關之內在特質因素。  延伸查詢new window
18.Petridou E, Browne A, Lichter E, Dedoukou X, Alexe D, Dessypris N.(2002)。What Distinguishes Unintentional Injuries from Injuries Due to Intimate Partner Violence: a Study in Greek Ambulatory Care Settings.。  new window
19.Crandall ML, Nathens AB, Rivara FP.(2004)。Injury Patterns Among Female Trauma Patients: Recognizing Intentional Injury.。  new window
20.Wu V, Huff H, Bhandari M.(2010)。Pattern of Physical Injury Associated with Intimate Partner Violence in Women Presenting to The Emergency Department: a Systematic Review and Meta-Analysis.。  new window
21.Kwa ko LE, Glass N, Campbell J, Melvin KC, Barr T, Gill, JM.(2011)。Traumatic Brain Injury in Intimate Partner Violence: a Critical Review of Outcomes and Mechanisms.。  new window
22.顏芳慧、陳淑惠、黃湘羚、吳靜瑜、呂雲燕、林美娟(2009)。急診護理人員對受暴婦女的態度、護理阻礙與流程困難。  延伸查詢new window
23.Coker AL, Reeder CE, Fadden MK, Smith PH(2004)。Physical Partner Violence and Medicaid Utilization and Expenditures.。  new window
 
 
 
 
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