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研究生:廖唯安
研究生(外文):Wei-An Liao
論文名稱:台灣腦中風患者居住地都市化程度與住院復健次數之相關性探討
論文名稱(外文):Association Between Place of Residence and Intensity of Stroke Inpatient Rehabilitation in Taiwan.
指導教授:王劼王劼引用關係
學位類別:碩士
校院名稱:長榮大學
系所名稱:醫務管理學系(所)
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2015
畢業學年度:104
語文別:中文
論文頁數:89
中文關鍵詞:都市化程度腦中風復健治療醫療可近性
外文關鍵詞:Extent of urbanizationstrokerehabilitationhealth care access
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  • 被引用被引用:1
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  • 收藏至我的研究室書目清單書目收藏:1
背景與目的:腦血管疾病在台灣102年國人十大死因佔全國第三,嚴重影響醫療成本及照護負擔,過去研究指出,腦中風後患者若接受復健治療,可有較好之預後。過去少有研究針對腦中風患者之居住地做詳細判斷與分類,且利用據母體代表性之大型資料庫做為樣本來源,來探討各層級之都市化程度與腦中風有無住院復健與復健治療次數之相關性,因此本研究欲了解四種不同之都市化程度與腦中風有無住院復健與復健治療次數之相關性以及患者居住都市化程度與住院復健之使用是否會因性別、是否初次腦中風而有所影響。
方法:本研究為回溯性世代研究,以次級資料庫進行分析,採用國家衛生研究院之2005年百萬承保抽樣歸人檔(LHID2005)之2005年、2006年全民健康保險研究資料庫進行分析。選取2005與2006年曾因腦中風住院之患者,在排除居住地不詳者,共5,530人,而住院期間有使用復健之患者,共2,249人。居住地判斷則以被保險人基層醫療利用次數最高之地區定義為人口居住所在地,並加以辨別該地區之都市化程度後做城鄉等級分類。多變項之統計方法採多元羅吉斯迴歸與多元線性迴歸分析。
結果:腦中風患者居住地都市化程度與有無住院復健並無顯著相關,而不同都市化地區之腦中風患者,平均復健次數皆在12-14次間。多變項分析加入控制變項前,以都會地區為顯著之預測因子,但加入所有控制變項後,則以城鎮地區為顯著之預測因子,其都市化程度越高,復健次數也越多,在某種程度上呈正相關。而患者居住地都市化程度並不會因性別與是否初次腦中風而對住院復健之有無與復健次數有所影響。
結論:居住地之都市化程度確實有些微影響腦中風患者接受復健之次數,該如何提高偏遠地區患者之可近性與都會地區醫療過度使用之情形,可能顯示過往之計畫政策需稍作修正,該如何做到公平、平衡,是未來擬定政策團隊之目標方向。
Background and Objective: Cerebrovascular diseases was ranked as the one of the major causes of death for Taiwan’s population and incurred considerable health care costs. To date, no study has specifically examined the relationship between the extent of urbanization and utilization for stroke rehabilitation services in Taiwan. The aims of this study are: 1) to examine the relationship between the extent of urbanization and inpatient rehabilitation utilization, and 2) to determine if this relationship differs by gender and number of strokes.

Methods: Data for this retrospective cohort study came from 2005 and 2006 wave of the Longitudinal Health Insurance Database 2005 maintained by the National Health Research Institute. 5530 patients suffered from stroke and hospitalized during 2005 and 2006 were included in the analysis. 2249 patients received inpatient rehabilitation during their hospital admission. The area where the participants received most of their primary care utilization was defined as their area of residence and its extent of urbanization was coded according to a previously developed algorithm. Multivariate logistic and multivariate linear regressions were used for analysis.

Results: The extent of urbanization for stroke patients’ residence is not associated with whether a stroke patient received inpatient rehabilitation services. Compared with stroke patients who lived in the remote area, stroke patients who lived in the township area received significant higher intensity of inpatient rehabilitation. The relationship between extent of urbanization and intensity of rehabilitation did not differ for stroke patients of different gender. Nor did it differ for those who had their first stroke compared to those with repeated strokes.
Conclusion: The government should try to improve the health care access for stroke patients who lived in the rural area.
目錄
致謝…………………………………………………………………...................I
中文摘要…………………………………………………………………...........II
Abstract…………………………………………………………………...........III
目錄…………………………………………………………………..................V
表目錄…………………………………………………………………...............VI
圖目錄..........…………………………………………………………………......VII

第一章 緒論………………………………………………………………1
第一節 研究背景與動機…………………………………………1
第二節 研究目的與假說……………………………………………3
第二章 文獻探討…………………………………………………………5
第一節 腦中風之定義…………………………………………………5
第二節 腦中風後之復健………………………………………………6
第三節 都市與鄉村分級……………………………………………11
第四節 醫療服務利用之城鄉差異相關研究………………………15
第五節 影響腦中風病患使用復健之相關因素………………………21
第六節 文獻總結........................22
第三章 研究方法…………………………………………………………23
第一節 研究設計與資料來源………………………………………23
第二節 研究對象……………………………………………………24
第三節 研究架構……………………………………………………29
第四節 研究變項操作型定義與說明…………………………...31
第五節 統計分析方法………………………………………………40
第四章 研究結果…………………………………………………………42
第一節 樣本描述…………………………………………………………42
第二節 雙變項分析………………………............46
第三節 多變項分析………………………............51
第五章 討論.............................64
第一節 研究結果討論………………………………………………64
第二節 研究優點與限制………………………………………… 70
第六章 結論與建議.........................72
第一節 結論…………………………………………………………....72
第二節 建議…………………………………………………………....72
參考文獻………………………………………………………………………..........75
附錄一………………………………………………………………………............87
1.HEART & STROKE foundation (2013). Canadian Best Practice Recommendations for Stroke Care. http://www.heartandstroke.com/site/c.ikIQLcMWJtE/b.2796497/k.F922/Heart_Disease_Stroke_and_Healthy_Living.htm Accessed Feb,10,2015.
2.National Stroke Foundation (2010). Clinical Guidelines for Stroke Management. https://strokefoundation.com.au Accessed Feb/10/2015.
3.National institute for Health and care excellence (2013). Stroke rehabilitation: Long-term rehabilitation after stroke. 162, 1-45. https://www.nice.org.uk/guidance/cg162 Accessed Feb/10/2015.
4.National Stroke Association. 2014; http://www.stroke.org/site/PageServer?pagename=risk. Accessed Jun /8/2014.
5.National Stroke Association. 2015; http://www.stroke.org/understand-stroke/what-stroke/stroke-facts. Accessed Aug /30/2015.
6.Rural Health Network. 2015; http://www.rhnmc.org/index.php?option=com_content&view=article&id=11&Itemid=5 Accessed Sep/28/2015.
7.United Nations Statistics Division Official Site.2012;
http://unstats.un.org/unsd/demographic/sconcerns/densurb/densurbmethods.htm. Accessed May/2/2012.
8.United States Department of Health and Human Services. Health Resources and Services Administration. 2015; http://www.hrsa.gov/ruralhealth/policy/index.html Accessed Sep/28/2015.

9.World Health Organization. 2014; http://www.who.int/cardiovascular_diseases/resources/atlas/en/. Accessed May/2/2014.
10.Butler, R. N. (1969). Age-ism: another form of bigotry. Gerontologist, 9(4), 243-246.
11.Chang, K. C., Lee, H. C., Huang, Y. C., Hung, J. W., Chiu, H. E., Chen, J. J., et al. (2012). Cost-effectiveness analysis of stroke management under a universal health insurance system. J Neurol Sci, 323(1-2), 205-215.
12.Chang, W. H., Shin, Y. I., Lee, S. G., Oh, G. J., Lim, Y. S., & Kim, Y. H. (2015). Characteristics of inpatient care and rehabilitation for acute first-ever stroke patients. Yonsei Med J, 56(1), 262-270.
13.Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis, 40(5), 373-383.
14.Chau, P. H., Tang, M. W., Yeung, F., Chan, T. W., Cheng, J. O., & Woo, J. (2014). Can short-term residential care for stroke rehabilitation help to reduce the institutionalization of stroke survivors? Clin Interv Aging, 9, 283-291.
15.Chuang, K. Y., Wu, S. C., Dai, Y. T., & Ma, A. H. (2007). Post-hospital care of stroke patients in Taipei: use of services and policy implications. Health Policy, 82(1), 28-36.
16.Correia, M., Magalhaes, R., Silva, M. R., Matos, I., & Silva, M. C. (2013). Stroke types in rural and urban northern portugal: incidence and 7-year survival in a community-based study. Cerebrovasc Dis Extra, 3(1), 137-149.
17.Desjarlais-deKlerk, K., & Wallace, J. E. (2013). Instrumental and socioemotional communications in doctor-patient interactions in urban and rural clinics. BMC Health Serv Res, 13, 261.
18.Deyo, R. A., Cherkin, D. C., & Ciol, M. A. (1992). Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol, 45(6), 613-619.
19.Deborah, D., Sheila, J. (2013). 2013 NCHS Urban–Rural Classification Scheme for Counties. U.S. Department of Health and Human Services. 1-72.
20.Deborah, M., Augustinus,A., Fred,B., Anthony,E., Lyonne Meijjer, et al. (2013). Rural and urban differences in blood pressure and pregnancy-induced hypertension among pregnant women in Ghana. Globalization and Health, (59)9, 1-8.
21.Di Carlo, A., Lamassa, M., Baldereschi, M., Pracucci, G., Basile, A. M., Wolfe, C. D., et al. (2003). Sex differences in the clinical presentation, resource use, and 3-month outcome of acute stroke in Europe: data from a multicenter multinational hospital-based registry. Stroke, 34(5), 1114-1119.
22.Dijkstra, A., Janssen, F., De Bakker, M., Bos, J., Lub, R., Van Wissen, L. J., et al. (2013). Using spatial analysis to predict health care use at the local level: a case study of type 2 diabetes medication use and its association with demographic change and socioeconomic status. PLoS One, 8(8), e72730.
23.Diringer, M. N., Edwards, D. F., Mattson, D. T., Akins, P. T., Sheedy, C. W., Hsu, C. Y., et al. (1999). Predictors of acute hospital costs for treatment of ischemic stroke in an academic center. Stroke, 30(4), 724-728.
24.Elixhauser, A., Steiner, C., Harris, D. R., & Coffey, R. M. (1998). Comorbidity measures for use with administrative data. Med Care, 36(1), 8-27.
25.Evans, A., Harraf, F., Donaldson, N., & Kalra, L. (2002). Randomized controlled study of stroke unit care versus stroke team care in different stroke subtypes. Stroke, 33(2), 449-455.
26.Farmer, J., Iversen, L., Campbell, N. C., Guest, C., Chesson, R., Deans, G., et al. (2006). Rural/urban differences in accounts of patients'' initial decisions to consult primary care. Health Place, 12(2), 210-221.
27.Foley, N., Teasell, R., Hussein, N., Speechley, M.(2013). The Elements of Stroke Rehabilitation. Evidence-Based Review of Stroke Rehabilitation. Chapter 6 ,1-57.
28.Gaynor, E. J., Geoghegan, S. E., & O''Neill, D. (2014). Ageism in stroke rehabilitation studies. Age Ageing, 43(3), 429-431.
29.Gioldasis, G., Talelli, P., Chroni, E., Daouli, J., Papapetropoulos, T., & Ellul, J. (2008). In-hospital direct cost of acute ischemic and hemorrhagic stroke in Greece. Acta Neurol Scand, 118(4), 268-274.
30.Glen E. Gresham; David Alexander; Duane S. Bishop; Carol Giuliani; Gary Goldberg; Audrey Holland; Margaret Kelly-Hayes; Richard T. Linn; Elliott J. Roth; William B. Stason; et al.(1997). Rehabilitation. Stroke ,76(4), 262-267.
31.Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., et al. (2014). Heart disease and stroke statistics--2014 update: a report from the American Heart Association. Circulation, 129(3), e28-e292.
32.Hakkennes, S., Hill, K. D., Brock, K., Bernhardt, J., & Churilov, L. (2013). Selection for inpatient rehabilitation after severe stroke: what factors influence rehabilitation assessor decision-making? J Rehabil Med, 45(1), 24-31.
33.Huang, H. C., Chung, K. C., Lai, D. C., & Sung, S. F. (2009). The impact of timing and dose of rehabilitation delivery on functional recovery of stroke patients. J Chin Med Assoc, 72(5), 257-264.
34.Huijben-Schoenmakers, M., Rademaker, A., van Rooden, P., & Scherder, E. (2014). The effects of increased therapy time on cognition and mood in frail patients with a stroke who rehabilitate on rehabilitation units of nursing homes in the Netherlands: a protocol of a comparative study. BMC Geriatr, 14, 68.
35.Jette, D. U., Warren, R. L., & Wirtalla, C. (2004). Rehabilitation in skilled nursing facilities: effect of nursing staff level and therapy intensity on outcomes. Am J Phys Med Rehabil, 83(9), 704-712.
36.Knecht, S., Hesse, S., & Oster, P. (2011). Rehabilitation after stroke. Dtsch Arztebl Int, 108(36), 600-606.
37.Kneebone, R., & Woods, A. (2012). Bringing surgical history to life. BMJ, 345, e8135.
38.Lee, H. C., Chang, K. C., Huang, Y. C., Lan, C. F., Chen, J. J., & Wei, S. H. (2010). Inpatient rehabilitation utilization for acute stroke under a universal health insurance system. Am J Manag Care, 16(3), e67-e74.
39.Legg, L. A., Drummond, A. E., & Langhorne, P. (2006). Occupational therapy for patients with problems in activities of daily living after stroke. Cochrane Database Syst Rev(4), CD003585.
40.Li, M., Zhang, Y., Zhang, Z., Zhou, L., & Chen, K. (2013). Rural-urban differences in the long-term care of the disabled elderly in China. PLoS One, 8(11), e79955.
41.Lindsay MP, Gubitz G, Bayley M, et al. (2012).Canadian best practice recommendations for stroke care (update 2010). Ottawa (ON): Canadian Stroke Network; 2010.
42.Luker, J., & Grimmer-Somers, K. (2008). Ageism in stroke management. Age Ageing, 37(5), 606-607.
43.Manimmanakorn, N., Vichiansiri, R., Nuntharuksa, C., Permsirivanich, W., & Kuptniratsaikul, V. (2008). Quality of life after stroke rehabilitation among urban vs. rural patients in Thailand. J Med Assoc Thai, 91(3), 394-399.

44.Matsui, H., Hashimoto, H., Horiguchi, H., Yasunaga, H., & Matsuda, S. (2010). An exploration of the association between very early rehabilitation and outcome for the patients with acute ischaemic stroke in Japan: a nationwide retrospective cohort survey. BMC Health Serv Res, 10, 213.
45.Miller, E. L., Murray, L., Richards, L., Zorowitz, R. D., Bakas, T., Clark, P., et al. (2010). Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke, 41(10), 2402-2448.
46.Muro, M. J., de Pedro-Cuesta, J., Almazan, J., & Holmqvist, L. W. (2000). Stroke patients in south Madrid: function and motor recovery, resource utilization, and family support. Stroke, 31(6), 1352-1359.
47.Obermeyer, C. M., Schulein, M., Hardon, A., Sievert, L. L., Price, K., Santiago, A. C., et al. (2004). Gender and medication use: an exploratory, multi-site study. Women Health, 39(4), 57-73.
48.Page-Carruth, A., Windsor, C., & Clark, M. (2014). Rural self-reliance: the impact on health experiences of people living with type II diabetes in rural Queensland, Australia. Int J Qual Stud Health Well-being, 9, 24182.
49.Palnum, K. D., Petersen, P., Sorensen, H. T., Ingeman, A., Mainz, J., Bartels, P., et al. (2008). Older patients with acute stroke in Denmark: quality of care and short-term mortality. A nationwide follow-up study. Age Ageing, 37(1), 90-95.
50.Paolucci, S., Antonucci, G., Grasso, M. G., & Pizzamiglio, L. (2001). The role of unilateral spatial neglect in rehabilitation of right brain-damaged ischemic stroke patients: a matched comparison. Arch Phys Med Rehabil, 82(6), 743-749.
51.Putman, K., & De Wit, L. (2009). European comparison of stroke rehabilitation. Top Stroke Rehabil, 16(1), 20-26.

52.Rodakowska, E., Wilczynska-Borawska, M., Baginska, J., & Stokowska, E. (2013). Epidemiological analysis of dental caries in 12-year-old children residing in urban and rural settings in the Podlaskie region of north-eastern Poland. Ann Agric Environ Med, 20(2), 325-328.
53.Roth, E. J., Lovell, L., Harvey, R. L., Bode, R. K., & Heinemann, A. W. (2002). Stroke rehabilitation: indwelling urinary catheters, enteral feeding tubes, and tracheostomies are associated with resource use and functional outcomes. Stroke, 33(7), 1845-1850.
54.Rudd, A. G., Hoffman, A., Down, C., Pearson, M., & Lowe, D. (2007). Access to stroke care in England, Wales and Northern Ireland: the effect of age, gender and weekend admission. Age Ageing, 36(3), 247-255.
55.Sharma, J. C. (2003). Poor outcome after first-ever stroke. Stroke, 34(8), e104.
56.Shultis, W., Graff, R., Chamie, C., Hart, C., Louangketh, P., McNamara, M., et al. (2010). Striking rural-urban disparities observed in acute stroke care capacity and services in the pacific northwest: implications and recommendations. Stroke, 41(10), 2278-2282.
57.Skarin, M., Sjoholm, A., Nilsson, A., Nilsson, M., Bernhardt, J., & Linden, T. (2013). A mapping study on physical activity in stroke rehabilitation: establishing the baseline. J Rehabil Med, 45(10), 997-1003.
58.Stolz, E., Hamann, G. F., Kaps, M., & Misselwitz, B. (2011). Regional differences in acute stroke admission and thrombolysis rates in the German federal state of Hesse. Dtsch Arztebl Int, 108(36), 607-611.
59.Szpurek, D., Moszynski, R., Szubert, S., & Sajdak, S. (2013). Urban and rural differences in characteristics of ovarian cancer patients. Ann Agric Environ Med, 20(2), 390-394.

60.Tsuchida, M., Kawashiri, M. A., Teramoto, R., Takata, M., Sakata, K., Omi, W., et al. (2009). Impact of severe earthquake on the occurrence of acute coronary syndrome and stroke in a rural area of Japan. Circ J, 73(7), 1243-1247.
61.Unrath, M., Kalic, M., & Berger, K. (2013). Who receives rehabilitation after stroke?: Data from the quality assurance project "Stroke Register Northwest Germany". Dtsch Arztebl Int, 110(7), 101-107.
62.van Middendorp, D., ten Asbroek, A., Bio, F. Y., Edusei, A., Meijjer, L., Newton, S., et al. (2013). Rural and urban differences in blood pressure and pregnancy-induced hypertension among pregnant women in Ghana. Global Health, 9, 59.
63.Wei, X., Zhao, L., Ma, Z., Holtzman, D. M., Yan, C., Dodel, R. C., et al. (2004). Caffeic acid phenethyl ester prevents neonatal hypoxic-ischaemic brain injury. Brain, 127(Pt 12), 2629-2635.
64.Wennberg, J., & Gittelsohn. (1973). Small area variations in health care delivery. Science, 182(4117), 1102-1108.
65.Xu, S., Ming, J., Yang, C., Gao, B., Wan, Y., Xing, Y., et al. (2014). Urban, semi-urban and rural difference in the prevalence of metabolic syndrome in Shaanxi province, northwestern China: a population-based survey. BMC Public Health, 14, 104.
66.Yoneda, Y., Okuda, S., Hamada, R., Toyota, A., Gotoh, J., Watanabe, M., et al. (2005). Hospital cost of ischemic stroke and intracerebral hemorrhage in Japanese stroke centers. Health Policy, 73(2), 202-211.

中文文獻
1.衛生福利部統計處http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=1717. Accessed 10/1/2013.
2.台灣腦中風學會
http://www.stroke.org.tw/newpaper/newpaper.asp. Accessed 1/2/2014.
3.衛生福利部中央健康保險署
http://www.nhi.gov.tw/webdata/webdata.aspx?menu=6&menu_id=168&webdata_id=2168 Accessed 9/21/2015.
4.安德富復健科診所http://www.e-clinic.com.tw/media.php Accessed 8/21/2013.
5.王本仁、李待弟 (2003)。保險對象就醫流向分析。中央健康保險局數據處理中心成立周年發表會論文集。
6.李虹映、黃信忠、許怡欣、林文德 (2014)。台灣急重症跨區就醫之變化情形: 2001-2010年。台灣衛誌 30 (1),64-74。
7.何憲欽 (2010),台灣缺血性中風執行血栓溶解劑治療成效評估,長榮大學醫務管理學系碩士班健康規劃與管理組,碩士論文。
8.吳英黛、劉千綺、鄭建興 (2008)。慢性中風病人的物理治療需求。台灣腦中風學會會訊 15(4),13-20。
9.吳冠穎、吳肖琪、洪燕妮、吳君誠、林麗嬋、胡漢華 (2012)。台灣腦中風病人急性後期照護需要之探討。台灣衛誌 31 (3),251-262。
10.吳孟娟、王亭貴、張權維 (2001)。腦瘤患者與中風患者復健成效之比較。中華復健醫誌 30 (1),19-26。
11.吳淑娟、張育嘉、葉德豐等 (2012)。影響腦中風患者使用居家復健服務相關因素之探討。台灣復健醫誌 40 (3),147-159。

12.邱弘毅(2008)。腦中風之現況與流行病學特徵。腦中風學會會訊 15(3),2-4。
13.林昭宏、陳建智、林永哲 (1993)。影響高屏地區中風病人接受復健治療因素的探討。中華物療誌 18 (2),145-155。
14.林昭庚、陳俊明、施純全、陳欣欣 (2002)。中醫師人力現況與規劃。中醫藥研究論叢 5(1),168-178
15.林民浩、楊安琪、溫在弘 (2011)。利用地區差異與人口學特徵評估全民健保資料庫人口居住地變項之推估原則。台灣醫學雜誌 30 (4),347-360。
16.胡名霞、許書旋、李建志、王顏和、鄭建興、葉炳強 (2006)。腦中風患者復健治療時程與出院及長期功能結果之關聯性。台灣醫學雜誌 10 (2),248-255。
17.胡慶文、楊政峰、周倖倪、阮忠群、高凡修、林文德 (2009)。台灣物理治療人力之地理分布變化-1997至2006年。物理治療雜誌 34 (4),219-226。
18.侯佩君、杜素豪、廖培珊、洪永泰、章英華 (2008)。台灣鄉鎮市區類型之研究:「台灣社會變遷基本調查」第五期計畫之抽樣分層效果分析。台灣鄉續市區類型之研究計畫 24,7-32。
19.徐永南、洪雅琳、郭憲文、陳穎潔 (2009)。腦中風患者個案管理模式之住院成本估計與效果之評價。台灣醫學雜誌 13 (4),331-340。
20.孫樹根、劉俊賢(2006)。從台灣城鄉嬰幼兒死亡率差異探討社會不公平問題 農業推廣學報,21,33-58。
21.莊碧真 (2004)。偏遠地區居民醫療需求及醫療利用之探討-以屏東縣滿州鄉為例,高雄醫學大學公共衛生學研究所,碩士在職專班學位論文。
22.柴惠敏 (2005)。線性迴歸統計分析。台灣大學物理治療學系統計學教學資料。

23.陳盈方、楊百嘉、姜義彬 (2008) 台灣年輕人腦中風病因及季節變異因素。台灣復健醫學雜誌 36(4),217-226。
24.陳輝宇 (2012)。台灣居家與社區式物理治療服務輸送發展之研究-以長期照護十年計畫為例,成功大學老年醫學研究所,碩士論文。
25.陳俊烈 (2008)。探討城鄉差距在急性心肌梗塞病患於急診就醫存活情形之差異,中國醫藥大學研究所,碩士論文。
26.陳順宇 (2006)。簡單線性迴歸分析。成功大學統計系統計學教學資料。
27.張育儒、胡國琦、姜義彬、莊曜嘉、郭芷霖 (2014)。缺血性腦中風病人住院期間所接受的復健治療量與殘障和死亡風險之關係。台灣復健醫誌 42(4),191-198。
28.張苙雲、楊孟麗、趙景雲 (2011)。就醫行爲的潛在類型與健康測量:全民健康保險資料的應用。臺灣社會學刊 46,207-247。
29.張梅瑛、張育嘉、徐尚為 (2012)。台灣地區老人身體健康狀況與醫療利用之研究。台灣老人保健學刊 8(2),130-152。
30.張瑛艷、吳月華 (2010)。協助一位腦中風病患復健之護理經驗。中南盟臨床專刊 3(1),111-117。
31.許擇良 (2010)。探討影響長照機構腦中風住民復健治療與成效相關之因素研究,高雄醫學大學醫務管理研究所,碩士論文。
32.黃淑萍 (2005)。某醫學中心心房纖維顫動病患特性與抗血栓劑處方型態之研究,國立台灣大學醫學院藥學研究所,碩士論文。
33.楊惠真、鄭讚源、林四海、方志琳、丁增輝 (2011)。不同照顧場所之中風失能老人復健照護利用及其長期照護政策意涵。健康管理學刊 9 (1),1-16。
34.楊雅雯、黃鳳珍、黃麗純 (2013)。一位出血性腦中風病患之護理經驗。高雄護理雜誌 30(3),56-65。
35.廖建彰、李采娟、林瑞雄、宋鴻樟 (2006)。2000年台灣腦中風發生率與盛行率的城鄉差異。台灣衛誌 25 (3),223-230。
36.廖麗娜 (2010)。線性迴歸分析。中國醫藥大學生物統計中心教學資料。
37.劉介宇、陳怡如、洪永泰等 (2006)。台灣地區鄉鎮市區發展類型應用於大型健康調查抽樣設計之研究。健康管理學刊 1 (4),1-22。
38.劉雅芳、廖佩珊、白其卉 (2008)。住院醫療資源利用之研究-以缺血性腦中風為例。爭議審議相關論述。
39.蔡文正、龔佩珍、楊志良、李亞欣、林思甄 (2006)。偏遠地區民眾就醫可近性及滿意度調查。台灣衛誌 25 (5),394-404。
40.蔡名喻 (2010)。台灣地區居民口腔保健行為及牙醫醫療利用之探討,亞洲大學健康產業管理學系研究所,碩士論文。
41.蔡賢聰 (2012)。偏遠山區醫療需求之研究,暨南大學經營管理碩士在職專班,學位論文。(摘要)
42.戴桂英 (2007)。中風病人出院後續照護服務之研究,台灣大學公共衛生政策與管理研究所,博士論文。
43.譚秀芬、曾弘富 (2005)。偏遠地區整合型醫療服務經營模式(IDS)對偏遠地區醫療利用之影響分析。福爾摩莎醫務管理雜誌 1 (1),55-66。
44.鐘和益 (2010)。影響成人心血管疾病患者合併中風之個人因素與地區變異分析(2000-2007年),台灣大學公共衛生學院醫療機構管理研究所,碩士論文。
45.籃久娜 (2008)。台灣中風患者之中風教育需求評估與需求計畫,中山醫學大學公共衛生學系碩士班,碩士論文。
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