Department of Nursing, Yuan's General Hospital, Kaohsiung 80249, Taiwan.
Department of Healthcare Administration and Medical Informatics, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Int J Environ Res Public Health. 2021 Sep 3;18(17):9327. doi: 10.3390/ijerph18179327.
Causing more than 40,000 deaths each year, cancer is one of the leading causes of mortality and preventable hospitalizations (PH) in Taiwan. To reduce the incidence and severity of cancer, the National Cancer Control Program (NCCP) includes screening for various types of cancer. A cohort study was conducted to explore the long-term trends in PH/person-years following NCCP intervention from 1997 to 2013.
Trend analysis was carried out for long-term hospitalization. The Poisson regression model was used to compare PH/person-years before (1997-2004) and after intervention (2005-2013), and to explore the impact of policy intervention.
The policy response reduced 26% for the risk of hospitalization; in terms of comorbidity, each additional point increased the risk of hospitalization by 2.15 times. The risk of hospitalization doubled for each 10-year increase but was not statistically significant. Trend analysis validates changes in the number of hospitalizations/person-years in 2005.
PH is adopted as an indicator for monitoring primary care quality, providing governments with a useful reference for which to gauge the adequacy, accessibility, and quality of health care. Differences in PH rates between rural and urban areas can also be used as a reference for achieving equitable distribution of medical resources.
癌症每年导致超过 40000 人死亡，是台湾导致死亡和可预防住院的主要原因之一。为了降低癌症的发病率和严重程度，国家癌症控制计划（NCCP）包括对各种癌症进行筛查。本研究进行了一项队列研究，以探讨从 1997 年至 2013 年 NCCP 干预后 PH/人年的长期趋势。
对长期住院情况进行趋势分析。采用泊松回归模型比较干预前（1997-2004 年）和干预后（2005-2013 年）PH/人年，并探讨政策干预的影响。
政策反应降低了 26%的住院风险；在合并症方面，每增加一个点，住院风险增加 2.15 倍。住院风险每增加 10 年增加一倍，但无统计学意义。趋势分析验证了 2005 年住院人数/人年的变化。
PH 被用作监测初级保健质量的指标，为政府提供了一个有用的参考，以衡量医疗保健的充足性、可及性和质量。城乡之间 PH 率的差异也可作为实现医疗资源公平分配的参考。
