Department of Information Management, Yuan Ze University, Tao-Yuan 320, Taiwan.
Department of Neurosurgery, Taipei Hospital, New Taipei City 242, Taiwan.
Int J Environ Res Public Health. 2017 Dec 10;14(12):1548. doi: 10.3390/ijerph14121548.
This study evaluated the differences in spontaneous intracerebral hemorrhage (sICH) between rural and urban areas of Taiwan with big data analysis. We used big data analytics and visualization tools to examine government open data, which included the residents' health medical administrative data, economic status, educational status, and relevant information. The study subjects included sICH patients of Taipei region (29,741 cases) and Eastern Taiwan (4565 cases). The incidence of sICH per 100,000 population per year in Eastern Taiwan (71.3 cases) was significantly higher than that of the Taipei region (42.3 cases). The mean coverage area per hospital in Eastern Taiwan (452.4 km²) was significantly larger than the Taipei region (24 km²). The residents educational level in the Taipei region was significantly higher than that in Eastern Taiwan. The mean hospital length of stay in the Taipei region (17.9 days) was significantly greater than that in Eastern Taiwan (16.3 days) ( < 0.001). There were no significant differences in other medical profiles between two areas. Distance and educational barriers were two possible reasons for the higher incidence of sICH in the rural area of Eastern Taiwan. Further studies are necessary in order to understand these phenomena in greater depth.
本研究利用大数据分析评估了台湾城乡自发性脑出血 (sICH) 的差异。我们使用大数据分析和可视化工具来研究政府开放数据，其中包括居民健康医疗管理数据、经济状况、教育状况和相关信息。研究对象包括台北地区（29741 例）和台湾东部（4565 例）的 sICH 患者。台湾东部（每 10 万人每年 71.3 例）的 sICH 发病率明显高于台北地区（每 10 万人每年 42.3 例）。台湾东部每所医院的平均覆盖面积（452.4 平方公里）明显大于台北地区（24 平方公里）。台北地区居民的教育水平明显高于台湾东部。台北地区的平均住院时间（17.9 天）明显长于台湾东部（16.3 天）（<0.001）。两个地区的其他医疗状况没有显著差异。距离和教育障碍可能是台湾东部农村地区 sICH 发病率较高的两个原因。需要进一步研究以更深入地了解这些现象。
