The Association between Hospital Quality of Care and Short-Term Mortality of Acute Myocardial Infarction Patients

Chia-Hui Tan; Sing-Chew Tam; Ming-Chin Yang

doi:10.6288/TJPH2013-32-03-10

山西大学，您好！

感谢采购，人社期刊库｜人社论文库，期间：2024/01/01~2024/12/31

感谢试用，科学期刊库｜科学论文库，期间：2024/10/20~2025/01/20

浏览高级检索

关闭
检索检索高级检索出版物检索
浏览期刊主题浏览核心期刊浏览期刊拼音浏览

关闭

查询符号(半角)	查询符号意义说明
空格	表示为「AND」两个查询词之交集
双引号 ( " " )	片语以双引号标示开始及结束，而且只寻找出现顺序相同的字词，例： " image process "
?	表示一个字母切截，输入两个?表两个字母，依此类推，例：输入「Appl?」，查得结果应为appl e , appl y … ( 常用于英文字查询 )
*	表示不限字母切截，由0~n. 例：输入「appl*」，查得结果应为appl e , appl es , appl y , appl ied , appl ication … ( 常用于英文字查询 )
AND、OR、NOT	布尔逻辑组合关键字，用来扩大或缩小查询范围的技巧。 (1) AND ：缩小查询范围 (2) OR ：扩大查询范围(3) NOT：排除不相关的范围

DOI 是数位物件识别码（ D igital O bject I dentifier ）的简称，
为物件在网路上的唯一识别码，可用于永久连结并引用目标物件。

使用DOI作为永久连结

每个DOI号前面加上「 http://dx.doi.org/ 」便成为永久网址。
如以DOI号为 10.5297/ser.1201.002 的文献为例，此文献的永久连结便是： http://dx.doi.org/ 10.5297/ser.1201.002 。
日后不论出版单位如何更动此文献位置，永久连结所指向的位置皆会即时更新，不再错失重要的研究。

引用含有DOI的文献

有DOI的文献在引用时皆应同时引用DOI。若使用APA、Chicago以外未规范DOI的引用格式，可引用DOI永久连结。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。

ACI:

数据来源：Academic Citation Index，简称ACI

台湾最大的引用文献资料库，目前收录台湾与港澳地区所出版的人文学、社会学领域学术期刊之书目资料与参考文献，总期刊量超过690种，每年定期公布收录期刊的影响指数(Impact Factor)等指标给大众，并提供专家学者与学术单位实用的计量与分析功能。

五年影响指数（5-Year Impact Factor）：某一期刊前五年所出版的文章在当年度的平均被引用次数。

公式：（前五年发表论文在统计年的被引用次数）÷（前五年论文产出论文总篇数）

例如：A期刊2017年之五年影响指数

(A期刊2012-2016年发表论文在2017年的被引总次数)/(A期刊2012-2016年发表的论文总数)

什么是预刊文章？

为提供读者最前线之学术资讯，于期刊文献获同意刊登后、纸本印制完成前，率先于网路线上发表之文章即为预刊文章。预刊文章尚未有卷期、页次及出版日期资讯，但可藉由DOI号识别。 DOI号是文献的数位身份证字号，不论预刊或正式出版皆不会改变，读者可点击DOI连结，或于DOI号前面加上「 http://dx.doi.org/ 」连结到文献目前最新版本。

如何引用预刊文章？

请使用预刊文章的线上发表日期及DOI号来引用该篇文献。

引用范例(视不同引文格式规范可能有所差异)：

作者姓名。文章篇名。期刊名称。 YYYY/MM/DD线上预先发表。

doi:DOI 号

来源数据

P289 - 301

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6288/TJPH

书目管理工具

相关连结

问题回报

全文下载

The Association between Hospital Quality of Care and Short-Term Mortality of Acute Myocardial Infarction Patients

医院照护过程品质与急性心肌梗塞病人死亡之相关性

谭家惠(Chia-Hui Tan) ；谭醒朝(Sing-Chew Tam) ；杨铭钦(Ming-Chin Yang)

台湾公共卫生杂志； 32 卷 3 期 (2013 / 06 / 15) ， P289 - 301

英文 DOI： 10.6288/TJPH2013-32-03-10

照护品质；急性心肌梗塞；医院照护过程；广义阶层线性模式； quality of care ； acute myocardial infarction (AMI) ； hospital process performance ； hierarchical generalized linear model (HGLM)

0 个人觉得这篇文章赞

摘要 │ 参考文献 (35) │ 被引用文献 (2) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Objectives: To evaluate the association of six hospital-level process of care measures and the 30-day mortality. Methods: This is a cross-sectional study. Patients admitted with a principal diagnosis of AMI (ICD-9CM: 410.xx, excluding 410.x2) (n=1,416) between January 2007 and November 2009. Aspirin use during hospitalization, β-blocker use during hospitalization, ACE inhibitor for LVSD use during hospitalization, LDL-c testing, lipid lowering medication, and reperfusion therapy. Outcome included the 30-day mortality of AMI patients. Data were analysed by using a hierarchical generalized linear model (HGLM) to examine whether the 30-day mortality at the patient level varied among different hospital performance adjusted for patient and hospital characteristics. Results: Among those patients, 88.50% received aspirin therapy during hospitalization, 38.32% received β-blocker therapy, 46.75% received ACE inhibitor for LVSD, 43.91% received LDL-C testing, 41.37% received lipid lowering medication, and 40.97% received reperfusion therapy. Overall the 6 quality of care measures were 53.7% of ideal instances. After risk adjustment, β-blocker use during hospitalization (odds ratio [OR], 0.87; 95% confidence interval [CI], 0.83-0.92), ACE inhibitor for LVSD (OR, 0.93; 95% CI, 0.87-0.99), lipid lowering medication (OR, 0.91; 95% CI, 0.86-0.96), reperfusion therapy (OR, 0.87; 95% CI, 0.81-0.93) and composite score of six measures (OR, 0.84; 95% CI, 0.76-0.92) were significantly correlated with 30-day mortality. Conclusions: A significant association between hospital's process performance and patient outcome was found. The outcome of AMI patients could be enhanced by improving process performance.

参考文献 ( 35 ) 〈TOP〉

Department of Health, Executive Yuan, R.O.C. (Taiwan). Statistics of Causes of Death. Taipei: Department of Health, Executive Yuan, R.O.C. (Taiwan)
National Health Insurance Research Database. Data subsets. Available at: http://w3.nhri.org.tw/nhird/en/Data_Subsets.html#S3. Accessed July 28, 2010.http://w3.nhri.org.tw/nhird/en/Data_Subsets.html#S3
Antman, E.M.,Anbe, D.T.,Armstrong, P.W.(2004).ACC/AHA guidelines for the management of patients with st-elevation myocardial infarction - executive summary. A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (writing committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction).J Am Coll Cardiol,44,671-719.
Austin, P.C.,Tu, J.V.,Alter, D.A.(2003).Comparing hierarchical modeling with traditional logistics regression analysis among patients hospitalized with acute myocardial infarction: should we be analyzing cardiovascular outcomes data differently?.Am Heart J,145,27-35.
Barnato, A.E.,Lucas, F.L.,Staiger, D.,Wennberg, D.E.,Chandra, A.(2005).Hospital-level racial disparities in acute myocardial infarction treatment and outcomes.Med Care,43,308-19.

被引用文献 ( 2 ) 〈TOP〉

国际计量

〈TOP〉

E-mail ：

文章公开取用时，将寄通知信至您填写的信箱地址