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Spatial correlation analysis of elderly suicides and Urban Heat Island Effects: An ecological study in Taipei, 2000-2008 老年人自杀与城市热岛效应的空间相关分析:以台北地区为例,2000-2008
Q4 Medicine Pub Date : 2016-08-01 DOI: 10.6288/TJPH201635104089
Yinq-Rong Chern, Chih-Da Wu, Wen-Chi Pan, Mu-Jean Chen, S. Lung, H. Su, K. Chang
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引用次数: 7
An analysis of the current status and utilization of government health and welfare open data in Taiwan 台湾政府卫生福利公开资料现状及利用分析
Q4 Medicine Pub Date : 2016-08-01 DOI: 10.6288/TJPH201635105035
Pei-Hsuen Han, Sheng-Tun Li, M. Hsu, T. Lu
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引用次数: 0
Child mortality: Taiwan compared with OECD countries 儿童死亡率:台湾与经合组织国家之比较
Q4 Medicine Pub Date : 2016-04-01 DOI: 10.6288/TJPH201635104087
F. Liang, Y. Huang, Mei-Hwan Wu, H. Lue, T. Chiang, T. Lu
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引用次数: 3
台灣「婦幼健康主題式資料庫」之建構與未來應用 台湾「妇幼健康主题式资料库」之建构与未来应用
Q4 Medicine Pub Date : 2016-04-01 DOI: 10.6288/TJPH201635104053
李中一, 陳麗華, 邱孟君, 梁富文, 呂宗學
Objectives: To introduce the process of setting up the Taiwan Maternal and Child Health Database (TMCHD) and the content of the TMCHD. Methods: This project utilized the Taiwan Birth Registration Database (BRD), Birth Certificate Application (BCA), National Register of Death (NRD [2004-2011 for the BRD, BCA, and NRD]), and the National Health Insurance Research Database (NHIRD [1998-2011]) to inter-link the medical claims of offspring and their parents. An effort was also made to restore the medical claims of a parent to his/her newborn; medical claims are usually issued to one of the parent within 60 days after birth. Results: The TMCHD includes the information derived from inpatient/outpatient claims of all infants born between 2004 and 2011, in addition to a number of variables recorded in the BRD, including birthweight, gestational age, and single/multiple births. The variables in the BCA, such as maternal smoking, alcohol consumption, and newborn Apgar scores, were identified in a separate file. The medical claims of parents retrieved from the NHIRD, including medical orders (1998-2011) and the information pertaining to mortality retrieved from the NRD (2001-2011), were arranged in separate files. Conclusions: The TMCHD can be used as material for life course studies and may provide better information for evidence-based health policy.
目的:介绍台湾妇幼健康数据库的建立过程及数据库的内容。方法:本研究利用台湾出生登记数据库(BRD)、出生证明申请数据库(BCA)、国家死亡登记簿(NRD [2004-2011 for the BRD, BCA, and NRD])、国家健康保险研究数据库(NHIRD[1998-2011])对子女及其父母的医疗理赔进行关联。还努力恢复父母对新生儿的医疗索赔;医疗索赔通常在出生后60天内向父母一方发出。结果:TMCHD包括2004年至2011年间出生的所有婴儿的住院/门诊索赔信息,以及BRD中记录的一些变量,包括出生体重、胎龄和单胎/多胎。BCA中的变量,如母亲吸烟、饮酒和新生儿阿普加评分,在一个单独的文件中确定。从NHIRD检索到的父母的医疗索赔,包括医嘱(1998-2011年)和从NHIRD检索到的有关死亡率的信息(2001-2011年)被安排在单独的档案中。结论:TMCHD可作为生命历程研究的材料,为循证卫生政策提供更好的信息。
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引用次数: 4
「思覺失調症醫療給付改善方案」成效探討-以台灣北部某精神專科醫院為例 「思觉失调症医疗给付改善方案」成效探讨-以台湾北部某精神专科医院为例
Q4 Medicine Pub Date : 2016-04-01 DOI: 10.6288/TJPH201635104058
陳俐樺, 張鳳琴, 簡以嘉, 戴桂英
目標:本研究旨在評價「思覺失調症醫療給付改善方案」介入,對有參與該方案的病人在精神科門診、住院、急診醫療利用之影響。方法:研究對象為台灣北部某精神專科醫院於2009-2013年參與「思覺失調症醫療給付改善方案」共2,236人,本研究資料來源為該醫院「醫療資訊系統」及「思覺失調症個案管理系統」等資料庫,以廣義估計方程式(Generalized Estimating Equation, GEE)方法進行成效檢定。結果:研究結果顯示:「思覺失調症醫療給付改善方案」介入顯著減少病人強制住院年發生次數、精神科急性病房年住院天數、精神科急性病房年住院次數、急診年使用次數;參與該方案的病人其門診年就診次數有稍下降然仍維持12次以上;然方案介入對病人六個月內精神科急性病房再住院次數無顯著影響。結論:建議持續推動「思覺失調症醫療給付改善方案」長期追蹤思覺失調症病人的疾病自我管理情形,以更積極提升精神醫療照護服務的品質,並預防病人疾病惡化。
目标:本研究旨在评价「思觉失调症医疗给付改善方案」介入,对有参与该方案的病人在精神科门诊、住院、急诊医疗利用之影响。方法:研究对象为台湾北部某精神专科医院于2009-2013年参与「思觉失调症医疗给付改善方案」共2,236人,本研究资料来源为该医院「医疗资讯系统」及「思觉失调症个案管理系统」等资料库,以广义估计方程式(Generalized Estimating Equation, GEE)方法进行成效检定。结果:研究结果显示:「思觉失调症医疗给付改善方案」介入显著减少病人强制住院年发生次数、精神科急性病房年住院天数、精神科急性病房年住院次数、急诊年使用次数;参与该方案的病人其门诊年就诊次数有稍下降然仍维持12次以上;然方案介入对病人六个月内精神科急性病房再住院次数无显著影响。结论:建议持续推动「思觉失调症医疗给付改善方案」长期追踪思觉失调症病人的疾病自我管理情形,以更积极提升精神医疗照护服务的品质,并预防病人疾病恶化。
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引用次数: 2
Pharmaceutical market distortion under the current reimbursement policy-analyses and recommendations from a health economics’ perspective 现行报销政策下药品市场扭曲:卫生经济学视角的分析与建议
Q4 Medicine Pub Date : 2016-04-01 DOI: 10.6288/TJPH201635105017
Ting-Fang Shih, Lily Lee, Hung‐Yi Chen
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引用次数: 0
Trajectory of myopia prevention in Taiwanese schools 台湾学校近视预防的发展轨迹
Q4 Medicine Pub Date : 2016-02-01 DOI: 10.6288/TJPH201635104051
L. Chang, Pei-Chang Wu, Yujing Niu, Min Chen, L. Liao
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引用次数: 4
食品安全——事件觀、系統觀 食品安全——事件观、系统观
Q4 Medicine Pub Date : 2015-10-01 DOI: 10.6288/TJPH201534104046
莊秀文, 林怡淑
Objectives: There have been a large number of letters to media editors to advocate readers' thoughts on food safety because of recent food industry scandals. Yet, no systematic analysis for these letters has been reported. We conducted a systemic analysis for these opinions and proposed the concept of food safety. Methods: We screened 4 major newspapers in Taiwan for all letters to the editors, about the food safety scandals, published in the media in September and October 2014. These opinions were summarized thematically based on the contents, followed by developing a model food safety management system based on systemic theory model. Results: We identified 519 readers’ letters from the media. Most of the letters provided one-sided viewpoints fragmentally focusing on the direct causes relating to food safety events. Approximate 77% of readers thought the problem of food safety was associated with the gaps of government supervision and administration, followed by the trust in the food industries (12.6%). However, lacking of an integrative thinking to elaborate the systemic causes of the food scandal events was indicated. These opinions suggested especially an inadequate consumer culture, i.e. unreasonable propensity to food products inherent in consumers, which was not coherent with the business philosophy of food industry corporations. Conclusions: Food safety relies on the cooperation and collaboration among all stakeholders in the food production, marketing and consumption chain rather than independent efforts of individuals. The government has to refine their functions and capacities to supervise the food industries to ensure safe food operation. In addition, the food industries and consumers need to take a further step shifting narrow viewpoints of issues to integrate their thought into deliberate systems toward a safe operation in food supply chains.
目的:由于最近的食品行业丑闻,有大量的信件给媒体编辑,倡导读者对食品安全的看法。然而,没有对这些信件进行系统分析的报道。我们对这些意见进行了系统的分析,提出了食品安全的概念。方法:筛选台湾4家主要报纸2014年9月和10月发表的有关食品安全丑闻的所有致编辑信。在此基础上,以系统理论模型为基础,构建了食品安全管理体系模型。结果:共识别出519封来自媒体的读者来信。大多数信件提供了片面的观点,零散地关注与食品安全事件有关的直接原因。大约77%的读者认为食品安全问题与政府监督管理的漏洞有关,其次是对食品行业的信任(12.6%)。然而,缺乏一种综合的思维来阐述食品丑闻事件的系统性原因。这些意见特别表明消费者文化的不足,即消费者固有的不合理的食品倾向,这与食品工业公司的经营理念不一致。结论:食品安全依赖于食品生产、销售和消费链中所有利益相关者的合作与协作,而不是个人的独立努力。政府要完善食品行业监管职能和能力,确保食品安全运行。此外,食品行业和消费者需要采取进一步措施,改变对问题的狭隘观点,将他们的思想整合到食品供应链安全运行的深思熟虑的系统中。
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引用次数: 1
Confidentiality of occupational health examination information 职业健康检查信息的保密
Q4 Medicine Pub Date : 2015-06-01 DOI: 10.6288/TJPH201534104041
Feng-Jen Tsai, Yawen Cheng
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引用次数: 0
Sleep quality and related factors of urban and rural middle school students in Taiwan 台湾城乡中学生睡眠质量及相关因素分析
Q4 Medicine Pub Date : 2015-06-01 DOI: 10.6288/TJPH201534103096
Ys Jhang, D. S. Wu, Hr Lai
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引用次数: 0
期刊
Taiwan Journal of Public Health
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