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Saab, Emile. « A database for an intensive care unit ». Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23376.
Texte intégralRésumé :
The rapid growth of medical sciences and technologies created the need to manage data generated by sophisticated medical equipment (e.g. lab results, vital signs, etc.). This class of equipment, especially in the modern Intensive Care Unit (ICU), emits large quantities of latient data which medical staff usually records on log sheets.This thesis presents a database design that allows abstract definition of data types, and offers a unified view of data during the development phase, distinct levels of data management and a higher degree of system flexibility. This database model is an implementation of a database for a Patient Data Management System (PDMS) developed for use in the ICU of the Montreal Children's Hospital. The PDMS has a variety of application modules that handle and process various types of data according to functionality requirements.
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Nadig, Ragava. « Development of environmental health and safety database for small communities ». Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=2113.
Texte intégralRésumé :
Thesis (M.S.)--West Virginia University, 2001.Title from document title page. Document formatted into pages; contains viii, 95 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 69-70).
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Blomqvist, Paul. « On the use of administrative databases in health care analyses / ». Stockholm, 1998. http://diss.kib.ki.se/1998/91-628-2855-X.
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Bettencourt-Silva, Joao. « From data to knowledge in secondary health care databases ». Thesis, University of East Anglia, 2014. https://ueaeprints.uea.ac.uk/53416/.
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The advent of big data in health care is a topic receiving increasing attention worldwide. In the UK, over the last decade, the National Health Service (NHS) programme for Information Technology has boosted big data by introducing electronic infrastructures in hospitals and GP practices across the country. This ever growing amount of data promises to expand our understanding of the services, processes and research. Potential benefits include reducing costs, optimisation of services, knowledge discovery, and patient-centred predictive modelling. This thesis will explore the above by studying over ten years worth of electronic data and systems in a hospital treating over 750 thousand patients a year. The hospital's information systems store routinely collected data, used primarily by health practitioners to support and improve patient care. This raw data is recorded on several different systems but rarely linked or analysed. This thesis explores the secondary uses of such data by undertaking two case studies, one on prostate cancer and another on stroke. The journey from data to knowledge is made in each of the studies by traversing critical steps: data retrieval, linkage, integration, preparation, mining and analysis. Throughout, novel methods and computational techniques are introduced and the value of routinely collected data is assessed. In particular, this thesis discusses in detail the methodological aspects of developing clinical data warehouses from routine heterogeneous data and it introduces methods to model, visualise and analyse the journeys that patients take through care. This work has provided lessons in hospital IT provision, integration, visualisation and analytics of complex electronic patient records and databases and has enabled the use of raw routine data for management decision making and clinical research in both case studies.
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Egenvall, Agneta. « Canine health, disease and death : data from a Swedish animal insurance database / ». Uppsala : Swedish Univ. of Agricultural Sciences (Sveriges lantbruksuniv.), 1999. http://epsilon.slu.se/avh/1999/91-576-5433-6.pdf.
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Fumai, Nicola. « A database for an intensive care unit patient data management system ». Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=22500.
Texte intégralRésumé :
Computerization has had a large impact on hospital intensive care units, allowing continuous monitoring and display of physiological patient data. Treatment of the critically ill patient, however, now requires assimilating large amounts of patient data.Computers can help by processing the data and displaying the information in easy to understand formats. Also, knowledge-based systems can provide advice in diagnosis and treatment of patients. If these systems are to be effective, they must be integrated into the total hospital information system and the separate computer data must be jointly integrated into a new database which will become the primary medical record.
This thesis presents the design and implementation of a computerized database for an intensive care unit patient data management system being developed for the Montreal Children's Hospital. The database integrates data from the various PDMS components into one logical information store. The patient data currently managed includes physiological parameter data, patient administrative data and fluid balance data.
A simulator design is also described, which allows for thorough validation and verification of the Patient Data Management System. This simulator can easily be extended for use as a teaching and training tool for PDMS users.
The database and simulator were developed in C and implemented under the OS/2 operating system environment. The database is based on the OS/2 Extended Edition relational Database Manager.
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Oriyo, Ferry. « Evaluation of User Satisfaction with a Clinical Genetics Database ». The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1275414472.
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Ng, Ryan. « Assessment of systemic lupus erythematosus diagnoses within Quebec's health administrative databases ». Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=107884.
Texte intégralRésumé :
Background: Systemic lupus erythematosus (SLE) is a chronic, relatively uncommon autoimmune disease that has a relapsing-remitting course, with clinical manifestations in various organ systems (cutaneous, renal, and other). To control disease, immunosuppressive drugs are often required. Health administrative databases are useful for studying SLE because of their wide population coverage, and could potentially be used to study SLE incidence, prevalence, clinical manifestations, and medication use. However, because the diagnoses in these administrative databases are not necessarily clinically confirmed, SLE case ascertainment is a methodological challenge. First, some of the methodological issues were examined in this thesis. Second, clinical manifestations and the association between early antimalarial drug use and future renal manifestations were examined in a cohort of SLE patients. Methods: The initial SLE case definition was a previously-used algorithm that identified subjects as having SLE if they met one of the following criteria: one SLE hospital discharge code, one rheumatologist SLE claim and/or two SLE non-rheumatologist claims at least eight weeks apart but within two years. Alternative algorithms were formed by modifying one or more of the initial algorithm's parameters. Incidence and prevalence estimates were determined using each alternative algorithm and compared to the initial estimates. The effect of using different data period lengths for detecting patients was also examined. Kaplan-Meier (K-M) analyses were performed to assess documentation of clinical SLE manifestations and use of selected immunosuppressant medications, within an incident SLE cohort identified by the initial algorithm (described above). The observation interval began four years prior to SLE diagnosis and continued up to eight years after SLE diagnosis. Cox proportional hazards regression analyses were used to examine the association between early antimalarial drug use and renal manifestations. Results: With the initial algorithm, the 1998 yearly incidence was 6.0 cases per 100,000 (95% confidence interval (CI), 5.5–6.6). When parameters from the initial algorithm were changed, the 1998 incidence varied to between 4.4 and 7.4/100,000. The prevalence also changed from 65.5/100,000 (95% CI: 63.7–67.4) with the initial algorithm, to between 47.8–79.1/100,000 with the alternate algorithms. When the length of the data period changed from fifteen years to five years, the 2001 yearly incidence was overestimated by 38.3% (5.7/100,000 initially and 7.9/100,000 with only five years of data) and the prevalence was underestimated by 29.9% (the new estimate being 46.0/100,000, 95% CI: 44.4–47.5).Over-all, 66.2% (95%CI: 63.4–68.9%) of incident patients (within the SLE cohort assembled using the initial algorithm) had evidence of at least one SLE manifestation within the period under examination. The most common manifestation was cutaneous involvement, present in 30.0%. Within the sub-cohort of incident SLE patients covered by RAMQ drug insurance, 87.2% (95% CI: 84.2–90.3%) had received at least one of the medications under study, by the end of the study interval. No association was found between early antimalarial drug use and subsequent renal manifestations.Conclusion: Varying the case definition and data period can change incidence and prevalence estimates considerably, so all features, including the time period in which the data spans, should be selected carefully and explicitly stated. The majority of incident SLE patients had evidence of SLE manifestations or used medications which would provide possible confirmation of SLE case status. This additional information can be used in future health services administrative database research to understand SLE, and help compensate for the databases' lack of clinical confirming data.Contexte : Le lupus érythémateux disséminé (LED) est une maladie auto-immune chronique relativement peu commune. L'évolution de cette maladie est décrite en phases de poussées et de rémissions et ses manifestations cliniques touchent plusieurs organes. L'utilisation de médicaments immunosuppresseurs est souvent nécessaire pour contrôler le LED. Les banques de données administratives du domaine de la santé s'avèrent utiles pour étudier le LED, car elles pourraient être utilisées pour étudier l'incidence, la prévalence et les manifestations cliniques. Toutefois, comme les diagnostics présents dans ces bases de données administratives n'ont pas nécessairement de confirmation clinique, la détermination des cas de LED représente un défi d'ordre méthodologique et certains de ces problèmes méthodologiques font l'objet de la présente thèse.Méthodologie : L'algorithme initial de définition de cas de LED a déjà été utilisé pour identifier des sujets atteints de LED s'ils répondaient aux critères suivants : un code de congé d'hôpital de LED, une réclamation d'un rhumatologue pour le LED et/ou deux réclamations par un médecin autre qu'un rhumatologue pour le LED séparées d'au moins huit semaines, mais dans un intervalle de deux ans. D'autres algorithmes ont été créés en modifiant un paramètre ou plus de l'algorithme initial. Des estimations d'incidence et de prévalence ont été obtenues grâce à chaque algorithme créé et ces valeurs ont été comparées aux estimations initiales. L'effet de l'utilisation de périodes de données de différentes longueurs sur la détection des patients a également été examiné. Des analyses Kaplan-Meier (K-M) ont été faites pour évaluer la documentation des manifestations cliniques du LED et l'utilisation de médicaments immunosuppresseurs spécifiques au sein d'une cohorte incidente de patients atteints de LED identifiés par l'algorithme initial (décrit plus haut). L'intervalle d'observation a débuté quatre ans avant le diagnostic de LED et s'est poursuivi jusqu'à huit ans après le diagnostic. Des analyses utilisant le modèle de régression à risques proportionnels de Cox ont servi à examiner l'association entre l'utilisation précoce d'antipaludiques et les manifestations rénales. Résultats : Avec l'algorithme initial, l'incidence annuelle de LED en 1998 était de 6,0 cas pour 100 000 habitants (95 % d'intervalle de confiance (CI), 5,5-6,6). En changeant les paramètres de l'algorithme initial, l'incidence en 1998 a varié entre 4,4 et 7,4 pour 100 000. La prévalence a passé de 65,5 pour 100 000 (95 % CI : 63,7–67,4) avec l'algorithme initial à entre 47,8–79,1 pour 100 000 avec les autres algorithmes. En modifiant la longueur des périodes de données de quinze à cinq ans, l'incidence annuelle en 2001 était surestimée par 38,3 %.Dans l'ensemble, 66,2 % (95 % CI : 63,4–68,9 %) des patients incidents au sein de la cohorte de patients atteints de LED assemblée grâce à l'algorithme initial montraient au moins une manifestation de LED au cours de la période évaluée. Au sein d'une sous-cohorte de patients incidents atteints de LED couverts par la RAMQ, 87,2 % (95 % CI : 84,2–90,3 %) ont reçu au moins un médicament à l'étude avant la fin de l'intervalle étudié. Aucune association n'a été trouvée entre l'utilisation précoce d'antipaludiques et les manifestations rénales subséquentes. Conclusion : La variation de la définition de cas et de la période de données peut modifier considérablement les estimations d'incidence et de prévalence. Ainsi, tous les paramètres, y compris la période de temps pour laquelle les données sont recueillies, devraient être choisis avec précaution. La majorité des patients incidents atteints de LED montrent des manifestations de LED qui pourraient offrir une confirmation potentielle des cas de LED. Ces informations supplémentaires pourront être utilisées pour des études futures sur les bases de données des services de soins de santé afin de mieux comprendre le LED.
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Herbert, Margaret Elizabeth. « Modelling future mortality in Ontario : Extension of the PREVENT model and development of an Ontario database ». Thesis, University of Ottawa (Canada), 1994. http://hdl.handle.net/10393/6769.
Texte intégralRésumé :
PREVENT is a user-friendly, interactive computer program developed in the Netherlands which integrates the effects of demographic structure, risk factor prevalence, relative risks and mortality rates to estimate the impact of changes in risk factor prevalence on mortality. A new database for PREVENT has been developed with the following Ontario data: population structure, all-cause and disease-specific mortality, life expectancy, and birth projections. The current prevalence of smoking, obesity, alcohol and seat belt use is estimated from the Ontario Health Survey; the prevalence of hypertension and hypercholesterolemia from provincial heart health surveys. Future changes in risk factor prevalences for the simulation period are extrapolated from past trends. Sensitivity testing shows that the mortality varies directly with both the prevalence and relative risks. The shape of the mortality prevention curve is affected by two factors. In the first twenty years the latency and lag times and the spread in implementation of the intervention dictate the pattern. In later years mortality is affected by the changing demographic structure, age-specific mortality rates and future trends in risk factor prevalence that are in the model. Historical testing of the risk factor smoking, using a 1966 Ontario database, shows good agreement between PREVENT estimates and observed total mortality. The agreement between predicted and observed mortality is not as close for lung cancer, IHD and COLD.
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Corluka, Adrijana. « Creation of a database linking contextual small-area characteristics to successful aging : Contributions from GIS science ». Thesis, University of Ottawa (Canada), 2004. http://hdl.handle.net/10393/26617.
Texte intégralRésumé :
While medical geography has long contributed to epidemiological studies, applications of GIS in health research are now only beginning to be realized. Individual-level variables such as genetics or lifestyle do not fully explain the phenomena of health and disease---social and physical environments play a role in determining the health of populations as well. Using individual-level data from a cohort of close to 5000 elderly Canadians, GIS was used to create a spatial database of neighborhood socio-demographic and economic characteristics, based on proximity and containment analysis, to aid in understanding how environmental context influences successful aging in Canada. The work done for this thesis resulted in the creation of the first national combined spatial and aspatial database composed of demographic, socio-economic and GIS-derived local contextual spatial data linked to individual successful aging outcome data via postal code.
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Garcia, Patricia B. « Public Health in Georgia, An Internet Advocacy Tool : A Capstone Project ». Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/131.
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Local Public Health programs are at the frontline of Georgia’s struggle to prevent disease, prolong citizens’ lives, and promote health. In recent history it has been observed that both Georgia’s citizens and state government do not completely understand the breadth of the Public Health system and all it beneficiaries. Unfortunately this lack of comprehension about the scope of Public Health programs has lead to a significant decrease in support and funding. This capstone project describes the systematic development of an online educational portal that is a central tool used in the Public Health advocacy campaign in Georgia, “Partner-Up for Public Health”. An electronic database of Public Health statistics for all of Georgia’s counties (n=159) was created using secondary sources. The database presents data on four primary domains: geographic/population descriptive statistics, broad social determinants of health, health indicators, and health outcomes. Within these domains, there are a total of twenty-one indices. This project is important because it collects and presents Public Health information into one centralized location for easy retrieval and is formatted to deliver content in non-technical jargon. A hallmark of the online portal is that it facilitates the mobilization of information and tools necessary for Georgian’s to advocate for local Public Health action, programs, funding, and political attention.
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Velička, Tomáš. « Statistická data v nemocničním informačním systému ». Master's thesis, Vysoké učení technické v Brně. Fakulta elektrotechniky a komunikačních technologií, 2009. http://www.nusl.cz/ntk/nusl-218219.
Texte intégralRésumé :
The aim of this work was the evaluation of some statistic indicators from the data obtained from the Health Informatic System Clinicom. The data used in this informatic system are administrated by the database system Caché. The data from the database which is administrated by Departement of Biomedical Engineering in Brno, have been also used. Data mentioned in this work were mined from the database by SQL queries. The statistic indicators obtained this way were needed to be presented on internet. The user interface for this presentation was designed and realized in programming language CSP. The resulting statistic indicators were split up into 3 basic groups: Hospitalization, Mandatory reporting and Medicament requirement. Besides the statistic indicators some pacients‘ data and the graphs of results are shown in the user interface. The part which has also been used in this work is the concept of the online form for reporting of cancers.
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Chou, Shu-chen, et 周淑貞. « An Intelligent Healthy Nutrition System Database Design ». Thesis, 2010. http://ndltd.ncl.edu.tw/handle/39839162873137905734.
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碩士東海大學
資訊工程學系
98
This study is to design an intelligent on-diet system database .The key component which have not been explored in the past is a versatile object-oriented intelligent data base system for menu design in the developed system. The purpose of data base build-up is two-fold. One is to design an object oriented data base based on the past history of ordered meals that can be used to suggest favorite and healthy menu for users. Another is to audit eating-out habits of users and further help to correct their bad habits. Such an entire system coupled with a custom-designed data base provides users with a guide similar to Red-Yellow-Green traffic light pattern where a RED/Yellow/Green represents a Bad/Warning/Good meal-order for the menu selection. When Red and Yellow are highlighted by the system, the users will be asked to make another menu selection either using the system’s provided menu or users’ choice. With such a data base the system can also monitor and dictate users’ eating habits and gradually direct users to healthy eating habits.
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Wen, Wei-Chun, et 溫偉鈞. « A study for the impact of antidepressant drugs on elderly’s healthy care utilization – based on National Healthy Insurance database ». Thesis, 2008. http://ndltd.ncl.edu.tw/handle/25367717526053963629.
Texte intégralRésumé :
碩士中國醫藥大學
醫務管理學研究所
96
As gotten into the aging society, more attention has been drawn on the clinical symptoms and treatments of depression for the elderly. And it has also become an important issue in geriatric psychiatry and public health in Taiwan. Several recent RACD studies have compared treatment costs for depressed patients prescribed SSRIs such as fluoxetine, sertraline and paroxetine. However, the application of economic analysis to drug therapy in the treatment of depression has so far been limited. There are no economic studies of the cost-benefit of antidepressant drug therapy that concentrate exclusively on the treatment of the elderly. The major objective of this study is to analyze the impact of antidepressant drugs on elderly’s healthy care utilization under National Health Insurance (NHI) in Taiwan. A cross-sectional study was conducted, and the samples were selected from NHI Database and Database developed by National Health Research Institutes for 2000-2001. All objects of study are over 65 years old. Those who had been diagnosed as ICD_9_CM 290, 294, 296 or 300 within one year in the same diagnosis were defined as one treatment course. A cost- benefit analysis is necessary to ensure the appropriate of such policy. The available evidence in this study suggested that selective serotonin reuptake inhibitors for least 12 weeks could have gotten a higher cost-effectiveness.
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Teoh, Zi-Han, et 張子涵. « A Comprehensive Database Integrating Copy Number Variation Profile in Healthy Individuals and Human Cancer ». Thesis, 2019. http://ndltd.ncl.edu.tw/handle/jgc479.
Texte intégralRésumé :
碩士國立臺灣大學
生醫電子與資訊學研究所
107
Copy number variation (CNV) is a region with structural variation in which the genomic copy numbers (CN) differs when compared to the reference genome. It is classically defined as a genomic segment that consists of at least 1000 base pairs of sequence alterations. In human genome, CNV may cause genomic imbalance by regulating gene expression levels through dosage effect and has been associated with multiple disease, including cancer. Thus far, many researchers have studied the relationship between cancer and CNV, providing intriguing insights into CNV roles as cancer biomarker. Despite an intensive increase in the amount of related biological validation experiments, the distinct lack of an integrated resource that supports highly-efficient CNV research has drive our study to construct a comprehensive online database to simplify the data mining, retrieval, and analysis processes of CNV investigations. In this study, we integrate the CNV profiles of healthy populations, cancer patients, and cancer cell lines from various sources. The baseline CNV frequency of 22155 genes serving as comparisons benchmark were established, and we constructed the CNV profile of 70 types of human cancer. We further demonstrate the potential application of this system by analyzing CNV data from 542 lung adenocarcinoma patients. With the provision of an easy query and online submission analysis schema, we expect that this database would serve as an important tool to assist researchers in uniformly processing, comparing and retrieving CNV data, as well as in facilitating the clinical interpretation and discoveries of significant CNVs.
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Ashby, R. L., K. A. Ward, S. A. Roberts, Lisa Edwards, M. Z. Mughal et Jenny E. Adams. « A reference database for the Stratec XCT-2000 peripheral quantitative computed tomography (pQCT) scanner in healthy children and young adults aged 6–19 years ». 2008. http://hdl.handle.net/10454/14542.
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NoSummary We have produced paediatric reference data for forearm sites using the Stratec XCT-2000 peripheral quantitative computed tomography scanner. These data are intended for clinical and research use and will assist in the interpretation of bone mineral density and bone geometric parameters at the distal and mid-shaft radius in children and young adults aged between 6–19 years. Introduction Peripheral quantitative computed tomography (pQCT) provides measurements of bone mineral content (BMC), density (BMD) and bone geometry. There is a lack of reference data available for the interpretation of pQCT measurements in children and young adults. The aim of this study was to provide reference data at the distal and midshaft radius. Methods pQCT was used to measure the 4% and 50% sites of the non-dominant radius in a cohort of healthy white Caucasian children and young adults aged between 5 and 25 years. The lambda, mu, sigma (LMS) technique was used to produce gender-specific reference centile curves and LMS tables for calculating individual standard deviations scores. Results The study population consisted of 629 participants (380 males). Reference centile curves were produced; total and trabecular BMD for age (distal radius) and for age and height, bone area (distal and mid-shaft radius), cortical area, cortical thickness, BMC, axial moment of inertia, stress– strain index and muscle area (mid-shaft radius). Conclusions We present gender-specific databases for the assessment of the distal and mid-shaft radius by pQCT. These data can be used as control data for research studies and allow the clinical interpretation of pQCT measurements in children and young adults by age and height.
Central Manchester and Manchester Children’s University Hospital NHS Research Endowment Fund and the support of the National Osteoporosis Society (Camerton, Bath, UK), which awarded Rebecca Ashby a Linda Edwards Memorial Studentship in 2003 and funded the initial part of the study (1997–1998).
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Bagão, Vera Cristina Manilhas Lopes. « Inter and intra individual variability of the gait fundamental parameters on healthy children : definition of the clinically relevant normative data ». Master's thesis, 2017. http://hdl.handle.net/10400.5/14018.
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The aim of this study was to determine the norm of the gait fundamental biomechanical parameters for the healthy pediatric population and associated measurement error, for this laboratory. Twenty-seven children cleared for neurological and musculoskeletal impairments, from a nearby school, aged between 7 and 9 joined this study. Kinematics, Kinetics, Electromyography and Anthropometrics were collected. Children were prepared with 53 passive markers (according to CAST) and instructed to walk through a walkway. Six muscles were bilaterally analyzed, Gluteus Medius, Adductor Longus, Rectus Femoris, Semitendinosus, Tibialis Anterior, and Gastrocnemius. Eleven children were re-evaluated within a 7 days time window to determine the measurement error (intra-observer).
The analysis of Joint Angular Displacement, Moments, Powers, GRF and EMG revealed a good overlapping of the left and right side curves, with wave patterns in accordance to the literature. Clinical Measurements variables were within published healthy ranges, as were the Gait Parameters variables. Eight variables revealed SEM values between 2º and 5º, while all others were below 2º. Higher SEM was found for the variables Cadence (3.64 steps/min), Mean Value of Pelvic Tilt (2.48º), Maximum Hip Angle (2.56º), Minimum Hip angle (4.94º), Knee Angle at Initial Contact (2.40º), and TT ROM (2.79º).
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Chen, Yu-Yao, et 陳昱堯. « Import Non-relational Databases to National Health Insurance Research Database to Analyze the Infusion after Bladder Cancer Surgery ». Thesis, 2016. http://ndltd.ncl.edu.tw/handle/3buu62.
Texte intégralRésumé :
碩士臺北醫學大學
醫學資訊研究所
104
According to Taiwan Cancer Registry database, bladder cancer was the 9th most common cancer in males in 2011: 8.7 in 100,000 males had bladder cancer. The standardized cancer incidence rate shows that bladder cancer was a common cancer in males. Moreover, bladder cancer recurrence rates are high. In Cancer Registry Annual Report 2012 conducted by Health Promotion Administration, Ministry of Health and Welfare, it is shown that bladder cancer ranked 12th in cancer mortality rates and 9th in cancer incidence rates. Bladder cancer recurrence rates are high hence the need for boosting local immunity with postoperative bladder irrigation. Irrigation for treating superficial non-invasive bladder consists of multiple drugs. Treatment includes immunotherapy and chemotherapy. In this study, data is accessed from a NoSQL database: MongoDB. MongoDB operates on BSON, whose data format is binary JSON. ManogoDB, the NoSQL database, is superior in output and input to relational database, which can also scale horizontally. One wishes to calculate data from National Health Insurance Research Database (NHIRD) 2001-2011, which contain millions of samples, with Java, in order to discuss the relationship between drugs and recurrence rates. The focus is on comparing related stratifications and recurrence rates in two types of drugs: chemotherapeutic drugs and immunotherapeutic drugs. This study is inclusive of comparisons between: recurrence rates in two types of drugs, recurrence rates in cross-drug samples stratified by sex and age.
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Cheng, Jiung-Mou, et 程炯謀. « Use NoSQL Database to Implement Big Data Visualization of National Health Insurance Research Database ». Thesis, 2015. http://ndltd.ncl.edu.tw/handle/07379662855651565880.
Texte intégralRésumé :
碩士國立臺灣大學
醫學工程學研究所
103
National Health Research Institutes of Taiwan had build National Health Insurance Research Database, this database stored medical information since 1996 insured health care offered, it accumulated substantial health care data that has become the basis of many valuable medical studies. In order to build a more efficient 1996 to 2010, 15 years, Taiwan National Health Insurance Health Database of Longitudinal Health Insurance Database 2010, this study uses a NoSQL Database - MongoDB, to process characteristics of unstructured data, it transformed originally nearly 200 million medical records, into millions of personal data, not only reduces the amount of data, made them convenient for users to search particular medical information which they are interested. Using the sharding technique, individual date of birth was picked as the basis for sharding, combined with MapReduce operations user can efficiently acquire their target information. The object of this study is to arrange the healthcare information in a timely manner to provide an easy access medical data format to render the patient''s condition, on a visual interface, users can view patient medical detail with few keyboard strokes.
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Chen, Chun-Jen, et 陳雋仁. « Data Warehousing for National Health Insurance Research Database ». Thesis, 2011. http://ndltd.ncl.edu.tw/handle/68022450333903689184.
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碩士世新大學
資訊管理學研究所(含碩專班)
99
Since the Taiwan National Health Insurance Database recorded all medical data from 1999,NHID has already gathered a huge amount of information. Hence, many researchers have done lots work based on NHID. The purpose of our work is to establish a data warehouse system to accommodate most research topics which most researchers are interested. . We first explore the thesis and dissertations maintained in National Digital Library of Taiwan and several major research themes are recognized. Furthermore, we compare them to existing NHID DW architectures. These literatures show over half of researchers pay lots attentions on events related time dimensions, but however existing NHID DWs don’t take care about them. Therefore, our architecture which covers most research interests related to NHID is proposed.
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Chang, Li-Han, et 張立翰. « Information Planning and DataBase Designing for Health Promotion ». Thesis, 2009. http://ndltd.ncl.edu.tw/handle/43499286043047822621.
Texte intégralRésumé :
碩士國立雲林科技大學
環境與安全工程系碩士班
97
People always know how important the health is after they lose it. It should not only rely on medical treament to restore helath condition, but also administer the health promotion project to prevent events and to keep the best health condition all the time; Electroniztion is one of the most general way to propagate information widely and speedily, and to manage and keep it easily and permanently. The purpose of this study is using modern computer technology to design a health promotion system. It can provide guides of health activities and offer the knowledge of health to promote their own health. The steps and methods of this study include: (1)To collect and study domestic and abroad literatures to understand what health promotion is、why it is needed, and how to practice it. Information contains health activities、fruit and the other; (2)To plan the contain of the little helper such as health activities suggestion and their guideline; (3)To learn the database software of Borland Delphi ; (4)To plan and to design health promotion little helper with use-friendly interfaces; (5)To test the system. The results of this study is a health little helper system which electronizes the health knowledge such as fruit information,etc. The characteristics of this system shows how it provide a healthy project automatically、the guide of the health activities and self- checklist, etc. It helps the users living in a regularity and health life by knowing how to use the system and earning the knowledge of the health promotion.
22
Lin, Tsai Huei, et 林采慧. « Database as a Service for Electronic Health Record ». Thesis, 2014. http://ndltd.ncl.edu.tw/handle/63959437180712678509.
Texte intégral
23
Steyn, Genevieve Lee. « The design of a database of resources for rational therapy ». Diss., 1999. http://hdl.handle.net/10500/16116.
Texte intégralRésumé :
The purpose of this study is to design a database of resources for rational therapy. An investigation of the current health situation and reorientation towards primary health care (PHC) in South Africa evidenced the need for a database of resources which would meet the demand for rational therapy information made on the Helderberg College Library by various user groups as well as make a contribution to the national health information infrastructure. Rational therapy is viewed as an approach within PHC that is rational, common-sense, wholistic and credible, focusing on the prevention and maintenance of health. A model of the steps in database design was developed. A user study identified users' requirements for design and the conceptual schema was developed. The entities, attributes, relationships and policies were presented and graphically summarised in an Entity-Relationship (E-R) diagram. The conceptual schema is the blueprint for further design and implementation of the database.Information Science
M.Inf.
24
Lee, Ping-Hsiung, et 李炳雄. « The Application of Data Mining for Medical Database--The Case in National Health Insurance Research Database ». Thesis, 2003. http://ndltd.ncl.edu.tw/handle/40069700669854160282.
Texte intégralRésumé :
碩士國立臺北大學
資訊管理研究所
91
Data mining techniques had been applied to many areas. The application in medical area has been advanced in using data mining technology to find all association between various columns in medical database. In medical database, the most complete and detailed information are anamnesis data which contain disease name, prescription, drug name and drug dosage, etc. Anamnesis data are very important medical resources all the time. If we can find the association rules between diseases and diseases, diseases and medicine, and diseases and patients information and detect the fake cases by data mining technology. It should be able to increase medical quality, and decrease the cost and the waste of medical resources. This study is based in part on data from the National Health Insurance (NHI) Research Database (2000) provided by the Bureau of National Health Insurance, Department of Health and managed by National Health Research Institutes. By all kinds of evaluative conditions, especially in software features, maximal quantities handled by software, software price, software market share, training planning, software operation, software combination, easy to obtain, and algorithms used by the software, etc. According to these conditions above all, the study choose the best algorithm of Apriori and data mining software of Cognos Scenario which suitable for NHI Database. The results of this study can conclude that the association rules between diseases and diseases, diseases and medicine, and diseases and patients information. To improve the conclusion, the study uses the NHI Database (2001) to verify it, so that this study can have high accuracy and high degree of trust. After analysing and explaining the conclusion, the results provide people with knowledge of the complication of diseases, drug name and affected factors of diseases. It also provides the reference for treatments, improve the quality of medical treatment, and decrease dispute about medical. Further, it can detect the fake cases and decrease the cost and the waste.To depend on this way, we can achieve the goal of NHI.
25
Wu, Zhen-Yu, et 吳鎮宇. « Application of Big Data Analysis in Integration of Water Quality Database and National Health Insurance Research Database ». Thesis, 2016. http://ndltd.ncl.edu.tw/handle/c25mxy.
Texte intégralRésumé :
碩士國立臺灣大學
醫學工程學研究所
106
Environmental factors may influence the incidence of certain diseases. This research integrates different databases to analyze the notation of these factors with diseases. To integrate National Health Insurance Research Database(NHIRD) and Water Quality Database of Taiwan. We use Poisson loglinear regression model try to analyze the connection between incidence of colorectal cancer and River Pollution Index(RPI) in the aspects of different geographic area, age group and year influence. Besides, we also use pipe water concentration data of nitrate and nitrite nitrogen in the regression model to confirm if these factor has positive correlation with the incidence of colorectal cancer. By this way, we can find those modestly correlated attributes between incidence of colorectal cancer and River Pollution Index(RPI). Also, we can analyze them in the aspects of water quality, different area variable, age group, and time trend in year to discuss what reasons are related to the goodness of fit. At least, these results may provide future researchers in related fields with some useful information. Researchers can also use the concept of big data analysis to propose a new project in their proposal.
26
CHOU, SHU-FAN, et 周書帆. « SECONDARY HEALTH DATABASE REGULATION POLICY : A CHIOCE BETWEEN AUTONOMY PROTECTION AND HEALTH RIGHT PROMOTION ». Thesis, 2014. http://ndltd.ncl.edu.tw/handle/yvs99g.
Texte intégral
27
Ting-YuSun et 孫挺育. « The Growth of Health Care Expenditure- An Example of National Health Insurance Research Database ». Thesis, 2016. http://ndltd.ncl.edu.tw/handle/fbt3eg.
Texte intégralRésumé :
碩士國立成功大學
經濟學系
104
Taiwan launched the National Health Insurance system in March 1995. After implementation, health care expenditure per capita has increased annually. In order to investigate which factors affect people's health care expenditures, we use 1997, 2002, 2007 and 2012 patients data from the National Health Insurance Research Database. We use outpatient expenditure, inpatient expenditure and drug expenditure as dependent variables, and we investigate factors that affect health care expenditure per capita by using ordinary least squares (OLS) and quantile regression (QR). The empirical results found that chronic disease, major disease, number of admission, generic drug prescription and brand drug prescription resulted in the growth of a patient’s health care expenditure year by year. Additionally, of all patients with low health care expenditure, males spend far less than females, but of all patients with high health care expenditure, males and females spend fairly closely.
28
Lin, Deli, et 林德利. « Construction and Application of Health Examination Knowledge Database in Hospital ». Thesis, 2015. http://ndltd.ncl.edu.tw/handle/49448868928317774920.
Texte intégralRésumé :
碩士國立屏東科技大學
工業管理系所
103
As the Internet is gradually implemented in business enterprise, each applied system is working based on it. It is an information-intensive enterprise in medical institutions, with continuing to establish information systems to provide more effective and complete information for educating the public as well as to promote healthcare information. This research offers drug knowledge base and health management knowledge base websites; it mainly shows drug use case swiftly to the public, medical professionals, and medical staff with latest medication knowledge. As for health management, it also gives the clients up-to-date health management planning, protecting the website client information, encrypting clients’ health examination database in AES encryption mode, providing safe examination record as well as related health management advice, boosting health management, and to enhance clients’ satisfaction.
29
KAO, YI-WEI, et 高翊瑋. « A Study of Health Database Integration under Big Data Platform ». Thesis, 2015. http://ndltd.ncl.edu.tw/handle/44465933794198874934.
Texte intégralRésumé :
碩士輔仁大學
統計資訊學系應用統計碩士班
103
We are in a new era of big data which mean Information Technology generation change to Data Technology generation. Many different kinds of devices make people collect data easiy. Nowadays, we can not only establish databases simply but also construct incomplete databases. For example, the population of NHIRD is close to Taiwan demographic but the usage of data is for the medical care expenditure. For this reason, the data only can analysis utilization pattern of medical care. This study constructed “the health database integration standard operation procedures”. Use this SOP to integrate NHIRD and Physical Examination Database of Taipei elderly people. This study result shows us that we can add 65 variables in NHIRD included 17,155 individuals successfully. It also resolves the problem which NHIRD only can analysis utilization pattern of medical care and increases the value of NHIRD.
30
WU, YEN-TING, et 吳彥葶. « Metabolic Syndrome Risk Factors among National Health Insurance Research Database ». Thesis, 2017. http://ndltd.ncl.edu.tw/handle/01284209508074291564.
Texte intégralRésumé :
碩士逢甲大學
財稅學系
105
The research adopts the personal information over Y2009 National Health Interview Survey (NHIS) provided by the health promotion administration of the ministry of health and welfare of the executive department .The medical records and expenses of the National Health Insurance Research Database from Y2009 to Y2013 to work as the criteria of the metabolic syndrome published in Y2007 to explore: 1.Risk factors of the metabolic syndrome. 2. If the personal information of the respondents, prevention behavior and the control act lead to reduce the medical expenses. The experimental results indicate: 1. The risk factors of the metabolic syndrome including female, high age, married, low family monthly income, no immediate management with uncomfortable signs, blood pressure, blood lipids, and fasting blood glucose checked over the past year and had never accepted non-governmental health check over the past year. 2. The factors of the personal information of the respondents, prevention behavior and control act that help reduce the medical expenses include: high education level, high family monthly income, adequate management with uncomfortable signs, blood lipids checked over the past year, acceptance of the non-governmental free health check over the past year and receiving the free health check from the government over the past 3 years.
31
Chang, Yu-Ching, et 張郁卿. « Mining Disease Transmission Network in National Health Insurance Research Database ». Thesis, 2017. http://ndltd.ncl.edu.tw/handle/8rdthe.
Texte intégralRésumé :
碩士國立臺灣大學
資訊管理學研究所
106
Disease transmission network can provide important information for individuals to protect themselves and to support governments to prevent and control infectious diseases. Current studies on disease transmission network mostly focus on scenarios in small, confined areas. We propose to construct disease transmission network using health status time series computed based on health insurance claims. We adopted Granger causality tests to identify potential links from the health status time series from all pairs between target groups and other individuals. We evaluated our approach by predicting future health care seeking activates for similar diseases based on past health care seeking activates of neighbors in the disease network. Compared to baseline models that use only personal historical data, including the estimated transmission network can improve prediction performance.
32
MacIntyre, Elaina, Michelle Linnegar, Cornel Lencar, Michael Brauer, Paul Demers et Aleck Ostry. « Perinatal Database Registry chart abstraction validation report ». 2006. http://hdl.handle.net/2429/873.
Texte intégralRésumé :
Part of the Border Air Quality Study is the linking of a birth cohort, consisting of all children born in the Georgia Air Basin of British Columbia during 1999-2002, with residential air pollution exposure histories beginning at conception. The goal of this study is to determine the impact of air pollution on various health outcomes (adverse birth outcomes, bronchiolitis, otitis media, bronchitis, and asthma) during prenatal and early childhood development. The birth cohort has been linked to the BC Perinatal Database Registry. This report describes a chart abstraction study, conducted at BC Women and Children’s Hospital, to determine the consistency of key information on maternal risk factor data and to asses the reliability of data coding from patient hospital charts and prenatal care into the perinatal database. BC Women and Children's Hospital was selected for the chart review because it has the largest number of births in the province (approximately 7,000/year).
33
Semenova, Tatiana. « Identification of interesting patterns in large health databases ». Phd thesis, 2006. http://hdl.handle.net/1885/151258.
Texte intégral
34
Chu, Yu-Tseng, et 朱育增. « Assessing Comorbidity Measures Using National Health Insurance Databases ». Thesis, 2008. http://ndltd.ncl.edu.tw/handle/31998378721567115722.
Texte intégralRésumé :
碩士國立陽明大學
衛生福利研究所
96
Background：Comorbidity is an important controlling factor in health services research using administrative data. Although National Health Insurance databases have become an important resource for studies in this field; there is no study to investigate the relative performance of various available claims-based comorbidity measures in Taiwan. Objective：To compare the performance of different claims-based comorbidity measures and to develop the new weights using National Health Insurance databases. Method：Five different comorbidity measures, including Deyo’s Charlson Comorbidity Index (CCI), D-M’s CCI, D’Hoore’s CCI, Elixhauser and Chronic Disease Score (CDS), were chosen for investigation in this retrospective cohort study. Empirical weights were derived from the inpatient data in 2001. Patients admitted to one of six medical categories (acute myocardial infarction, pneumonia, diabetes mellitus with complications, chronic renal disease, congestive heart failure, chronic obstructive pulmonary disease) in 2002 were selected to compare different comorbidity measures. The comorbidity measures were implemented as individual components (the presence or absence of the comorbidity), and also as an index (weighted sum of comorbidity indicators). The comorbidity measures were created based on 3 sources of data: the index hospitalization, the index and prior hospitalizations, and the index and prior hospitalizations as well as outpatient visits. Control variables included age, sex, race, and operation in hospital. The c-statistic of logistic regression was used to compare the performance for predicting 2 outcomes: in-hospital death and 1-year mortality. Results：Better discrimination was achieved with the D-M’s CCI or the Elixhauser method when using individual components. When comorbidity measures were used as indices, better discrimination was achieved with the D-M’s CCI. The empirically derived weights of CCI performed better than the original one. For CCI methods, patient information available from both the index and prior hospitalizations performed best. For Elixhauser method, patient information available from the index hospitalization performed best when predicting in-hospital death. Adding prior outpatient data didn’t improve the performance of measures. Conclusion：The empirically derived weights of CCI performed better than the original one, and it could be considered to use in further researches. D-M’s CCI performed better then Deyo’s CCI, which was used most frequently in Taiwan, and further investigators may consider to choose this method. When sample size is large enough, D-M’s CCI or Elixhauser method could be chosen and implemented as individual components. If sample size is small, D-M’s CCI used as an index would be the better choice.
35
Huang, Chao-Hui, et 黃兆慧. « A Study of National Health Insurance Referral System Base on National Health Insurance Research Database ». Thesis, 2010. http://ndltd.ncl.edu.tw/handle/53127768986333735489.
Texte intégralRésumé :
碩士世新大學
資訊管理學研究所(含碩專班)
98
Ever since National Health Insurance (NHI) was initiated of operation, it is reput ed with low cost of insurance expense but provides the general public with protection of medical treatment. In addition to the fact of secularization of insurance rate, it has resulted that over 70% of the people find the insurance with satisfaction of approval, making itself to become a vital social welfare system of Taiwan. Nonetheless, with convenience for the mass to access medical treatment significant waste of medical resources is observed, and the growth rate of income from NHI, since 1998, has become far lower than that of spending from medical expenses. As such, deficit has occurred, and by the end of 2009 the amount of deficit has reached as much as NT$58.8 billion. In view of the fact, Bureau of National Health Insurance has, in the hope working to render NHI to develop with sustainability, conducted with the measure of partial reimbursement for medical consultation so as to establish the user-toll concept. In addition, the bureau has also begun to implement referral system from 15th July of 2005 so that those who seek for medical consultation without referral system are increased of the payment for partial reimbursement. It has been over 4 years with referral system being implemented until today, and how is the integral effect wits implementation? As a matter of fact for medical resources are not evenly distributed in Taiwan, it is wondered if the implementation of referral system would have been constrained as of even distribution of medical resources; besides, related studies on the implementation of referral system as linked to insurance conditions of individuals, such insurance level, hospital for consultation, and connection to residence locality, have hardly received much attention. The research archive of NHI with National Health Research Institutes has accumulated massive amount of OPD medical consultation information of patients, and a great amount of knowledge can be hidden with much unused information. This study will base on the research archive of NHI, and it will, through information purification and screening, make use of mining techniques to conduct descriptive statistic analysis on referral system and carry out features analysis for related referral disease, medical resources, and insurance conditions of individuals. As indicated from analyzed results of descriptive statistics, the age and gender of referral will vary as of different areas. As for support ratio for stratified medical treatment, the support ratio for stratified medical treatment from individuals of metropolitan life area turns out to be the highest, second by regular life area, with the lowest found at outlying islands. As found through statistical test, items as insurance levels, residence locality of insurance, residing area for medical consultation, and age of individual variables among insurance conditions of individuals exert significant impact on the willingness for stratified medical treatment. As we resort to decision making tree to analyze patients of whichever attributes enjoy higher degree of support in favor for stratified medical treatment, it is found that people aged under mid-life are found with high degree of support for stratified medical treatment, while those whose insurance level lying at the highest category are in disfavor for stratified medical treatment.
36
Chien, Fang-Yu, et 簡芳妤. « Using National Health Insurance Database to Explore the Relation between Economic Status and Health Inequality ». Thesis, 2019. http://ndltd.ncl.edu.tw/handle/s3b6ze.
Texte intégralRésumé :
碩士國立政治大學
風險管理與保險學系
107
Taiwan’s National Health Insurance (NHI) was implemented in 1995. The NHI has become a part of our daily life and more than 99% Taiwan’s citizens participate in this social insurance program now. It is believed that the NHI has improved the health and life span of Taiwan citizens, and it is a world famous public health insurance program. Although the NHI has already achieved the goal of medical accessibility, the affordability of health care is still a big problem to the low-income families. We aim to study the relation between socioeconomic status and medical utilization, and in particular, explore if there exists health inequality with respect to people’s incomes. The NHI’s insureds are separated into six categories and we investigate the medical utilizations and mortality rates of these categories. The study is based on the 2005 Taiwan Longitudinal Study (LHID2005), Taiwan’s National Health Insurance Database, which contains the Registry for beneficiaries (ID), outpatient visits (CD), inpatient admissions (DD), and medical institution data files (HOSB). We first checked the sample representativeness of the data set used, making sure that they can represent Taiwan’s total population. Then, we analyzed the medical utilization of different insured classifications. We found that the second category has the highest mortality rate and the sixth category has the lowest annual compliance rate. Also, there are significant differences with respect to the number of inpatient visits and disease type, especially for the third and the sixth categories.
37
Li, Hsuan, et 李宣. « Building a Disease Network Based on Longitudinal Health Insurance Database (LHID) ». Thesis, 2017. http://ndltd.ncl.edu.tw/handle/14681276685216213290.
Texte intégralRésumé :
碩士國立中央大學
資訊工程學系在職專班
105
Taiwan's health insurance system is perfect, the doctor level and medical equipment is excellent. In such an environment, National Health Insurance Research Database (NHIRD) stored medical records is a very precious treasure. Whether it is academic or non-academic circles want to dig these original information. Therefore, the NHIRD-based research papers have a considerable amount of output. These papers are usually some specific subject, such as disease to disease or drug to disease. But there is little integrated study to look at the relevance of the disease for them. In recent years, the disease network has been a lot of research. These studies are to transform complex problems into graph. And then use the graph method to solve the problem. And our motivation is to build a disease network based on Taiwan health insurance database network, so that researchers can be macroscopic to observe the relevance of the disease, and can be a preliminary comparison of disease.
38
LIN, TING-HONG, et 林廷鴻. « A study on heterogeneous database for health IC card information system ». Thesis, 1992. http://ndltd.ncl.edu.tw/handle/50218394241221466039.
Texte intégral
39
Li, Ming-der, et 李明德. « Applied research of traffic accident and heterogeneous database of health information ». Thesis, 2009. http://ndltd.ncl.edu.tw/handle/25910411481973155809.
Texte intégralRésumé :
博士國立中央大學
機械工程研究所
97
The road traffic accidents caused a lot of economic losses and lives every year is very serious problem. That is also influence the economic developments of the country. Comparing to other diseases, the road traffic accidents are easier had significantly improvement through prevention with the external environment or legislation. For example, passing the legislative of riding motorcycles to wear helmets mandatory, not only the number of head injuries in traffic accidents decreased, but also the number of deaths caused by accidents and the severity of injuries has also been improved. However, the original health after the injury may not be fully restored to the original function of the body even if treated through the medical science technology, resulting in damage to the health of the population. Those people besides affected the individual daily lives, the impact level will be extended to family and society, and thus the burden of the state. Therefore the important is thinking about how to avoid the occurrence of injury with the road traffic accidents. Previous research for the health assessment questionnaire is used to conduct interviews, often difficult to carry out large-scale and large sample surveys. The attitudes of the respondents also affect the accuracy of the questionnaire information. In order to get more objective and extensive research data, this study try to integrate the heterogeneous database including “The police-reported road traffic accidents data”, “vital registration data” and “National Health Insurance database”, using the ID number to link confirmedly and then analysis this series of linked data. The first part of the study is to define accident-related deaths and medical treatment information, respectively. For the patient and inpatient data, the use of that days away from accident to seek medical treatment, the number of days of hospitalization on the medical and health care payments, etc, to stand up the accident treatment-related information as the basis for the follow-up research. After completion of the accident-related deaths and the definition of medical information, the subjects of “Difference in urban and rural accident characteristics and medical service utilization for traffic fatalities in less-motorized societies” and “Survival hazards of road environment factors between motor-vehicle and motorcycles” had been study respectively on this basis. The results showed that in different regions have different health care resources and the emergency medical system providers in different areas of the hospital will make different judgments, this is caused by different medical results. Similarly, the traffic accidents on different degrees of the road have different medical treatment results because of the severity of injuries and medical resources. This is the major object in this study. Although the government has been the improvement of road works or legislation to reduce accident, but traffic accidents can not be totally avoided. Therefore combination more and more resources to reduce the accidents and decrease the accident injury clients are the need for continuous efforts to improve work for the future.
40
Chen, Tsan Houw, et 陳贊昊. « A Study on Database Management System for Health IC FISC Card ». Thesis, 1996. http://ndltd.ncl.edu.tw/handle/71034234463705675739.
Texte intégralRésumé :
碩士國立成功大學
工程科學系
84
The Health IC FISC Card information system life cycle is called the macro cycle, whereas the database system life cycle is referred to as the micro life cycle. The macro life cycle includes the following phases: (1) Feasibility analysis. (2) Requirements collection and analysis. (3) System implementation. (4) Validation and acceptance testing. (5) Operation. (6) Statistics and analysis. Activities related to the database application system (micro) life cycle include the following phases: (1) System definition. (2) Design. (3) Implementation. (4) Loading and data conversion. (5) Testing and validation. (6) Operation. (7) Monitoring and maintenance.To probe into the subject of design of relational database management system (RDBMS) would be taken as the beginning of this thesis, and the macro of the system as end.A standpoint of database administrator (DBA), best the thesis, is beneficial for :* Database systems analysis or designer.* Health IC FISC card system application programmers.* End users of IC card database management system.* Governmental administrator for national health.The content of this thesis could be divided into six sections, as follows:I. A prolegomena of thesis.II. To probe into relative literature of ICC and DBMS.III. To design and plan the DBMS for Health IC FISC Card.IV. Account for implementation and operation system.V. The statistics and analysis of application system.VI. Conclusion.
41
CHE, HSU WEN, et 許文哲. « A Study on the Legitimacy of National Health Insurance Research Database ». Thesis, 2015. http://ndltd.ncl.edu.tw/handle/05396043176334692015.
Texte intégralRésumé :
碩士東吳大學
法律學系
103
As of 2014, 99.9% of Taiwan’s population were enrolled in the National Health Insurance program. The database of this program contains egistration files and original claim data for reimbursement. Large computerized databases derived from this system by the National Health Insurance Administration (the former Bureau of National Health Insurance, BNHI) and maintained by the National Health Research Institutes, Taiwan, are provided to scientists in Taiwan for research purposes. The National Health Insurance Research Database (NHIRD) is commonly used for different types of researches such as pharmacoepidemiological ones in Taiwan. In the specific sector, owing to the potential sensitivity of medical data, the balance of public welfare and private rights then obviously become more important than other kinds of personal data. The collection, analysis, storage and use of personal (medical) information have infringed the self-determination rights of providers. Thus the establishment of this type of database should not be carried out without consideration of the legal system under the protection of personal information. From the view of proper legal procedure, this thesis will review whether existing legislation such as the “Personal Information Protection Act” corresponds to the spirit of protecting people’s privacy as announced by the Constitutional Judge. From the experience of the international legislation, it could provide future develop relevant policy recommendations. The tradition of human rights in Europe is always important. The theory and the idea of personal data protection, which belong to the idea of right of privacy, then become a new topic of this European human rights tradition. Under the norm of Council of Europe’s “Convention for the Protection of Individuals with regard to Automatic Processing of Personal Data” and “Directive 95/46/EC of the European Parliament and of the Council of 24 October 1995 on the protection of individuals with regard to the processing of personal data and on the free movement of such data” of European Union, the position of the personal data protection and the free movement of such data then become practicable on the actually enforcement and related judgments in Europe. The question is that the data of the NHIRD is encrypted and can we call the encrypted data still be personal data? Personal Data Protection Act article 9 provides that: “A government agency or non-government agency should notify the Party of the source of information and Item 1 to 5 of Paragraph 1 of the preceding Article, before processing or using personal information collected in accordance with Article 15 or 19 which was not provided by the Party.The notification mentioned in the preceding Paragraph may not be given for the followings: … 4.When it is necessary for public interests on statistics or the purpose of academic research. The information may not be used to identify a certain person after a treatment of the provider or the disclosure of the collector.” and article 16, 19 and 20 have similar provisions. Logically prior to the above provisions, the premise of the question is the “de-identification information” still personal information? If the answer is not, we need no further discussion. And it just is the claim of the National Health Insurance Administration and the National Health Research Institutes in administrative proceedings. So from here on, the thesis would try to define whether the encrypted information of the NHIRD is personal information, and then think the application and restriction of “information autonomy" in such large database.
42
Chang, Yu Lun, et 張毓倫. « Using artificial reproductive database and national health database to establish predicted probabilistic model of a live birth after in vitro fertilization ». Thesis, 2019. http://ndltd.ncl.edu.tw/cgi-bin/gs32/gsweb.cgi/login?o=dnclcdr&s=id=%22107CGU05521012%22.&searchmode=basic.
Texte intégral
43
Chen, Hsiao-Fen, et 陳曉芬. « Applying Data Mining Technology on National Health Insurance Research Database-For Example：Osteoporosis ». Thesis, 2006. http://ndltd.ncl.edu.tw/handle/99946953738417918112.
Texte intégralRésumé :
碩士大同大學
資訊經營學系(所)
94
Along with the exaltation of medical treatment level, the local people’s life expectance has increased year by year; some chronic diseases have affected the health of local people gradually with the prolonged life. Osteoporosis, as one kind of the chronic diseases, has ever been claimed by WHO that this disease is the secondary serious problem only next to cardiovascular disease, and particularly emphasized that this is a common ignored disease under improper diagnosis procedure, therefore all countries in fact shall affirm such disease as a major public health problem which needs to be taken care with a heightened vigilance. The present study utilized the claims data of the Bureau of National Health Insurance (BNHI) from hospitals throughout Taiwan during the period between 1996 and 2000 which contains “Prescriptions for Outpatients and Detailed Therapeutic File”, and “Registration file” as the data source, and retrieving the patients with osteoporosis among the related classification and code of disease as the research objects, so as to analyze both the demography characteristic and registration habits in seeking medical advice for the patients with osteoporosis, as well as the connectivity to other diseases, in addition to the analysis on the classification of medical expenditure claimed by each medical institution. According to the results of Description Statistical Analysis, it showed that the majority of local patients with osteoporosis during 1997-2000 are female, between the ages of 51-70, and the most male patients are between 61-70 years old. The primary residence area for most patients is the Kinmen County, and the next one is the Taichung County. As to the registration habits in seeking medical advice for the local patients with osteoporosis, we found that most of them were registered for the treatment of orthopedics surgery, in which most female patients were registered for obstetrics & gynecology treatment. Where the local hospitals were the most popular medical institutions, and the next were the medicine centers. In light of the results of Association Rule, it revealed that the known disease of osteoporosis has a closed relationship with postmenopausal women and also revealed some unknown rules, such as the relationship between menopausal syndrome with the osteoporosis and vulvovaginitis. Also, the classification results acquired by utilizing the technique of decision tree showed that medical expenditure claimed by most medical institutions were laid in the group of low expenditures, thus the results of this study can be provided for the National Health Insurance Bureau as an applicable reference.
44
Chu, Shu-hui, et 朱淑惠. « Survival Model Studying for Uremia Based on theNational Health Insurance Research Database ». Thesis, 2006. http://ndltd.ncl.edu.tw/handle/15282675757068369832.
Texte intégralRésumé :
碩士東吳大學
商用數學系
94
The purpose of this paper is to understand the uremia patients' survival model in Taiwan as defined by the Bureau of National Health Institute. As Taiwan's National Health Insurance Plan (NHIP) was implemented in 1995, a comprehensive database for individuals as defined by the Bureau of National Health Institute, the National Health Insurance Research Database (NHIRD), has accumulated 12 million administrative and claims data. As of the end of 2005, the coverage rate of the NHIP is about 98.7%. The NHIRD is representative of the overall population in Taiwan. In 2005, approximately fifty thousand Taiwanese who receive ongoing dialysis, at an annual cost of approximate $0.9 billion of NHIP as reported by Taiwan Society of Nephrology. The motivation for this study is to aid the efforts of insurance companies in designing and reserving health coverage plans which will take into account the findings of this paper.
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Chung, Wen-Hao, et 鍾文豪. « Using National Health Insurance Database to Explore Medical Needs of the Elderly ». Thesis, 2018. http://ndltd.ncl.edu.tw/handle/ydwct9.
Texte intégralRésumé :
碩士國立政治大學
統計學系
106
Population ageing has been speeding up in Taiwan. The proportion of elderly population was more than that of population under age 15 in 2017, and is expected to reach 20% before 2026. In responding to the challenge of population ageing in Taiwan, quite a few social policies and insurance plans are implemented, including the world-famous National Health Insurance (NHI). Because the elderly usually require more medical resources, about 5 times of the national average, population ageing implies heavier burden to Taiwan’s social insurance systems. In this study, we aim to explore the medical needs of the elderly, particular on those related chronic diseases, and provide the study results to government for policy making. The study objective is on the in-patient and end-of-life needs of Taiwan’s elderly. In particular, our goal is to evaluate the areas where the medical expenditure would suffer the most from the population ageing. We first investigate the medical utilization of inpatient visit, such as incidence rate and average day of hospital stay, and then evaluate the trend of medical usage. We use two random sample sets from Taiwan NHI database: 2005 Taiwan Longitudinal Study (LHID2005) and 2005 Taiwan’s elderly. Both of dataset contains the Registry for beneficiaries (ID), outpatient visits (CD), and inpatient admissions (DD). We found that the incidence rate and average length of stay of hospitalization both increased with age and did not change with time. In addition, the end-of-life medical needs of the elderly are significantly higher than those of the surviving population.
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Yang, Pei-Wen, et 楊佩雯. « Using National Health Insurance Database to Explore Medical Usage of Cancer Patients ». Thesis, 2018. http://ndltd.ncl.edu.tw/handle/dzbt5x.
Texte intégralRésumé :
碩士國立政治大學
統計學系
106
Catastrophic illness (CI) is one of the main features in National Health Insurance (NHI) Database. People with CI card can enjoy waiver of copayment and other medical benefits which reduce the financial burden of CI patients. As of October 2017, Ministry of Health and Welfare calculated that 900 thousand people has CI card, it means about 4% Taiwan’s population were with the CI card and they spend more than 27% of total medical expenditure of NHI. Since the probability with CI increases with age and decrease with death rate, the population aging and prolonging life are expected to worsen the financial burden of the NHI. We use NHI database to explore the difference of medical need with cancer patients before and after they got CI card. Hope the results can be used for early detection of cancer. In addition to prevention, it can efficiently control the expenditures of NHI. We analysis the feature of cancer patients by using the data from the NHI Database, including Registry for catastrophic illness patients (HV) and HV’s Ambulatory care expenditures by visits (HV_CD). We calculated prevalence rate, incidence rate, death rate and survival rate, and explore the medical need of cancer patients, and then explore the difference of medical need with cancer patients before and after they got CI card. We found that cancer incidence rate is increasing and cancer death rate is decreasing year by year. The cancer patients have a peak of medical treatments before getting CI cards, and cancer patients’ number of medical treatment before getting CI cards was higher than the average person. If cancer patients got the first CI card that was cancer card, and there was high probability to get another cancer card.
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Wu, Siao-Ting, et 吳曉亭. « A Study on Disclosure Risk of National Health Insurance Database in Taiwan ». Thesis, 2019. http://ndltd.ncl.edu.tw/handle/redvhr.
Texte intégralRésumé :
碩士中原大學
應用數學研究所
107
The National Health Insurance Database in Taiwan has accumulated for 25 years, which is abundant and huge amount. Although this is very convenient, the most worrying aspect is personal data leaked. The purpose of this study is to explore the disclosure risk of National Health Insurance Database in Taiwan, calculate the disclosure risk of the restructured National Health Insurance Database, and proposed statistical disclosure control that may be effective for National Health Insurance Database in Taiwan. It can more protect the privacy of individuals which is released from disclosure at the same time, taking into account the ability to analyze data. When studying the disclosure risk of the National Health Insurance Database, the researcher found that if the patient’s gender, age, date of visit and clinic were known, the probability of disclosure of medical information is up to 2.85% , so it is proposed to use the Regrouped Model to reduce disclosure risk. The Regrouped Model not only reduces the disclosure risk, but also find that the test statistic will decrease, indicating that it is less likely to be rejected than the original data.
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Yen, Ju-Chuan, et 顏如娟. « Using National Health Insurance Research Database toExplore Ocular Manifestations in Systemic Diseases ». Thesis, 2016. http://ndltd.ncl.edu.tw/handle/eb2z6s.
Texte intégralRésumé :
博士臺北醫學大學
醫學資訊研究所
104
Introduction Exploration of ophthalmological clinical presentations in systemic diseases could help to detect systemic disease timely. We used Taiwan’s national health insurance database to explore ophthalmological manifestations in systemic diseases in this dissertation. Materials and Methods: We searched PubMed using “National Health Insurance Database”, “Taiwan” and “Ophthalmology” as keywords as the first step of the research. There were 34 research articles targeting on the associations between ocular diseases and systemic diseases. Towards these 34 research articles, we found the corresponding ICD-9-CM disease codes of the ocular diseases and systemic diseases and examined their disease pair odds ratio in disease map. The second step of this research was to use disease map to investigate the associations between ophthalmological diseases (ICD-9-CM 360-379) and systemic diseases. Based on the result of the first step, we set the criteria of odds ratio and examined all the disease pairs which met the inclusion criteria. The third part of this research; we chose one disease pair to conduct a Cohort comparison study by using national health insurance database. Results: Using “national health insurance database”, “ Taiwan” and “ophthalmology” as keywords to search in PubMed, we have found 68 research articles. Among them, 34 articles were focusing on the association of ocular diseases and systemic diseases. And the results revealed that if the association results of these disease pairs in the 34 articles were positive, then the odds ratio were mostly greater than 5 and co-counts greater than 100. Based on these inclusion filtering criteria, we found 898 disease pairs, and among them we have found that autoimmune diseases and vascular diseases played an obvious role. We chose whether dry eye syndrome was a risk factor of Sjogren’s syndrome to conduct a cohort study. The results showed that the prevalence of dry eye syndrome was 4.87%, the incidence rates of developing SS were 4.8% for the DES group and 1.5% for comparison group, and the adjusted hazard ratio (with 95% confidence interval) was 3.64 (3.43–3.87). Conclusion: Using Taiwan’s National Health Insurance Database to explore ophthalmological manifestations in systemic diseases is helpful. And the three-step approach could be applied to other clinical disciplines as well.
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Pei-FuLi et 李培福. « Discovery of Potential Adverse Drug Reactions Using Electronic Health Databases ». Thesis, 2015. http://ndltd.ncl.edu.tw/handle/82678715922906007483.
Texte intégralRésumé :
碩士國立成功大學
醫學資訊研究所
103
Adverse drug reactions (ADRs) not only have become one of the leading causes of morbidity and mortality but also have impacted significantly on health care costs. Many approaches have been deployed to monitor drug safety, such as spontaneous reporting system (SRS) databases and electronic health record (EHR) databases. SRS databases suffer from a great number of problems that may lead to biased findings, including incomplete information and underreporting, while EHR databases are believed to have the potential to complement the existing SRS databases. In this thesis, we dedicate to the development of a framework which integrates different ADR signal detection methods to discover potential drug-ADR pairs from EHR databases. Based on the frequencies of occurrences of drugs and ADRs, we propose a weighted technique to reduce the influence of false positives in the extracted potential drug-ADR cases. The evaluation on the one real EHR database shows that our framework with the proposed weighted technique outperforms the prior methods in terms of mean of precision and mean average precision.
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King, Tatiana. « Privacy issues in health care and security of statistical databases ». Thesis, 2008. http://hdl.handle.net/1959.13/803191.
Texte intégralRésumé :
Research Doctorate - Doctor of Philosophy (PhD)Privacy of personal information is becoming a major problem in health care, in the light of coming implementation of electronic health record (EHR)systems. There is evidence of increasing public concern over privacy of personal health information that is to be stored in EHRs and widely used within the interconnected systems. The issues for the health care system include inadequate legislation for privacy in health care, as well as deficiency of effective technical and security measures. The work in the thesis is part of a larger project which aims to offer a comprehensive set of new techniques for protection of confidential individual's health data used for statistical purposes. The research strategy is to explore concerns about privacy in relation to legislation, attitudes to health care and technical protections in statistical databases. It comprised two different approaches: * content analysis of legal frameworks addressing protection of privacy in Australian health care, and * social research to explore privacy concerns in health care by Australians 18 years and over. This thesis presents a new multi-stage research to explore privacy concerns in health care raised by the development of EHR systems. Stage one involved 23 participants within four focus groups. Stage two was a national sample survey conducted with 700 respondents 18 years and over. The results of analysis are presented. They are compared with the results of other studies. The main findings of this thesis are: * revealing the main inadequacies in the Australian legal system for protecting privacy of health information in electronic health records; * determining characteristics of people who have concerns about the privacy of their health information; * identifying items of a health record which have to be protected and some reasons for that. The findings of the study will assist with the decision and solution for appropriate technical measures in statistical databases as well as issues of inadequacy in the existing privacy legislation. Furthermore, the work in this thesis confirmed a low awareness of public in relation to statistical use of personal health information and a low level of trust to automated systems of electronic health records which are initiated by the government. In conclusion, attitude towards privacy depends on individual's characteristics but also on existing legislation, public's awareness of this legislation,the means of resolving complaints, and awareness of technical means for privacy protection. Therefore, it is important to educate public in order for EHR system function to the full of its potential and the future innovations of information technology to strengthen health care and medical research.