國家衛生研究院 NHRI:Item 3990099045/9166
English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 12145/12927 (94%)
造訪人次 : 861735      線上人數 : 731
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋
    主頁 ‧ 登入 ‧ 上傳 ‧ 說明 ‧ 關於NHRI ‧ 管理 到手機版


    請使用永久網址來引用或連結此文件: http://ir.nhri.org.tw/handle/3990099045/9166


    題名: Determinants of hospital death for Taiwanese pediatric cancer decedents, 2001–2010
    作者: Hung, YN;Liu, TW;Tang, ST
    貢獻者: National Institute of Cancer Research
    摘要: AbstractContext Factors influencing pediatric cancer patients' place of death may have evolved with advances in medical and hospice care since earlier studies were done. Objectives To comprehensively analyze factors associated with hospital death in an unbiased population of pediatric cancer patients in Taiwan. Methods This was a retrospective cohort study using administrative data for 1603 Taiwanese pediatric cancer patients who died in 2001–2010. Place of death was hypothesized to be associated with 1) patient sociodemographics and disease characteristics, 2) primary physician's specialty, 3) characteristics and health care resources at both the hospital and regional levels, and 4) historical trends. Results Most Taiwanese pediatric cancer patients (87.4%) died in an acute care hospital. The probability of dying in hospital increased slightly over time, reaching significance only in 2009 (adjusted odds ratio [AOR], 95% CI: 2.84 [1.32–6.11]). Children were more likely to die in an acute care hospital if they resided in the most urbanized area, were diagnosed with leukemia or lymphoma (2.32 [1.39–3.87]), and received care from a pediatrician (1.58 [1.01–2.47]) in a nonprofit proprietary hospital (1.50 [1.01–2.24]) or large hospital, reaching significance for the third quartile (2.57 [1.28–5.18]) of acute care hospital beds. Conclusion Taiwanese pediatric cancer patients predominantly died in an acute care hospital with a slightly increasing trend of shifting place of death from home to hospital. Propensity for hospital death was determined by residential urbanization level, diagnosis, primary physician's specialty, and the primary hospital's characteristics and health care resources. Clinical interventions and health policies should ensure that resources are allocated to allow pediatric cancer patients to die in the place they and their parents prefer to achieve a good death and promote their parents' bereavement adjustment.
    日期: 2015-11
    關聯: Journal of Pain and Symptom Management. 2015 Nov;50(5):685-692.
    Link to: http://dx.doi.org/10.1016/j.jpainsymman.2015.06.008
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0885-3924&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000363433200012
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84945491239
    顯示於類別:[劉滄梧] 期刊論文

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    SDO0885392415003255.pdf143KbAdobe PDF368檢視/開啟


    在NHRI中所有的資料項目都受到原著作權保護.

    TAIR相關文章

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回饋