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題名：臺灣地區兒童燒燙傷門診就診率趨勢之研究
書刊名：醫務管理期刊
作者：陳姿陵／曾詩雅／黃詩婷／康怡君／楊映茹／王力雯／陳楚杰 引用關係
作者(外文)：Chen, Tzu-ling／Tseng, Shih-ya／Huang, Shih-ting／Kang, Yi-jyun／Yang, Ying-ru／Wang, li-wen／Chen, Chu-chieh
出版日期：2015
卷期：16:2
頁次：頁141-155
主題關鍵詞：兒童；燒燙傷；門診；臺灣；Children；Burns；Outpatient；Taiwan
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:8
  • 點閱點閱:15
目的：探討台灣地區19歲（含）以下兒童燒燙傷門診就診率及年代趨勢變化。方法：本研究按性別及年齡做分層分析，資料來自1998年至2012年全民健康保險醫療統計年報，以1998年之年中人口為標準人口，計算性別及年齡標準化就診率，使用EXCEL 2010試算表軟體進行資料整理與描述性分析；並以Cytel Studio 8套裝軟體進行年代線性趨勢檢定。結果：卜瓦松迴歸檢定結果，男童標準化就診率呈現下降趨勢，女童就診率呈現上升趨勢，且均達統計上的顯著水準。在年齡層標準化就診率方面，只有10～14歲呈現下降趨勢，其他三個年齡層呈現上升趨勢，均達到統計上的顯著水準。結論：就性別而言，男童標準化燒燙傷門診就診率高於女童，而就年齡層而言，0～4歲兒童燒燙傷門診就診率上升趨勢最為明顯。
Objective: The aim of this study was to explore the trends in outpatient visits for burns by children under the age of 19 (inclusive) in Taiwan. Methods: The data originated from the ＂Medical Statistics for National Health Insurance＂ annual reports posted by the Department of Census and Statistics, Ministry of Health and Welfare from 1998 to 2012. The gender-standardized rates and age-standardized rates of pediatric outpatient visits for burns were estimated against the year 1998 children population in Taiwan. An Excel 2010 spreadsheet was used to sort the data and to conduct descriptive analyses. Stratified analysis was conducted based on gender and age. A test for linear trends over the years was performed using Cytel Studio 8 software. Results: The result of Poisson regression showed that the standardized rate of pediatric outpatient visits for burns by boys was slightly decreased, but standardized rate for girls was slightly increased. The difference was statistically significant. In terms of standardized rate by age group, the results of Poisson regression showed a decreasing trend for the 10~14 age group, bot a statistically significant increased trend for the three age groups, 0~4, 5~9, and 15~19. Conclusions: The standardized rate of outpatient visits for burns for girls showed a rising trend. Authoritative organizations are recommended to pay more attention to children with burns.
期刊論文
1.Pitts, S. R.、Niska, R. W.、Xu, J.、Burt, C. W.(2008)。National hospital ambulatory medical care survey: 2006 emergency department summary。National Health Statistics Reports，7(7)，1-38。  new window
2.Shah, M. N.、Cushman, J. T.、Davis , C. O.、Bazarian, J. J.、Auinger, P.、Friedman, B.(2008)。The epidemiology of emergency medical services use by children: An analysis of the national hospital ambulatory medical care survey。Prehospital Emergency Care，12(3)，269-276。  new window
3.Tang, N.、Stein, J.、Hsia, R. Y.、Maselli, J. H.、Gonzales, R.(2010)。Trends and characteristics of US emergency department visits, 1997-2007。Journal of American Medical Association，304(6)，664-670。  new window
4.楊奕志、劉致和、李友專、蔣以仁、李鐵國、張孟卿、吳瑞星、呂旭彥(20021200)。Epidemiology of Burn Injury in Taiwan by National Health Insurance Database。中華民國整形外科醫學會雜誌，11(4)，239-251。  延伸查詢new window
5.連心瑜、莊文怡、楊瑞永、陳胡安琪、鍾慧儀、汪國成(20070600)。虛擬實境應用於一位燒燙傷兒童疼痛減輕成效之初探。長庚護理，18(2)=58，294-306。new window  延伸查詢new window
6.Ahmad, M.(2010)。Pakistani experience of childhood burns in a private setup。Annals of Burns and Fire Disasters，23(1)，25。  new window
7.Alnababtah, K. M.、Davies, P.、Jackson, C. A.、Ashford, R. L.、Filby, M.(2011)。Burn injuries among children from a region-wide paediatric burns unit。British Journal of Nursing，20(3)，156。  new window
8.Ben-Isaac, E.、Schrager, S. M.、Keefer, M.、Chen, A. Y.(2010)。National profile of nonemergent pediatric emergency department visits。Pediatrics，125(3)，454-459。  new window
9.Berry, A.、Brousseau, D.、Brotanek, J. M.、Tomany-Korman, S.、Flores, G.(2008)。Why do parents bring children to the emergency department for nonurgent conditions? A qualitative study。Ambulatory Pediatrics，8(6)，360-367。  new window
10.Brousseau, D. C.、Gorelick, M. H.、Hoffmann, R. G.、Flores, G.、Nattinger, A. B.(2009)。Primary care quality and subsequent emergency department utilization for children in Wisconsin Medicaid。Academic Pediatrics，9(1)，33-39。  new window
11.Hsia, R. Y.、MacIsaac, D.、Palm, E.、Baker, L. C.(2008)。Trends in charges and payments for nonhospitalized emergency department pediatric visits, 1996-2003。Academic Emergency Medicine，15(4)，347-354。  new window
12.Koç, Z.、Sağlam, Z.(2012)。Burn epidemiology and cost of medication in paediatric burn patients。Burn，38(6)，813-819。  new window
13.Lin, T. M.、Wang, K. H.、Lai, C. S.、Lin, S. D.(2005)。Epidemiology of pediatric burn in southern Taiwan。Burn，31(2)，182-187。  new window
14.Ludwick, A.、Fu, R.、Warden, C.、Lowe, R. A.(2009)。Distances to emergency department and to primary care provider's office affect emergency department use in children。Academic Emergency Medicine，16(5)，411-417。  new window
15.Mashreky, S. R.、Rahman, A.、Chowdhury, S. M.、Giashuddin, S.、Svanström, L.、Linnan, M.、Rahman, F.(2008)。Epidemiology of childhood burn: Yield of largest community based injury survey in Bangladesh。Burns，34(6)，856-862。  new window
16.Mumtaz, H.、Mashhadi, S. A.、Sloane, P. J.、Regan, P. J.、McCann, J.(2011)。A 6-year review of paediatric burns in the West of Ireland。European Journal of Plastic Surgery，34，71-74。  new window
17.Niska, R.、Bhuiya, F.、Xu, J.(2010)。National hospital ambulatory medical care survey: 2007 emergency department summary。National Health Statistics Reports，26(26)，1-31。  new window
18.鍾其祥、劉淳羽、簡戊鑑(20100300)。臺灣燒燙傷住院傷患之流行病學。北市醫學雜誌，7(1)，53-66。  延伸查詢new window
19.Duke, J.、Wood, F.、Semmens, J.、Spilsbury, K.、Edgar, D. W.、Hendrie, D.、Rea, S.(2011)。A 26-year population-based study of burn injury hospital admissions in Western Australia。Journal of Burn Care & Research，32(3)，379-386。  new window
20.簡戊鑑、白璐、邱文達、王先震、高森永(20050200)。臺灣地區燒燙傷的趨勢及相關特性分析。臺灣公共衛生雜誌，24(1)，43-51。new window  延伸查詢new window
研究報告
1.衛生福利部(2012)。100年全民健康保險醫療統計年報。  延伸查詢new window
2.衛生福利部(2013)。101年死因統計年報。  延伸查詢new window
學位論文
1.賴春輯(2005)。臺灣地區急診利用與重返急診病患資源耗用分析(碩士論文)。臺灣大學，臺北市。  延伸查詢new window
2.楊正偉(2008)。兒童急診醫療利用及品質之探討(碩士論文)。國立陽明大學，臺北。  延伸查詢new window
3.張齡芝(2006)。北臺灣醫院急診於白天、傍晚及夜間醫療利用之分析(碩士論文)。元智大學，新北市。  延伸查詢new window
4.李松澤(2011)。影響兒童急診醫療品質指標之研究(碩士論文)。輔仁大學。  延伸查詢new window
5.李昭琴(2010)。臺灣兒童之醫療照護利用公平性探討(碩士論文)。長庚大學，桃園。  延伸查詢new window
圖書
1.Nawar, E. W.、Niska, R. W.、Xu, J.(2007)。National hospital ambulatory medical care survey: 2005 emergency department summary。Hyattsville, MD：National Center for Health Statistics。  new window
2.McCaig, L. F.、Nawar, E. W.(2006)。National hospital ambulatory medical care survey: 2004 Emergency department summary。US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics。  new window
其他
1.World Health Organization(2013)。Violence and injury prevention，http://www.who.int/violence_injury_prevention/other_injury/burns/en/index.html。  new window
 
 
 
 
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