運用健保資料庫進行冠狀動脈繞道手術相關研究之文獻回顧

A Literature Review of Coronary Artery Bypass Grafting Using Taiwan's National Health Insurance Research Database

10.6338/JDA.201610_11(5).0002

葉玲瓏(Linglong Ye)；李天行(T. S. Lee)；陳銘芷(Ming-Chih Chen)；尤姵文(Pay Wen Yu)

健保資料庫 ； 冠狀動脈繞道手術 ； PubMed ； NHIRD ； CABG ； PubMed

Journal of Data Analysis

11卷5期（2016 / 10 / 01）

13 - 26

繁體中文

心臟疾病已成為台灣第二大死因，其中又以冠狀動脈心臟疾病最為常見，而冠狀動脈繞道手術則是針對冠狀動脈心臟病的外科治療方式。考慮到台灣健保資料庫的研究成果已成為醫療決策的重要參考依據，本研究利用PubMed資料庫，結合MeSH主題詞，探討冠狀動脈繞道手術相關研究運用健保資料庫分析的研究現狀。在檢索得到的14篇文章中，橫斷研究、前瞻性研究或世代研究占大多數，主要因變項為死亡事件，有關醫生和醫院的手術量、醫生年齡、醫院權屬類別、病人社會經濟信息等方面是這些文章比較關注的自變項。這些研究成果為台灣冠狀動脈繞道手術相關的醫療品質管理和疾病管理等方面提供了實證醫療上的依據。

Heart disease has become second cause of deaths in Taiwan, and coronary artery disease (CAD) is the main type of heart disease. Currently coronary artery bypass grafting (CABG) is the most usually operation performed for CAD. The research findings of Taiwan's National Health Insurance Research Database (NHIRD) has become an important support for medical decision. This study used PubMed database and MeSH to search for relevant studies of CABG using NHIRD, and 14 papers were included. Cross-sectional studies, retrospective studies or cohort studies were common in these papers. Mortality was the most common dependent variable. Surgeon and hospital CABG volume, surgeon age, hospital ownership and location, patient socialeconomic information were taken into account for independent variables. These findings provided evidence-based support for CABG related medical quality management and disease management in Taiwan.

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