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急性心肌梗塞住院病患醫療資源利用之探討-以V 醫學中心為例 = A St...

國立高雄大學國際高階經營管理碩士在職專班(IEMBA)

急性心肌梗塞住院病患醫療資源利用之探討-以V 醫學中心為例 = A Study of Utilization of Medical Resources for Acute Myocardial Infarction In Hospitalized Patients : The Case of V Medical Center

紀錄類型:	書目-語言資料,印刷品 : 單行本
並列題名:	A Study of Utilization of Medical Resources for Acute Myocardial Infarction In Hospitalized Patients : The Case of V Medical Center
作者:	盧晉暉,
其他團體作者:	國立高雄大學
出版地:	[高雄市]
出版者:	撰者;
出版年:	民99[2010]
面頁冊數:	76面圖，表 : 30公分;
標題:	主要診斷
標題:	principal diagnosis
電子資源:	http://handle.ncl.edu.tw/11296/ndltd/27822935757640868701
摘要註:	本研究主要在探討V醫學中心病患特性與急性心肌梗塞醫療資源利用情形。研究對象為2008年1月1日至2008年12月31日於V醫學中心，主要診斷為急性心肌梗塞（ICD-9-CM 410.11-410.91）之住院病患共116人，資料搜集為摘錄病歷資料及住院費用明細。探討急性心肌梗塞醫療資源利用之相關因子，以SPSS12.0套裝軟體進行描述性及推論統計分析。本研究主要發現如下：1.以卡方檢定，分析性別與年齡、高血壓、糖尿病、抽菸、不運動是否顯著差異，結果抽菸（p=0.002）、不運動（p=0.008）表示男女性抽菸與不運動有顯著差異。2.以Sperman等級相關，分析急性心肌梗塞與甲狀腺腫大、闌尾炎、鼻中膈彎曲、中耳炎之醫療費用是否顯著差異，結果（Spearman's rho 係數=-0.465，p=0.000）呈負相關，表示心肌梗塞與鼻中膈彎曲醫療費用有顯著差異。3.以獨立樣本t檢定，檢定不同之醫療品質指標與醫療資源耗用是否顯著差異，結果30天再住院（P=0.096）、住院死亡（P=0.072）、術後感染（P=0.261）表示是否30天再住院、住院死亡、術後感染其醫療費用皆無顯著差異。4.以獨立樣本t檢定，檢定疾病嚴重度與住院天數是否顯著差異，結果P=0.000，表示疾病嚴重度與住院天數有顯著差異，即疾病越嚴重其住院天數越長。5.以卡方檢定分析性別、年齡與醫療費用是否顯著差異，結果性別（p=0.201）、年齡（p=0.200）表示男女及年齡其醫療費用無顯著差異。 The main purpose of this study is to investigate an utilization of medical resources for acute myocardial infarction in hospitalized patients in the V medical center.The principal diagnosis for acute myocardial infarction (ICD-9-CM) patients were about 116 persons in the V medical center during the period January 1 to December 31,2008.The data were obtained from the medical record in the V medical center.Statistical analysis were undertaken by using the SPSS 12.0 and major findings are summarized as follows：1.By chi-square test analysis sex and age, hypertension, diabetes, smoking, not sport whether remarkable difference, Finally the smoking (p=0.002), the not sport (p=0.008) express that the male or female smoking does not sport have the remarkable difference. 2.Is related by the Sperman rank, analysis acute myocardial infarction and in the hyperthyroidism, the appendicitis, the deviated of nasal septum，the media otitis, of medical expense whether remarkable difference, result (Spearman' s rho coefficient =-0.465, p=0.000) assumes the inverse correlation, indicated that in myocardial infarction and the deviated of nasal septum medical expense has the remarkable difference. 3. By the independent sample t test different medical service quality target and the medical resources consume whether the remarkable difference, after result 30 days is hospitalized again (P=0.096), in hospital death (P=0.072), the operation infection (P=0.261) to express that after whether 30 days are hospitalized again, in hospital death, the operation infection medical expense all not remarkable difference4 .By the independent sample test, whether examines disease severity and in hospital’s days remarkable difference, finally P=0.000, Expressed that disease severity and in hospital’s days have the remarkable difference, so disease is more serious its in hospital’s days to be longer. . 5. By chi-square test analysis sex, age and medical expense whether remarkable difference, finally sex (p=0.201), The age (p=0.200) expresses the men and women and the age its medical expense not remarkable difference.

急性心肌梗塞住院病患醫療資源利用之探討-以V 醫學中心為例 = A Study of Utilization of Medical Resources for Acute Myocardial Infarction In Hospitalized Patients : The Case of V Medical Center
盧, 晉暉

急性心肌梗塞住院病患醫療資源利用之探討-以V 醫學中心為例 = A Study of Utilization of Medical Resources for Acute Myocardial Infarction In Hospitalized Patients : The Case of V Medical Center / 盧晉暉撰 - [高雄市] : 撰者, 民99[2010]. - 76面 ; 圖，表 ; 30公分.
參考書目：面.
主要診斷principal diagnosis

急性心肌梗塞住院病患醫療資源利用之探討-以V 醫學中心為例 = A Study of Utilization of Medical Resources for Acute Myocardial Infarction In Hospitalized Patients : The Case of V Medical Center
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330 $a 本研究主要在探討V醫學中心病患特性與急性心肌梗塞醫療資源利用情形。研究對象為2008年1月1日至2008年12月31日於V醫學中心，主要診斷為急性心肌梗塞（ICD-9-CM 410.11-410.91）之住院病患共116人，資料搜集為摘錄病歷資料及住院費用明細。探討急性心肌梗塞醫療資源利用之相關因子，以SPSS12.0套裝軟體進行描述性及推論統計分析。本研究主要發現如下：1.以卡方檢定，分析性別與年齡、高血壓、糖尿病、抽菸、不運動是否顯著差異，結果抽菸（p=0.002）、不運動（p=0.008）表示男女性抽菸與不運動有顯著差異。2.以Sperman等級相關，分析急性心肌梗塞與甲狀腺腫大、闌尾炎、鼻中膈彎曲、中耳炎之醫療費用是否顯著差異，結果（Spearman's rho 係數=-0.465，p=0.000）呈負相關，表示心肌梗塞與鼻中膈彎曲醫療費用有顯著差異。3.以獨立樣本t檢定，檢定不同之醫療品質指標與醫療資源耗用是否顯著差異，結果30天再住院（P=0.096）、住院死亡（P=0.072）、術後感染（P=0.261）表示是否30天再住院、住院死亡、術後感染其醫療費用皆無顯著差異。4.以獨立樣本t檢定，檢定疾病嚴重度與住院天數是否顯著差異，結果P=0.000，表示疾病嚴重度與住院天數有顯著差異，即疾病越嚴重其住院天數越長。5.以卡方檢定分析性別、年齡與醫療費用是否顯著差異，結果性別（p=0.201）、年齡（p=0.200）表示男女及年齡其醫療費用無顯著差異。 The main purpose of this study is to investigate an utilization of medical resources for acute myocardial infarction in hospitalized patients in the V medical center.The principal diagnosis for acute myocardial infarction (ICD-9-CM) patients were about 116 persons in the V medical center during the period January 1 to December 31,2008.The data were obtained from the medical record in the V medical center.Statistical analysis were undertaken by using the SPSS 12.0 and major findings are summarized as follows：1.By chi-square test analysis sex and age, hypertension, diabetes, smoking, not sport whether remarkable difference, Finally the smoking (p=0.002), the not sport (p=0.008) express that the male or female smoking does not sport have the remarkable difference. 2.Is related by the Sperman rank, analysis acute myocardial infarction and in the hyperthyroidism, the appendicitis, the deviated of nasal septum，the media otitis, of medical expense whether remarkable difference, result (Spearman' s rho coefficient =-0.465, p=0.000) assumes the inverse correlation, indicated that in myocardial infarction and the deviated of nasal septum medical expense has the remarkable difference. 3. By the independent sample t test different medical service quality target and the medical resources consume whether the remarkable difference, after result 30 days is hospitalized again (P=0.096), in hospital death (P=0.072), the operation infection (P=0.261) to express that after whether 30 days are hospitalized again, in hospital death, the operation infection medical expense all not remarkable difference4 .By the independent sample test, whether examines disease severity and in hospital’s days remarkable difference, finally P=0.000, Expressed that disease severity and in hospital’s days have the remarkable difference, so disease is more serious its in hospital’s days to be longer. . 5. By chi-square test analysis sex, age and medical expense whether remarkable difference, finally sex (p=0.201), The age (p=0.200) expresses the men and women and the age its medical expense not remarkable difference.
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