https://scholars.lib.ntu.edu.tw/handle/123456789/495483
標題: | Professional accountability for diabetes care in Taiwan | 作者: | FEN-YU TSENG Lai M.-S. Syu C.-Y. Lin C.-C. |
公開日期: | 2006 | 卷: | 71 | 期: | 2 | 起(迄)頁: | 192-201 | 來源出版物: | Diabetes Research and Clinical Practice | 摘要: | This study examined the performance of diabetes care measures in Taiwan and evaluated the influencing factors for professional accountability. We analyzed the year 2001 claims data from National Health Insurance (NHI) program in Taipei Branch. Professional accountability for diabetes care was measured by the adherence for laboratory monitor, either from patient- or hospital-viewpoint. Identifying the major care unit for each patient, a multiple logistic regression model was used to further assess the mixed effects of patient and hospital characteristics. The percentage of patients ever received measures in the year for plasma glucose, A1C, urinalysis, renal function test, lipid profile, liver function test, and eye ground was 76.3, 42.7, 40.2, 59.7, 59.2, 53.2, and 16.8% respectively. About 19.2% patients never received any one of the measures. Patients with hypoglycemic, anti-hypertensive or anti-hyperlipidemic agents, hospitalization, emergency service visit and frequent visits were more likely to receive exams. Hospitals with different levels, ownerships, locales or qualifications as diabetes care institutions presented different accountability for diabetes care measures. After regression, counts of visits and levels of hospitals had persistently effects on all the measures. Our analysis revealed sub-optimal diabetes care in Taiwan and concluded the importance of enhancing care quality from primary settings. ? 2005 Elsevier Ireland Ltd. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-30944454260&doi=10.1016%2fj.diabres.2005.06.004&partnerID=40&md5=26dc41d32d355033f13ff2893093b683 https://scholars.lib.ntu.edu.tw/handle/123456789/495483 |
ISSN: | 0168-8227 | DOI: | 10.1016/j.diabres.2005.06.004 | SDG/關鍵字: | antidiabetic agent; antihypertensive agent; antilipemic agent; glucose; lipid; adult; aged; article; controlled study; diabetes mellitus; emergency health service; female; glucose blood level; health care; hospitalization; human; hypoglycemia; kidney function test; laboratory test; liver function test; logistic regression analysis; major clinical study; male; national health insurance; patient attitude; professionalism; Taiwan; urinalysis; Adult; Aged; Diabetes Mellitus; Female; Humans; Male; Middle Aged; National Health Programs; Physical Examination; Physicians; Quality Assurance, Health Care; Social Responsibility; Taiwan |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。