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系統識別號 U0007-2701201411592800
論文名稱(中文) 電痙攣治療患者醫療利用率之比較
論文名稱(英文) A study of medical utilization on Electroconvulsive therapy patients
校院名稱 臺北醫學大學
系所名稱(中) 護理學研究所
系所名稱(英) Graduate Institute of Nursing
學年度 102
學期 1
出版年 103
研究生(中文) 謝棊硯
研究生(英文) Chi-Yen Hsieh
電子信箱 shelk111@yahoo.com.tw
學號 G455098020
學位類別 碩士
語文別 中文
口試日期 2013-01-24
論文頁數 75頁
口試委員 指導教授-鍾明惠
委員-林寬佳
委員-周桂如
中文關鍵字 電痙攣治療  健保資料庫  醫療利用 
英文關鍵字 ECT  NHI  Medical Service 
學科別分類
中文摘要 本研究對象為1996年至2011年間國民健保資料庫的分析,以住院醫療費用醫令清單明細檔中電療為實驗對象,串聯其他住院及門診檔,住院期間電療共1699名患者,對照組為以年齡、性別做配對,電療組及對照組分前測為第一次電療前一年,後測為電療後追蹤第一年及第二年,研究變項包含人口基本屬性、醫院屬性、疾病屬性、精神科住院醫療費用、精神科精神醫囑治療費、精神科住院日數、門診次數,利用SAS統計軟體分析,使用廣義估計方程式(Generalized Estimating Equation, GEE),研究結果發現電療組和對照組相較有統計上顯著意義。
英文摘要 Abstract
Objection:
Aim to analysis from National Health Insurance (NHI) of Taiwan from 1996-2011.
Method
The 1575 clients of Electroconvulsive Therapy (ECT) admitted in psychiatric acute or psychosomatic ward .comparison with statistic model with age gender Charlson Comobidity Index (CCI) match .Variable details of demographic data, and frequency for ECT were recorded.Comparing with last year ,next 1 year and next 2 year follow up. Analysis with SAS of Generalized Estimating Equation (GEE).
Keyword: Electroconulsive Therapy National Health Insurance
Medical Service
論文目次 目 錄
第一章 緒論 …………………………………… 1
第一節 研究動機與背景 ……………………… 1
第二節 研究目的 ……………………… 5
第二章 文獻查證 …………………………………… 6
第一節 電氣痙攣治療之目的與概況 ………… 6
第二節 影響電氣痙攣治療之相關因素 ……… 13
第三節 電氣痙攣治療應用於各精神科診斷之相關研究 18
第四節 電療患者之醫療利用情形之相關研究 24
第三章 研究方法 ………………………………… 28
第一節 研究架構 …………………………… 28
第二節 資料來源 …………………………… 29
第三節 選樣流程 …………………………… 31
第四節 研究假設 …………………………… 32
第五節 研究變項及操作型定義 … ………… 33
第六節 資料處理與分析 ……………………… 35
第四章 研究結果 ………………………………… 36
第一節樣本基本資料描述 ………………… 36
第二節電療之醫療利用相關…… ……… … 42
第五章 討論 ………………………………… 62
第一節 討論 …………………………… 62
第二節 研究限制 …………………………… 64
第六章 結論 ………………………………… 65
第一節 結論 …………………………… 65
第二節 建議 …………………………… 66
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