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題名:智能障礙者急診醫療利用的頻率與結果
書刊名:醫務管理期刊
作者:湯淑貞何秀玲謝明娟 引用關係李文傑林欣誼陳楚杰 引用關係
作者(外文):Tang, Shu-chenHo, Hsiu-lingHsieh, Ming-chuanLee, Wen-chiehLin, Hsin-yiChen, Chu-chieh
出版日期:2023
卷期:24:2
頁次:頁127-157
主題關鍵詞:智能障礙醫療利用急診Intellectual disabilitiesHealth utilizationEmergency medicine
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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。
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.
 
 
 
 
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