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題名：以醫療區為基礎之流感併發重症疫情監控系統
書刊名：醫務管理期刊
作者：吳姿瑩／張家榮／吳文祥 引用關係
作者(外文)：Wu, Tzu-ying／Chang, Chia-jung／Wu, Wen-hsiang
出版日期：2018
卷期：19:3
頁次：頁227-248
主題關鍵詞：醫療區；流感併發重症；地理資訊系統；管制圖；Health care regions；Severe complicated influenza；Geographic information systems；GIS；Control chart
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(1) 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:1
  • 共同引用共同引用:0
  • 點閱點閱:7
目的：疾病管制署所建置流感併發重症之地理分佈圖，只考量各縣市病例數，易造成人口數多自然呈現疫情嚴重假象。方法：本研究應用傳染病疫情通報系統病例數為研究對象，先運用集群分析法將2009至2016年資料分群以做為疫情嚴重程度分級依據。以生活圈為醫療區劃分基礎再結合管制圖分析各醫療區疫情嚴重程度後，再繪製地理分佈圖以呈現疫情狀況。結果：流感雖以秋、冬較容易爆發疫情，但仍可能春夏季發生，以2017年為例疫情爆發於第17-31週而於第32週趨緩，更可發現第27週開始疫情為重度狀態，集中在雲林縣、高雄市與屏東縣。結論：流感疫苗接種為10月開始，接種2週後才產生保護力，若流感發生春夏季時就來不及使用疫苗防治。本系統可即時監控且易於解讀何地發生疫情，以及時控制疫情。
Objectives: To solve the seemingly serious conditions in cities with higher populations as presented by the Centers for Disease Control, with single consideration to the number of cases of severe complicated influenza in each city for geographical distribution. Methods: This research uses the number of cases in the reporting system of infectious disease outbreaks from 2009 to 2016 as research objects, utilizing cluster analysis to group data. In addition, a control chart is used to analyze the seriousness of the disease in each city as a geographic location, classified as level two health care regions, with different colors employed to show the level of severity and draw a geographical distribution of the influenza outbreak. Results: Influenza outbreaks often occur in the fall and winter seasons, but may also occur in spring or summer. Using 2017 as an example, the outbreak was weeks 17-31, which slowed down in week 32. Moreover, the outbreak became serious from week 27, mainly in Yunlin County, Kaohsiung City and Pingtung County. Conclusion: Inoculations against influenza are available in October. The vaccination will be effective two weeks after injection. Therefore, if the influenza outbreak happens in spring or summer, it will not be possible to use vaccination as means to prevent influenza. This system can monitor when and where the outbreak has occurred, and provide information for health authorities to propose appropriate policies.
期刊論文
1.Benneyan, J. C.(1998)。Use and Interpretation of Statistical Quality Control Charts。International Journal for Quality in Health Care，10(1)，69-73。  new window
2.Raper, J.(2009)。Geographic information science。Annual Review of Information Science and Technology，43(1)，1-117。  new window
3.Ben Ramadan, A. A.、Jackson-Thompson, J.、Boren, S. A.(2017)。Geographic Information Systems: Usability, Perception, and Preferences of Public Health Professionals。Online Journal Of Public Health Informatics，9(2)，e191。  new window
4.Cliff, A. D.、Haggett, P.、Ord, J. K.、Versey, G. R.(1982)。Spatial diffusion: an historical geography of epidemics in an island community。New Zealand Geographer，38(2)。  new window
5.Buttrey, S. E.、Karo, C.(2002)。Using K-nearest-neighbor classification in the leaves of a tree。Computational Statistics and Data Analysis，40(1)，27-37。  new window
6.Boyle, Justin、Crilly, Julia、Keijzers, Gerben、Wallis, Marianne、Lind, James、Sparks, Ross、Ryan, Louise(2011)。Impact of influenza across 27 public emergency departments in Australia: a 5-year descriptive study。Emergency Medicine Journal，29(9)，725-731。  new window
7.Bland, M.、Whitson, M.、Harris, H.、Edmiaston, J.、Connor, L.、Fucetola, R.、Carter, A.、Corbetta, M.、Lang, C.(2014)。Descriptive data analysis examining how standardized assessments are used to guide post-acute discharge recommendations for rehabilitation services after stroke。Physical Therapy，95(5)，710-719。  new window
8.Davies, D. L.、Bouldin, D. W.(1979)。A Cluster Separation Measure。IEEE Transactions On Pattern Analysis And Machine Intelligence，1(2)，224-227。  new window
9.Cox, N.、Subbarao, K.(2000)。Global epidemiology of influenza: past and present。Annual review Of medicine，51(1)，407-421。  new window
10.Clausi, D. A.(2002)。K-means Iterative Fisher (KIF) unsupervised clustering algorithm applied to image texture segmentation。Pattern Recognition，35(9)，1959-1972。  new window
11.Chiang, P.、Musa, G.、Sylk, T.、Bavley, R.、Keating, W.、Lakew, B.(2013)。Use of GIS mapping as a public health tool- From cholera to cancer。Health Services Insights，6，111-116。  new window
12.Hayden, F.、Treanor, J.、Fritz, R.、Lobo, M.、Betts, R.、Miller, M.(1999)。Use of the oral neuraminidase inhibitor oseltamivir in experimental human influenza。JAMA，282(13)。  new window
13.Karami, M.、Ghalandari, M.、Poorolajal, J.、Faradmal, J.(2017)。Early detection of meningitis outbreaks: Application of limited-baseline data。Iranian Journal of Public Health，46(10)，1366-1373。  new window
14.Lansbury, L.、Brown, C.、Nguyen-Van-Tam, J.(2017)。Influenza in long-term care facilities。Influenza and Other Respiratory Viruses，11(5)，356-366。  new window
15.Larcos, G.、Collins, L.、Georgiou, A.、Westbrook, J.(2015)。Nuclear medicine incident reporting in Australia: control charts and notification rates inform quality improvement。Internal Medicine Journal，45(6)，609-617。  new window
16.Lee, L.、Khoo, M.、Teh, S.、Lee, M.(2015)。A variable sampling interval synthetic Xbar chart for the process mean。PLOS ONE，10(5)，e0126331。  new window
17.Papke, D.、McNussen, P.、Rasheed, M.、Tsipursky, M.、Labriola, L.(2016)。A case of unilateral optic neuropathy following influenza vaccination。Seminars In Ophthalmology，32(4)，517-523。  new window
18.Serfling, R. E.(1963)。Methods for current statistical analysis of excess pneumonia-influenza deaths。Public Health Reports (1896-1970)，78(6)，494-506。  new window
19.Sellick, J.(1993)。The Use of statistical process control charts in hospital epidemiology。Infection Control And Hospital Epidemiology，14(11)，649-656。  new window
20.Xu, W.、Chen, T.、Dong, X.、Kong, M.、Lv, X.、Li, L.、Drews, S. J.(2017)。Outbreak detection and evaluation of a schoolbased influenza-like-illness syndromic surveillance in Tianjin, China。PLoS One，12(9)，e0184527。  new window
21.Fineberg, Harvey V.(20140403)。Pandemic Preparedness and Response--Lessons from the H1N1 Influenza of 2009。New England Journal of Medicine，370(14)，1335-1342。  new window
圖書
1.Longley, P. A.、Goodchild, M. F.、Maguire, D. J.、Rhind, D. W.(2005)。Geographic Information Systems and Science。John Willey & Sons。  new window
2.Hart M. K.、Hart, R. F.(2002)。Statistical Process Control for Health Care。Pacific Grove, CA：Duxbury。  new window
3.Jain, A. K.、Dube, R. C.(1988)。Algorithms for clustering data。NJ：Prentice Hall。  new window
其他
1.衛生福利部疾病管制署(2017)。第四類法定傳染病流感併發重症，http://www.cdc.gov.tw/professional/knowdisease.aspx?treeid=8208EB95DDA7842A&nowtreeid=8208EB95DDA7842A&id=31B3B7BF7E15ED33&did=680。  延伸查詢new window
2.衛生福利部疾病管制署(2017)。流感併發重症傳染病防治工作手冊，http://www.cdc.gov.tw/professional/downloadfile.aspx?fid=E9A89C2FB38B5777。  延伸查詢new window
3.Bauer, F.，Kaltenbock, M.(2012)。Linked open data: The resentials a quick start guide for decision makers，http://www.semantic-web.at/LOD-The Essentials.pdf。  new window
4.Centers for Disease Control and Prevention(2017)。Overview of influenza surveillance in the United States，https://espanol.cdc.gov/enes/flu/weekly/overview.htm。  new window
5.Wiemken, T.，Furmanek, S.，Carrico, R.，Mattingly, W.，Persaud, A.，Guinn, B.(2017)。Process control charts in infection prevention: make it simple to make it happen，https://www.ncbi.nlm.nih.gov/pubmed/27876163。  new window
 
 
 
 
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