臺灣人文及社會科學引文索引資料庫系統

:::

詳目顯示

回上一頁
第 1 筆 / 總合 1 筆   第一頁 上一頁 下一頁 最後一頁
/1頁
題名：不同層級醫院三高處方用藥重複率改善結果的比較
書刊名：醫務管理期刊
作者：王文芬／吳世望／錢才瑋
作者(外文)：Wang, Wen-fen／Wu, Shin-wang／Chien, Tsair-wei
出版日期：2015
卷期：16:4
頁次：頁279-293
主題關鍵詞：重複用藥；探索性因素分析；高血壓；高血糖；高血脂；Duplicate medications；Exploratory factor analysis；Hypertension；Hyperglycemia；Dyslipidemia
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(3) 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:3
  • 共同引用共同引用:88
  • 點閱點閱:502
目的：比較不同層級醫院三高藥品重複用藥日數比率及其改善情形。 方法：擷取 2011年第 1季至 2013年第 2季衛生福利部中央健康保險署網路公佈各醫院的各季三高（即降血壓、降血糖、及降血脂藥物）給藥日數重複率。利用探索性因素決定因素的個數，以組間均方和換算出新座標權重比例。以單因子變異數分析檢定不同層級醫院間的的差異，並利用標準化迴歸係數檢測其間改善程度。 結果：三高重複用藥日數的比率，呈現地區醫院不如醫學中心及區域醫院。其改善情形：在血壓用藥方面，呈現出區域醫院優於地區醫院；在血糖及血脂用藥方面，也呈現出區域醫院及醫學中心優於地區醫院。 結論：三高藥品重複用藥日數比率呈現明顯的改善，重複用藥在大型醫院電腦系統的協助下較具成效。
OBJECTIVES: We evaluated the degree of therapeutic duplication (TD) of medications in Taiwan hospitals for outpatients with hypertension, hyperglycemia, and dyslipidemia, and determined whether or not the clinical findings improved or became worse in the most recent 10 fi scal quarters. METHODS: Data from the 1st quarter of 2011 to the 2nd quarter of 2013 of duplicate prescription rates of medications were retrieved from the Taiwan government-run National Health Insurance Department website. Exploratory factor analysis was used to determine the number of factors. Two periods of 3-type studied duplicate day ratios were used to construct a newly weighted and coordinated variable referring to the greatest ratio value of between-group to within-group in sum of mean squares of analysis of variance (ANOVA) to examine the differences between hospital levels. Standardized regression coefficients were used to investigate the data. RESULTS: TD problems were significantly more serious in local hospitals than medical centers and regional hospitals. The reduction in TD for anti-hypertensive medications was significantly greater (p = 0.001) in regional hospitals than local hospitals. The reduction in TD for hypoglycemic and hypolipidemic medications was greater (p = 0.05) in medical centers and regional hospitals than local hospitals. CONCLUSIONS: Local hospitals did not improve as much as medical centers and regional hospitals, possibly because of differences in computerization.
期刊論文
1.姚漢禱(2001)。負Alpha信度係數指標在運動技能測驗之研究。體育學報，31，271-280。new window  延伸查詢new window
2.黃秀雅、周幸生、曾冠叡、顏秀芳、馮容莊(2011)。條碼給藥系統推行與全面品質管理策略之實務經驗。醫務管理期刊，12(2)，130-142。new window  延伸查詢new window
3.Brown, A. D.、Garber, A.(1998)。Cost effectiveness of coronary heart disease prevention strategies in adults。Pharmaco Economics，14(1)，27-48。  new window
4.Chien, C. C.、Wang, H. Y.、Chien, T. W.、Kan, W. C.、Su, S. B.、Lin, C. Y.(2010)。A reference equation for objectively adjusting dwell volume to obtain more ultrafiltration in daily practice of peritoneal dialysis。Renal Failure，32(2)，185-191。  new window
5.Jena, A. B.、Goldman, D.、Weaver, L.、Karaca-Mandic, P.(2014)。Opioid prescribing by multiple providers in Medicare: Retrospective observational study of insurance claims。British Medical Journal，348。  new window
6.Kinoshita, H.、Kobayashi, Y.、Fukuda, T.(2008)。Duplicative medications in patients who visit multiple medical institutions among the insured of a corporate health insurance society in Japan。Health Policy，85(1)，114-123。  new window
7.Lesar, T. S.、Lomaestro, B. M.、Pohl, H.(1997)。Medication-prescribing errors in a teaching hospital: A 9-year experience。Archives of Internal Medicine，157(14)，1569-1576。  new window
8.Nanji, K. C.、Slight, S. P.、Seger, D. L.、Cho, I.、Fiskio, J. M.、Redden, L. M.、Bates, D. W.(2014)。Overrides of medication-related clinical decision support alerts in outpatients。Journal of the American Medical Informatics Association，21(3)，487-491。  new window
9.Paez, K. A.、Zhao, L.、Hwang, W.(2009)。Rising out-of-pocket spending for chronic conditions: A ten-year trend。Health Affairs，28(1)，15-25。  new window
10.Pankratz, L.、Jackson, J.(1994)。Habitually wandering patients。The New England Journal of Medicine，331(26)，1752-1755。  new window
11.Reeve, E.、Wiese, M. D.(2014)。Benefits of deprescribing on patients' adherence to medications。International Journal of Clinical Pharmacy，36(1)，26-29。  new window
12.Schneider, K. M.、O'Donnell, B. E.、Dean, D.(2009)。Prevalence of multiple chronic conditions in the United States' Medicare population。Health and Quality of Life Outcomes，7(1)，82。  new window
13.Stelfox, H. T.、Palmisani, S.、Scurlock, C.、Orav, E. J.、Bates, D. W.(2006)。The “To Err is Human” report and the patient safety literature。Quality and Safety in Health Care，15(3)，174-178。  new window
14.Tamblyn, R. M.、McLeod, P. J.、Abrahamowicz, M.、Laprise, R.(1996)。Do too many cooks spoil the broth? Multiple physician involvement in medical management of elderly patients and potentially inappropriate drug combinations。Canadian Medical Association Journal，154(8)，1177-1184。  new window
15.Tu, C. Y.、Chen, T. J.、Chou, L. F.(2011)。Application of frequent itemsets mining to analyze ptterns of one-stop visits in Taiwan。PLoS One，6(7)。  new window
16.Worley, J.、Hall, J. M.(2012)。Doctor shopping: A concept analysis。Research and Theory for Nursing Practice，26(4)，262-278。  new window
17.Yang, Y. H. K.、Kuo, C. W.、Hung, H. J.、Jia, S. W.(2002)。Classification of pharmaceutical products reimbursed by national health insurance by the ATC system。The Chinese Pharmaceutical Journal，54(4)，283-290。  new window
18.Chi, M. J.、Lee, C. Y.、Wu, S. C.(2011)。The prevalence of chronic conditions and medical expenditures of the elderly by chronic condition indicator (CCI)。Archives of Gerontology and Geriatrics，52(3)，284-289。  new window
19.Hsu, S. C.、Lee, H. F.、Chien, T. W.(2011)。Are patient falls in the hospital associated with days of the week and hours of the day? A retrospective observational study using Rasch modeling。HealthMED，5(6)，1395-1403。  new window
20.King, D. E.、Ellis, T. M.、Everett, C. J.、Mainous, A. G. III(2009)。Medication use for diabetes, hypertension, and hypercholesterolemia from 1988-1994 to 2001-2006。Southern Medical Journal，102(11)，1127-1132。  new window
21.王文中(20041200)。Rasch測量理論與其在教育和心理之應用。教育與心理研究，27(4)，637-694。new window  延伸查詢new window
22.陳世欽、蔡文正、黃昱瞳、謝儀靜、黃光華(20120200)。臺灣高血壓用藥之問題處方及其影響因素的研究。臺灣公共衛生雜誌，31(1)，31-42。new window  延伸查詢new window
23.Kaiser, Henry F.(1960)。The application of electronic computers to factor analysis。Educational and Psychological Measurement，20(1)，141-151。  new window
24.王文中(19970400)。測驗的建構：因素分析還是Rasch分析？。調查研究，3，129-166。new window  延伸查詢new window
研究報告
1.衛生福利部統計處(2014)。102年國人死因統計結果。  延伸查詢new window
2.Kohn, L. T.、Corrigan, J. M.、Donaldson, M. S.(2000)。To Err is Human: Building a Safer Health System。Washington, DC：National Academy Press。  new window
圖書
1.Sharma, Subhash(1996)。Applied Multivariate Techniques。John Wiley & Sons, Inc.。  new window
2.Institute of Medicine(2001)。Crossing the quality chasm: A new health system for the 21st century。Washington, DC：National Academy Press。  new window
其他
1.Ministry of Health, Labour and Welfar(2010)。Patient's behavior survey in 2008，http://www.mhlw.go.jp/toukei/saikin/hw/jyuryo/09/20gaikyou.html。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關書籍
 
無相關著作
 
QR Code
QRCODE

臺灣人文及社會科學引文索引資料庫

目前上線人數：812（臺灣：805，外國：7） ／ 本年度總使用人次：1725833 ／ 訪客人次（自102年09月）：67520211
國家圖書館著作權聲明 Copyright © 2013 All rights reserved.
本館地址: 100201臺北市中山南路20號． 本館地圖及交通資訊．
總機：(02)23619132．最佳瀏覽解析度為1024x768以上