Taiwan Journal of Public Health最新文献_第7页

台灣急重症跨區就醫之變化情形：2001－2010年台湾急重症跨区就医之变化情形：2001-2010年

Taiwan Journal of Public Health Pub Date : 2014-02-01 DOI: 10.6288/TJPH201433102055

李虹映, 黃信忠, 許怡欣, 林文德

{"title":"台灣急重症跨區就醫之變化情形：2001－2010年","authors":"李虹映, 黃信忠, 許怡欣, 林文德","doi":"10.6288/TJPH201433102055","DOIUrl":"https://doi.org/10.6288/TJPH201433102055","url":null,"abstract":"目標：本研究以急重症就醫流向為基礎，探討過去10年間民眾急重症跨區就醫流向的變化情形。方法：本研究利用全民健康保險資料庫約200萬人的就醫及承保資料做為分析的主要檔案，首先利用保險對象基層醫療利用次數最多地區及投保地區定義其居住地，接著採美國紐約大學急診緊急分類規則將門診之急診案件依其診斷判定急重症，而住院之急診案件則直接視為急重症；接著利用50個醫療次區域做為地區單位，計算各地區在2001及2010年的急重症跨區就醫比例，並以配對t檢定比較此10年間的急重症跨區就醫比例差異，最後將跨區就醫分為低、中、高三組，分別檢定其10年間的急重症跨區就醫比例及急診能量的差異。結果：整體之急重症跨區就醫比例自2001年的43.4%降至2010年的41.2%，但差異未達顯著，而第三個四分位數和第一個四分位數的比值則由2.19降為2.13。急重症跨區就醫比例較高地區10年間的跨區就醫比例有顯著的下降，但平均仍達57.7%。地區的急重症跨區就醫比例愈高，其急診能量有愈小的趨勢。結論：整體而言，我國2001年至2010年急重症跨區就醫比例並沒有顯著的下降，區域間的跨區就醫差異亦未大幅縮小，但急重症跨區就醫比例較高地區的急診能量有顯著的改善，其跨區就醫比例亦有顯著降低，未來應將緊急醫療資源優先分配至跨區就醫比例較高的地區。","PeriodicalId":34895,"journal":{"name":"Taiwan Journal of Public Health","volume":"42 1","pages":"64-74"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85830638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influential factors of school involvement in family partnership of health-promoting primary schools in Taiwan 台湾健康促进小学家庭伙伴关系中学校参与的影响因素

Taiwan Journal of Public Health Pub Date : 2014-01-01 DOI: 10.6288/TJPH201433103022

Y. Niu, Chieh-Hsing Liu, S. Chiou, C. Chen

引用次数: 0

The effects of individual and neighborhood socioeconomic status on early nephrology referral for hemodialysis patients 个体和社区社会经济状况对血液透析患者早期肾病转诊的影响

Taiwan Journal of Public Health Pub Date : 2014-01-01 DOI: 10.6288/TJPH201433102058

C. Chang, Shiao-Chi Wu, Y. Hung, Y. Ng, Hui-Shan Chen

引用次数: 1

An exploratory study of the use of blogs as a means of communication for breast cancer patients 一项关于使用博客作为乳腺癌患者交流手段的探索性研究

Taiwan Journal of Public Health Pub Date : 2014-01-01 DOI: 10.6288/TJPH201433103055

S. Kuo, Hsieh-Hua Yang, Yi Chun Chen

引用次数: 0

Readmission and risk factors among community rehabilitation users with psychiatric diseases 精神疾病社区康复患者的再入院及危险因素

Taiwan Journal of Public Health Pub Date : 2013-12-01 DOI: 10.6288/TJPH201332102057

Ya Hsuan Li, P. Hsieh, Chung‐Yi Li, H. Su

引用次数: 1

Application of the modified health belief model for undergoing oral mucosal examination: Comparison of different health risk groups 改良健康信念模型在口腔黏膜检查中的应用:不同健康风险人群的比较

Taiwan Journal of Public Health Pub Date : 2013-08-15 DOI: 10.6288/TJPH2013-32-04-06

M. Y. Wu, Jong-Long Guo, Ming-Shinn Lee, Wang-Ping Shen

{"title":"Application of the modified health belief model for undergoing oral mucosal examination: Comparison of different health risk groups","authors":"M. Y. Wu, Jong-Long Guo, Ming-Shinn Lee, Wang-Ping Shen","doi":"10.6288/TJPH2013-32-04-06","DOIUrl":"https://doi.org/10.6288/TJPH2013-32-04-06","url":null,"abstract":"Objectives: Oral mucosal examination (OME) is an effective measure for detecting oral cancer, which is the fourth leading cause of cancer deaths among males in Taiwan. Despite this fact, there is a lack of literature concerning the likelihood of undergoing an OME among different health risk groups based on individuals’ habits of drinking alcohol, chewing betel quid, and smoking cigarettes. Methods: We applied a modified form of the Health Belief Model (HBM) to explore the likelihood that a sample of individuals participating in a ”Community Free from Betel Quid Chewing” campaign would undergo an OME. Eight-hundred and sixty-six participants completed questionnaires measuring demographic characteristics, alcohol drinking, betel quid chewing, cigarette smoking, health beliefs, cues to action, self-efficacy, and likelihood of undergoing an OME. We used structural equation modeling (SEM) to investigate the direct and indirect paths, to predict the likelihood of undergoing an OME, in three different health risk groups. Classification of participants into groups of high, moderate, and low risk of developing oral cancer was based on the whether or not the participants drank alcohol, chewed betel quid, or smoked cigarettes. Results: The modified HBM demonstrated a good fit among the high, moderate, and low-risk groups, and explained 50%, 37%, and 30% of the variance of undergoing an OME, respectively. The direct and indirect paths influencing the likelihood of undergoing an OME varied significantly among the three groups. Conclusions: Based on the findings, care must be taken when selecting responsive health education for provision to participants with different health beliefs and levels of risks.","PeriodicalId":34895,"journal":{"name":"Taiwan Journal of Public Health","volume":"7 1","pages":"358-371"},"PeriodicalIF":0.0,"publicationDate":"2013-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78257298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

台灣工時規範之法規執行度－從法律規範之「應然」到「實然」台湾工时规范之法规执行度-从法律规范之「应然」到「实然」

Taiwan Journal of Public Health Pub Date : 2013-06-15 DOI: 10.6288/TJPH2013-32-03-02

蔡奉真

{"title":"台灣工時規範之法規執行度－從法律規範之「應然」到「實然」","authors":"蔡奉真","doi":"10.6288/TJPH2013-32-03-02","DOIUrl":"https://doi.org/10.6288/TJPH2013-32-03-02","url":null,"abstract":"Objectives: This study was conducted to evaluate the average yearly working hours of workers, the Statutory-hour Strictness, the Observance Degree, and the Effective Regulatory Index for working-hours in Taiwan. Methods: The Effective Regulation Index was defined as the average of Statutory-hour Strictness and the Observance Degree. The dataset of the Human Resource Survey from 1978 to 2010 compiled by the Directorate-General of Budget, Accounting and Statistics, Executive Yuan was used in the study. The changes in regulations for working hours in Taiwan were determined. Then the average yearly working hours of workers, the Statutory-hour Strictness, the Observance Degree and the Effective Regulation Index for working hours in Taiwan were calculated. Information from 2004 was further analyzed for comparison with other countries. Results: The average working hours of workers in Taiwan were comparatively high. Before 2000, the average working hours per week were above 46. After 2000, average working hours per week were still above 44, except for 43 hours in 2009. The Statutory-hour Strictness rose from 0 to 4.6 in 2000. The Observance Degree slowly increased from 6.4 in 1978 to 8.64 in 1999; although it dropped to 1.6 in 2000, it remained stable around 5 after 2000. The Effective Regulation Index for working hours in Taiwan was between 2.9 and 4.3 before 2000, but remained between 4.7 and 5.3 in the 21st century. In 2004, the Observance Degree of the working regulations was 5.2, and the Effective Regulation Index was 4.9. Conclusions: The huge gap between regulations and reality in working hours in Taiwan showed the ineffectiveness of working-hours regulation. We suggest increasing workers' awareness of regulations and strengthening enforcement of the working regulations by improving the labor inspection system in Taiwan.","PeriodicalId":34895,"journal":{"name":"Taiwan Journal of Public Health","volume":"1 1","pages":"220-230"},"PeriodicalIF":0.0,"publicationDate":"2013-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82594167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gender Differences in Occupational Stress and Health among Legal Professionals in Taiwan 台湾法律专业人员职业压力与健康之性别差异

Taiwan Journal of Public Health Pub Date : 2011-10-15 DOI: 10.6288/TJPH2011-30-05-09

Feng-Jen Tsai, Chang-Chuan Chan

{"title":"Gender Differences in Occupational Stress and Health among Legal Professionals in Taiwan","authors":"Feng-Jen Tsai, Chang-Chuan Chan","doi":"10.6288/TJPH2011-30-05-09","DOIUrl":"https://doi.org/10.6288/TJPH2011-30-05-09","url":null,"abstract":"This study sought to determine gender differences in occupational stress and health and to compare the strength of association between two occupational stress models, demand-control-support (DCS) and effort-reward imbalance (ERI), on poor health among male and female legal professionals. Methods: This cross-sectional study included 193 male and 170 female legal professionals from 6 district courts, 1 appeals court, 3 District Procurators Offices and 26 law firms. The Chinese versions of Karasek job content questionnaire (C-JCQ) and Siegrist effort-reward imbalance questionnaire (C-ERI) were used to evaluate occupational stress, and the International Quality of Life Assessment Short Form-36 (IQOLA SF-36) questionnaire to evaluate health. Multivariate logistic regression analysis was used to calculate the odds ratio of poor health among female legal professionals versus male legal professionals, and the gender-specific association between DCS and ERI models and poor health adjusted for age, marital status, job content, years of work experience, and working hours per day. Results: Male legal professionals scored significantly higher on job control (70.54 vs. 66.46) and job satisfaction (59.99 vs. 57.45) than did female legal professionals. Females scored significantly lower on physical function (90.23 vs. 93.80), bodily pain (72.73 vs. 77.68), social function (66.25 vs. 72.85) and mental health (58.02 vs. 62.41) than did males. There was a significant gender difference in the association between occupational stress and poor health. We found that men’s poor health was more significantly related to job strain while effort-reward imbalance was associated equally with poor health in both males and females. Conclusions: Gender differences exist in occupational stress, health and the strength of association between occupational stress models and poor health among legal professionals in Taiwan.","PeriodicalId":34895,"journal":{"name":"Taiwan Journal of Public Health","volume":"23 1","pages":"494-504"},"PeriodicalIF":0.0,"publicationDate":"2011-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82164096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors influencing the adoption of the release of prescription information system and the separation of drug prescribing and dispensing 影响处方信息发布系统采用和药品开配分离的因素

Taiwan Journal of Public Health Pub Date : 2010-12-01 DOI: 10.6288/TJPH2010-29-06-05

Pei-Chen Sung, C. Ku, Wen-Huai Hsieh, Fu Howe Chen, Y. Yang

引用次数: 1

健康促進學校推動團隊領導方式、集體效能與團體效果之現況及關係模式驗證－以台灣小學為例健康促进学校推动团队领导方式、集体效能与团体效果之现况及关系模式验证-以台湾小学为例

Taiwan Journal of Public Health Pub Date : 2010-06-01 DOI: 10.6288/TJPH2010-29-03-08

牛玉珍, 劉潔心, 邱詩揚, 晏涵文

{"title":"健康促進學校推動團隊領導方式、集體效能與團體效果之現況及關係模式驗證－以台灣小學為例","authors":"牛玉珍, 劉潔心, 邱詩揚, 晏涵文","doi":"10.6288/TJPH2010-29-03-08","DOIUrl":"https://doi.org/10.6288/TJPH2010-29-03-08","url":null,"abstract":"Objectives: The aim of this study was to examine the relationship between the leadership style and collective efficacy on the effectiveness of health promotion work teams in Taiwanese elementary schools. Methods: The study design was cross-sectional. According to the size of the districts and individual schools, a stratified random sample was used to select subjects from 518 health promotion work teams approved by the Ministry of Education in 2007. Four hundred and ninety-seven subjects were recruited and the response rate was 86.32% (n=429). Structured questionnaires including demographics, leadership style, collective efficacy and group effectiveness were used to collect data. The data were analyzed using descriptive statistics, regression and SEM. p＜.05 was considered as statistically significant. Results: The leadership style had. 49 direct effect and. 32 indirect effect on Group Effectiveness through collective efficacy. The total effect of leadership style on Group Effectiveness was .81. Leadership style and collective efficacy were the major predictors as they accounted for 53.9% of the total variance for Group Effectiveness. Conclusions: Better leadership style will have direct and indirect effects on group effectiveness.","PeriodicalId":34895,"journal":{"name":"Taiwan Journal of Public Health","volume":"25 1","pages":"247-260"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83426302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0