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研究生:陳毅
研究生(外文):Yi Chen
論文名稱:3D人體體型指標與醫療利用情形分析-以心血管疾病為例
論文名稱(外文):The association between three dimensional body surface measures and medical utilization-cardiovascular diseases
指導教授:許光宏許光宏引用關係
指導教授(外文):K. H. Hsu
學位類別:碩士
校院名稱:長庚大學
系所名稱:醫務管理學系
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:2020
畢業學年度:108
語文別:中文
論文頁數:108
中文關鍵詞:心血管疾病三維人體體型醫療耗用大腿圍門診住院急診
外文關鍵詞:Cardiovascular disease3D body surface measurementmedical consumptionthigh circumferenceoutpatienthospitalizationemergency
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目錄
指導教授推薦書 ……………………………………………………………………
口試委員會審定書 …………………………………………………………………
致謝 …………………………………………………………………………………iii
摘要 …………………………………………………………………………………iv
Abstract………………………………………………………………………………vi
目錄…………………………………………………………………………………viii
表目錄…………………………………………………………………………………x
圖目錄………………………………………………………………………………xi
第一章 序論 ………………………………………………………………………1
第一節 研究背景與動機………………………………………………………1
第二節 研究目的………………………………………………………3
第二章 文獻探討……………………………………………………………4
第一節 心血管疾病之定義………………………………………4
第二節 人體體型與慢性疾病………………………………………5
第三節 人體體型與心血管疾病之相關………………………………………10
第四節 心血管疾病與醫療耗用之相關………………………………………12
第五節 體型與醫療耗用之相關………………………………………………13
文獻小結 ……………………………………………………………………………15
第三章 研究方法……………………………………………………………16
第一節 研究架構 …………………………………………………………16
第二節 研究對象………………………………………………………………17
第三節 統計方法………………………………………………………20
第四章 結果……………………………………………………………………21
第一節 樣本描述性統計………………………………………………………21
第二節 樣本體型指標描述…………………………………………26
第三節 樣本醫療利用情形…………………………………………29
第四節 體型指標與醫療利用之相關………………………………31
第五節 體型指標分組之醫療利用趨勢分析……………………42
第六節 體型組合分組之重複測量分析………………………………………55
第七節 大腿圍與醫療利用情形……………………………………………69
第八節 體型指標與醫療費用相關分層分析……………………78
第五章 討論……………………………………………………………………87
第一節 心血管疾病患者與醫療利用相關性探討………………87
第二節 體型指標與醫療耗用之相關性探討…………………………………89
第三節 相關因子與醫療耗用之相關性探討…………………………………91
第四節 研究限制………………………………………………………93
第六章 結論與建議…………………………………………………………………94
結論 …………………………………………………………………………94
建議 …………………………………………………………………………………95
參考文獻……………………………………………………………………………96
附錄 資料庫譯碼簿………………………………………………………………101

表目錄
表3-2-2疾病代碼………………………………………………………………19
表4-1-1表全樣本之描述性統計………………………………………………25
表4-2-1全樣本之體型指標 ………………………………………………………28
表4-3-1樣本歷年醫療平均費用表………………………………………………29
表4-3-2 樣本歷年使用醫療樣本數……………………………………………30
表4-4-1醫療利用與體型單變項分析……………………………………………38
表4-4-2體型與醫療利用多變項分析……………………………………………41
表4-5-1門診次數與體型分組時間趨勢分析……………………………………49
表4-5-2門診費用與體型分組時間趨勢分析……………………………………50
表4-5-3急診次數與體型分組時間趨勢分析……………………………………51
表4-5-4急診費用與體型分組時間趨勢分析……………………………………52
表4-5-5住院次數與體型分組時間趨勢分析……………………………53
表4-5-6住院費用與體型分組時間趨勢分析……………………………………53
表4-5-7住院日數與體型分組時間趨勢分析……………………………………54
表4-6-1體型組合與門診次數重複測量…………………………………………63
表4-6-2體型組合與門診費用重複測量…………………………………………64
表4-6-3體型組合與急診次數重複測量…………………………………………65
表4-6-4體型組合與急診費用重複測量…………………………………………66
表4-6-5體型組合與住院次數重複測量…………………………………………67
表4-6-6體型組合與住院費用重複測量…………………………………………67
表4-6-7體型組合與住院日數重複測量…………………………………………67
表4-6-8醫療利用變項顯著體型組合……………………………………………68
表4-7-1大腿圍與總醫療花費……………………………………………………71
表4-7-2大腿圍與各醫療利用重複測量分析……………………………………72
表4-8-1性別分組之分層分析……………………………………………………81
表4-8-2年齡分組之分層分析……………………………………………………81
表4-8-3 BMI分組之分層分析…………………………………………………82
表4-8-4 糖尿病分組之分層分析…………………………………………………82
表4-8-5 高血壓分組之分層分析 …………………………………………………83
圖目錄
圖3-1-1 研究架構圖 ……………………………………………………………16
圖3-2-1研究對象架構圖 …………………………………………………………19
圖4-3-2有無心血管疾病組別之醫療耗用趨勢圖 ………………………………30
圖4-7-1醫療總費用與大腿腿圍四分位組趨勢圖 ………………………………73
圖4-7-2 大腿圍與門診次數趨勢圖 ……………………………………………74
圖4-7-3 大腿圍與門診費用趨勢圖 ……………………………………………74
圖4-7-4 大腿圍與急診次數趨勢圖 ……………………………………………75
圖4-7-5 大腿圍與急診費用趨勢圖 ……………………………………………75
圖4-7-6 大腿圍與住院次數趨勢圖………………………………………………76
圖4-7-7 大腿圍與住院費用趨勢圖………………………………………………76
圖4-7-8 大腿圍與住院日數趨勢圖………………………………………………77
圖4-8-1性別分組10年醫療費用趨勢圖析………………………………………84
圖4-8-2年齡分組10年醫療費用趨勢圖析………………………………………84
圖4-8-3 BMI分組10年醫療費用趨勢圖析…………………………………85
圖4-8-4 糖尿病分組10年醫療費用趨勢圖析………………………………85
圖4-8-5 高血壓分組10年醫療費用趨勢圖析…………………………………86
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