https://scholars.lib.ntu.edu.tw/handle/123456789/343233
標題: | Quality of care for lung cancer in Taiwan: A pattern of care based on core measures in the Taiwan Cancer Database Registry | 作者: | KUO-PIAO CHUNG Chien, Chun-Ru Tsai, Chun-Ming Tang, Siew-Tzuh Chung, Kuo-Piao Chiu, Chao-Hua Lai, Mei-Shu |
關鍵字: | Clinical practice pattern; Lung neoplasms; Quality of health care; Registries | 公開日期: | 2008 | 卷: | 107 | 期: | 8 | 起(迄)頁: | 635-643 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: To investigate the quality of care (QOC) for lung cancer in Taiwan, as measured by pattern of care (POC) variation. Methods: Based on core measures in the Taiwan Cancer Database (TCDB) registry, QOC for lung cancer was measured as variation in POC for 16 selected core measures for different hospital characteristics. Statistical significance in variation was evaluated by the χ2 test. Results: Among the 26 participating hospitals (one excluded as an outlier), 6624 cases of lung cancer were reported in 2004. Among the 16 core measures (6 in the diagnostic and 10 in the therapeutic domain), no significant variation in POC was noted in 12 in northern and non-northern hospitals. However, significant variation in POC was noted for most (5/6) of the core measures in the diagnostic domain for other hospital characteristics (large vs. small, medical center vs. regional hospital, public vs. private). Increasing utilization of tissue diagnosis, diagnostic computed tomography (CT), and CT or magnetic resonance imaging for staging advanced non-small cell lung cancer was noted in the four participating hospitals from 2002 to 2004. Conclusion: It is very likely that significant variation in QOC for lung cancer in Taiwan exists among different types but not locations of hospitals, at least in the diagnostic domain. The introduction of internal benchmarking (TCDB and core measures) was associated with some changes, at least in some diagnostic domains, which may lead to improvement in QOC for lung cancer in Taiwan. 2?008 Elsevier & Formosan Medical Association. |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-52949151841&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/343233 |
DOI: | 10.1016/S0929-6646(08)60181-3 | SDG/關鍵字: | article; cancer diagnosis; cancer registry; cancer staging; clinical practice; computer assisted tomography; health care quality; health care utilization; histopathology; hospital care; human; lung cancer; lung non small cell cancer; major clinical study; nuclear magnetic resonance imaging; patient care; private hospital; public hospital; Taiwan |
顯示於: | 健康政策與管理研究所 |
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