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：老人頻繁使用急診醫療的情形及其相關因素之研究
書刊名：醫務管理期刊
作者：林思辰／柯明中 引用關係／湯淑貞／陳靖宜／陳楚杰
作者(外文)：Lin, Szu-chen／Ko, Ming-chung／Tang, Shu-chen／Chen, Chin-yi／Chen, Chu-chieh
出版日期：2018
卷期：19:1
頁次：頁43-62
主題關鍵詞：老人；急診醫療；頻繁使用急診醫療；Older adults；Emergency care；Frequent emergency care utilization
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(0) 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:0
  • 共同引用共同引用:91
  • 點閱點閱:31
目的：探討老人使用急診醫療的情形及影響老人頻繁使用急診醫療的相關因素。方法：本研究使用全民健康保險研究資料庫，利用SAS 9.4統計套裝軟體進行資料處理及統計分析，首先使用描述性統計探討老人使用急診醫療的情形；其次，分別以卡方檢定、複邏輯斯迴歸探討影響老人頻繁使用急診醫療的相關因素。結果：研究對象共計128,228人，其中有31,957人曾經使用急診醫療，使用率為24.92%，總急診人次為62,605人次，有使用急診醫療老人平均每人使用次數為1.96次。影響老人頻繁使用急診醫療的顯著因素為男性、大於等於75歲、低收入戶、投保地位於一般鄉鎮市區及高齡化市鎮地區、前一年門診就診大於30次、前一年曾經住院、CCI分類大於等於3分者。結論：有多種因素會影響老人是否會成為頻繁使用急診醫療者。因此，建議醫療管理者及衛生政策制定者，推動及落實老人急診病人周全性老年評估，以提升老人急 診病人的整體照護品質。
Objectives: To explore the prevalence of and predictors for frequent utilization of emergency department by older adults. Methods: The 2010 Longitudinal Health Insurance Database (LHID2010) released by the National Health Research Institute of Taiwan was processed and analyzed using SAS version 9.4. Descriptive statistics was used to explore the emergency care utilization data of older adults in Taiwan. A χ2 test and multivariate logistic regression were used to explore the correlations factors frequent utilization of emergency department by older adults . Results: Of the 128,228 research subjects, 31,957 (24.92%) had accessed emergency care a total of 62,605 person-times, an average of 1.96 times for each person. The factors contributing to frequent utilization of emergency care included sex, age group, economic status (i.e., low income or not), degree of urbanization at insurance location, and the medical utilization and health status of patients in the previous year. Conclusions: Numerous factors affect whether older adults frequently use emergency medical care. Therefore, medical administrators and health care policymakers should promote and implement a comprehensive assessment of elderly emergency patient to improve the overall quality of the care of such patients.
期刊論文
1.Deyo, R. A.、Cherkin, D. C.、Ciol, M. A.(1992)。Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases。Journal of Clinical Epidemiology，45(6)，613-619。  new window
2.黃金安、賴其勛、胡哲生(20061000)。急診醫療服務與其他醫療服務之類別間關係。臺灣公共衛生雜誌，25(5)，384-393。new window  延伸查詢new window
3.Garcia, T. C.、Bernstein, A. B.、Bush, M. A.(2010)。Emergency department visitors and visits: who used the emergency room in 2007?。National Center for Health Statistics Data Brief，38，1-8。  new window
4.Hunt, K. A.、Weber, E. J.、Showstack, J. A.、Colby, D. C.、Callaham, M. L.(2006)。Characteristics of frequent users of emergency departments。Annals of Emergency Medicine，48(1)，1-8。  new window
5.Xu, K. T.、Nelson, B. K.、Berk, S.(2009)。The changing profile of patients who used emergency department services in the United States: 1996 to 2005。Annals of Emergency Medicine，54(6)，805-810。  new window
6.林民浩、楊安琪、溫在弘(20110800)。利用地區差異與人口學特徵評估全民健保資料庫人口居住地變項之推估原則。臺灣公共衛生雜誌，30(4)，347-361。new window  延伸查詢new window
7.Zuckerman, S.、Shen, Y. C.(2004)。Characteristics of occasional and frequent emergency department users: do insurance coverage and access to care matter?。Medical care，42(2)，176-182。  new window
8.黃金安、翁瑞宏、蔡文正、胡為雄、楊大羽(20030300)。Analysis of Emergency Department Utilization by Elderly Patients under National Health Insurance。The Kaohsiung Journal of Medical Sciences，19(3)，113-120。  new window
9.Salvi, F.、Morichi, V.、Grilli, A.、Giorgi, R.、De Tommaso, G.、Dessi-Fulgheri, P.(2007)。The elderly in the emergency department: a critical review of problems and solutions。Internal and Emergency Medicine，2(4)，292-301。  new window
10.Somme, D.、Lazarovici, C.、Dramé, M.、Blanc, P.、Lang, P. O.、Gauvain, J. B.、Saint-Jean, O.(2011)。The geriatric patient: use of acute geriatrics units in the emergency care of elderly patients in France。Archives of Gerontology and Geriatrics，52(1)，40-45。  new window
11.Ionescu-Ittu, R.、McCusker, J.、Ciampi, A.、Vadeboncoeur, A. M.、Roberge, D.、Larouche, D.、Verdon, J.、Pineault, R.(2007)。Continuity of primary care and emergency department utilization among elderly people。Canadian Medical Association Journal，177(11)，1362-1368。  new window
12.黃耀緯、游斯雯、簡戊鑑(20101200)。老年群體急診醫療利用與非計劃性返診之探討。臺灣老人保健學刊，6(2)，158-167。new window  延伸查詢new window
13.Banks, I.(2001)。No man's land: Men, illness, and the NHS。British Medical Journal，323(7320)，1058-1060。  new window
14.Lishner, D. M.、Rosenblatt, R. A.、Baldwin, L. M.、Hart, L. G.(2000)。Emergency department use by the rural elderly。Journal of Emergency Medicine，18(3)，289-297。  new window
15.Shao, Chun-chih、Chang, Chia-pei、Chou, Li-fang、Chen, Tzeng-ji、Hwang, Shinn-jang(20110900)。The Ecology of Medical Care in Taiwan。Journal of the Chinese Medical Association，74(9)，408-412。  new window
16.沈希哲、胡鎮如、李中一、柯明中、陳楚杰(20150200)。臺灣地區兒童急診醫療利用及其相關因素之研究。臺灣公共衛生雜誌，34(1)，50-60。new window  延伸查詢new window
17.洪慈慧、陳靖宜、李中一、陳楚杰(20120900)。低收入戶急診醫療利用及其相關因素之研究。健康保險期刊，7(2)，24-38。new window  延伸查詢new window
18.Bieler, G.、Paroz, S.、Faouzi, M.、Trueb, L.、Vaucher, P.、Althaus, F.、Bodenmann, P.(2012)。Social and medical vulnerability factors of emergency department frequent users in a universal health insurance system。Academic Emergency Medicine，19(1)，63-68。  new window
19.Chan, B. T.、Ovens, H. J.(2002)。Frequent users of emergency departments. Do they also use family physicians' services?。Canadian Family Physician，48(10)，1654-1660。  new window
20.Derlet, R. W.(2002)。Overcrowding inemergency departments: increaseddemand and decreased capacity。Annals of Emergency Medicine，39(4)，430-432。  new window
21.Doupe, M. B.、Palatnick, W.、Day, S.、Chateau, D.、Soodeen, R. A.、Burchill, C.、Derksen, S.(2012)。Frequent users of emerency departments: developing standard definitions and defining prominent risk factors。Annals of Emergency Medicine，60(1)，24-32。  new window
22.Downing, A.、Wilson, R.(2005)。Older people' suse of accident and emergencyservices。Age and Ageing，34(1)，24-30。  new window
23.Fan, L.、Shah, M. N.、Veazie, P. J.、Friedman, B.(2011)。Factors associated with emergency department use among the rural elderly。The Journal of Rural Health，27(1)，39-49。  new window
24.George, G.、Jell, C.、Todd, B. S.(2006)。Effect of population ageing on emergency department speed and efficiency: a historical perspective from a district general hospital in the UK。Emergency Medicine Journal，23(5)，379-383。  new window
25.Gijsen, R.、Hoeymans, N.、Schellevis, F. G.、Ruwaard, D.、Satariano, W. A.、Van den Bos, G. A. M.(2001)。Causes and consequencesof comorbidity: a review。Journal of Clinical Epidemiology，54(7)，661-674。  new window
26.Keskinoğlu, P.、İnan, F.(2014)。Analysis of emergency department visits by elderly patients in an urban public hospital in Turkey。Journal of Clinical Gerontology and Geriatrics，5(4)，127-131。  new window
27.Ko, M. C.、Lee, Y. L.、Chen, C. C.、Chou, P. C.、Chu, D. C.(2015)。Prevalence of and predictors for frequent utilization of emergency department: A Population-Based Study。Medicine，94(29)，e1205。  new window
28.LaCalle, E.、Rabin, E.(2010)。Frequent users of emergency departments: The myths, the data, and the policy implications。Annals of Emergency Medicine，56(1)，42-48。  new window
29.Moore, L.、Deehan, A.、Seed, P.、Jones, R.(2009)。Characteristics of frequentattenders in an emergency department: analysis of 1-year attendancedata。Emergency Medicine Journal，26(4)，263-267。  new window
30.Palmer, E.、Leblanc-Duchin, D.、Murray, J.、Atkinson, P.(2014)。Emergency department use Is frequent use associated with a lack of primary care provider?。Canadian Family Physician，60(4)，e223-e229。  new window
31.Pinkhasov, R. M.、Wong, J.、Kashanian, J.、Lee, M.、Samadi, D. B.、Pinkhasov, M. M.、Shabsigh, R.(2010)。Are men shortchangedon health? Perspective on health care utilization and health riskbehavior in men and women in the United States。International Journal of Clinical Practice，64(4)，475-487。  new window
32.Roberts, D. C.、McKay, M. P.、Shaffer, A.(2008)。Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003。Annals of Emergency Medicine，51(6)，769-774。  new window
33.Shen, Y. C.、Hsia, R. Y.(2010)。Changes in emergency department access between 2001 and 2005 among general and vulnerable populations。American Journal of Public Health，100(8)，1462-1469。  new window
34.Wolff, J. L.、Starfield, B.、Anderson, G.(2002)。Prevalence, expenditures, andcomplications of multiple chronic conditions in the elderly。Archives of Internal Medicine，162(20)，2269-2276。  new window
35.劉介宇、洪永泰、莊義利、陳怡如、翁文舜、劉季鑫、梁賡義(20060600)。臺灣地區鄉鎮市區發展類型應用於大型健康調查抽樣設計之研究。健康管理學刊，4(1)，1-22。new window  延伸查詢new window
研究報告
1.內政部統計處(2018)。107年第6週內政統計通報（我國老化指數持續上升，106年底達105.7）。  延伸查詢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：611（臺灣：601，外國：10） ／ 本年度總使用人次：1541412 ／ 訪客人次（自102年09月）：67350738
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