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題名:臺灣「婦幼健康主題式資料庫」之建構與未來應用
書刊名:臺灣公共衛生雜誌
作者:李中一陳麗華邱孟君梁富文呂宗學
作者(外文):Li, Chung-yiChen, Lea-huaChiou, Meng-jiunLiang, Fu-wenLu, Tsung-hsueh
出版日期:2016
卷期:35:2
頁次:頁209-220
主題關鍵詞:婦幼衛生健康資料庫出生登記死因統計生命歷程Maternal and child healthHealth databaseBirth registryDeath registryLife course
原始連結:連回原系統網址new window
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目標:介紹「婦幼健康主題式資料庫」之建置過程與內容。方法:本研究利用我國出生登記、出生通報、死因統計(以上之資料年代為2004-2011)、與全民健康保險(簡稱健保)(1998-2011)等行政資料,完成親代與子代之健保資料連結;並將新生兒未投保前使用父親或母親身分證字號申報健保給付之紀錄補正回新生兒之就醫紀錄中。結果:本研究建置之「婦幼健康主題式資料庫」,由4種次檔案組成,包括(1)2004-2011年台灣所有活產新生兒之健保門診與住院紀錄及其出生登記的資料,如出生體重、妊娠周數、單/多胞胎等,且每一筆新生兒的健保就醫紀錄中新增該名新生兒父親與母親的身分證字號(加密);(2)出生通報中每名母親吸菸、飲酒,及新生兒Apgar score;(3)所有新生兒父親與母親的健保門診與住院紀錄(含醫令資料)(1998-2011);(4)新生兒與父母親之死因統計資料(2004-2011)。結論:「婦幼健康主題式資料庫」可以作為生命歷程研究之材料,也可提供較佳的訊息作為實證衛生政策的參考依據。
Objectives: To introduce the process of setting up the Taiwan Maternal and Child Health Database (TMCHD) and the content of the TMCHD. Methods: This project utilized the Taiwan Birth Registration Database (BRD), Birth Certificate Application (BCA), National Register of Death (NRD [2004-2011 for the BRD, BCA, and NRD]), and the National Health Insurance Research Database (NHIRD [1998-2011]) to inter-link the medical claims of offspring and their parents. An effort was also made to restore the medical claims of a parent to his/her newborn; medical claims are usually issued to one of the parent within 60 days after birth. Results: The TMCHD includes the information derived from inpatient/outpatient claims of all infants born between 2004 and 2011, in addition to a number of variables recorded in the BRD, including birthweight, gestational age, and single/multiple births. The variables in the BCA, such as maternal smoking, alcohol consumption, and newborn Apgar scores, were identified in a separate file. The medical claims of parents retrieved from the NHIRD, including medical orders (1998-2011) and the information pertaining to mortality retrieved from the NRD (2001-2011), were arranged in separate files. Conclusions: The TMCHD can be used as material for life course studies and may provide better information for evidence-based health policy.
期刊論文
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3.Elliott, J.、Shepherd, P.(2006)。Cohort profile: 1970 British birth cohort (BCS70)。Int J Epidemiol,35,836-843。  new window
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9.李中一、宋鴻樟、陳富莉(20060400)。就讀高壓輸電線跨越校園上空學校學童之一般健康狀態評估。臺灣公共衛生雜誌,25(2),83-92。new window  延伸查詢new window
10.Delgado-Rodríguez, M.、Llorca, J.(2004)。Bias。J Epidemiol Community Health,58,635-641。  new window
11.Lee, H. Y.、Lu, C. L.、Chen, H. F.、Su, H. F.、Li, C. Y.(2015)。Perinatal and childhood risk factors for early onset of type 1 diabetes: a population-based case-control study in Taiwan。Eur J Public Health,25,1024-1029。  new window
12.Wu, M.-H.、Chen, H.-C.、Lu, C.-W.、Wang, J.-K.、Huang, S.-C.、Huang, S.-K.(2010)。Prevalence of congenital heart disease at live birth in Taiwan。The Journal of Pediatrics,156(5),782-785。  new window
13.Chen, Y. Y.、Gunnell, D.、Lu, C. L.、Chang, S. S.、Lu, T. H.、Li, C. Y.(2013)。Perinatal risk factors for suicide in young adults in Taiwan。Int J Epidemiol,42,1381-1389。  new window
14.Liu, S.、Joseph, K. S.、Lisonkova, S.(2013)。Association between maternal chronic conditions and congenital heart defects: a population-based cohort study。Circulation,128,583-589。  new window
15.Xiang, A. H.、Wang, X.、Martinez, M. P.(2015)。Association of maternal diabetes with autism in offspring。JAMA,313,1425-1434。  new window
其他
1.衛生福利部中央健康保險署(2015)。新生兒出生60日內得以父母健保IC卡就醫,http://www.nhi.gov.tw/information/NewsDetail.aspx?menu%3d9%26menu_ id%3d544&No=946, 2015/04/26。  延伸查詢new window
2.衛生福利部統計處(2015)。協作中心資料庫介紹與應用,http://www.mohw.gov.tw/cht/DOS/DMl_P.aspx7f__ list_no=812&fod_list_no=4803&doc_no=43661, 2015/04/26。  new window
3.衛生福利部統計處(2015)。衛生福利部健康資料加值應用協作中心違反作業規定處理程序,http://www.mohw.gov.tw/cht/DOS/DMl.P.aspx?f_list_ no=812&fod_list_no=4783&doc_no=48158, 2015/04/26。  延伸查詢new window
4.內政部(2015)。104年第11週內政統計通報(103年我國國籍之歸化及喪失情況),http://www.moi.gov.tw/stat/news_content.aspx?sn=9298, 2015/10/26。  延伸查詢new window
5.衛生福利部中央健康保險署(2016)。台灣的全民健康保險,http://www.nhi.gov.tw/Resource/Papers/221_2% e5%8f%b0%e7%81%a3%e7%9a%84%e5%85%a8% e6%b0%91%e5%81%a5%e5%ba%b7%e4%bf%9d% e9%9a%aa.pdf, 2016/01/25。  new window
 
 
 
 
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