Options
A Study of Preventable Hospitalization on Ruptured Appendix
Date Issued
2006
Date
2006
Author(s)
Shih, Ching-Ping
DOI
zh-TW
Abstract
Recently,「Prevention」 and 「Patient Centered Care」are the important topic in health care delivery system. In order to assure medical care quality, Bureau of National Health Insurance (NHI) has established many quality indicators for hospital. But those quality indicators can’t evaluate the quality of ambulatory care. Therefore, this study used the perforated appendix admission rate of prevention quality indicator (PQI) to evaluate the quality of ambulatory care in Taiwan.
The study observed Appendix patient aimed to describe perforated appendix admission rate during 2000 to 2001 and to understand what factor will impact the Appendix patient’s medical outcome. This study used claim data of National Health Insurance and Department of Health from 2000 to 2001 for analysis.
The main findings of this study were concluded as below:
1. Trend:
During 2000 to 2001, the perforated appendix admission rate in Patient, get into hospital in different way, and Different locations were significant decrease.
2. Patients characteristics:
Rate of perforated appendix admission were higher for male and the person age under18 and upper50.
3. Efficiency:
Rate of perforated appendix admission were higher for patient who type of co-payment is catastrophic illness and low income. Rate of perforated appendix admission was lower for patient type of co-payment was remote area.
4. Timely:
Rate of perforated appendix admission were lower for patient who have emergency treatment or outpatient services before hospitalization.
5. Hospital Characteristics:
Different hospital type and hospital ownership were impact the perforated appendix admission rate. Rate of perforated appendix admission were higher for hospital type in medical center and hospital ownership in private.
Base on above finding, this study suggests:
1. The authority can give population education about how to seek appropriate care.
2. The authority can use perforated appendix admission rate to be quality assurance indicator.
3. The authority guidance and assistance hospital to joint hospital accreditation.
4. The hospital management can strengthen the turnover time in operating room.
5. The hospital management can strengthen the medical education in resident physicians.
The study observed Appendix patient aimed to describe perforated appendix admission rate during 2000 to 2001 and to understand what factor will impact the Appendix patient’s medical outcome. This study used claim data of National Health Insurance and Department of Health from 2000 to 2001 for analysis.
The main findings of this study were concluded as below:
1. Trend:
During 2000 to 2001, the perforated appendix admission rate in Patient, get into hospital in different way, and Different locations were significant decrease.
2. Patients characteristics:
Rate of perforated appendix admission were higher for male and the person age under18 and upper50.
3. Efficiency:
Rate of perforated appendix admission were higher for patient who type of co-payment is catastrophic illness and low income. Rate of perforated appendix admission was lower for patient type of co-payment was remote area.
4. Timely:
Rate of perforated appendix admission were lower for patient who have emergency treatment or outpatient services before hospitalization.
5. Hospital Characteristics:
Different hospital type and hospital ownership were impact the perforated appendix admission rate. Rate of perforated appendix admission were higher for hospital type in medical center and hospital ownership in private.
Base on above finding, this study suggests:
1. The authority can give population education about how to seek appropriate care.
2. The authority can use perforated appendix admission rate to be quality assurance indicator.
3. The authority guidance and assistance hospital to joint hospital accreditation.
4. The hospital management can strengthen the turnover time in operating room.
5. The hospital management can strengthen the medical education in resident physicians.
Subjects
門診照護敏感的病況
可預防住院
闌尾破裂或穿孔
健保資料庫
ambulatory care sensitive conditions
preventable hospitalization
NHI claim data
Type
thesis
File(s)
No Thumbnail Available
Name
ntu-95-R93843003-1.pdf
Size
23.31 KB
Format
Adobe PDF
Checksum
(MD5):a6df933a7a4e4d5fe674ce3adcf54f33