Title page for etd-0106114-093347


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URN etd-0106114-093347
Author Ching-Yi Mou
Author's Email Address No Public.
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Department Master Program of Health Care Management
Year 2013
Semester 1
Degree Master
Type of Document
Language zh-TW.Big5 Chinese
Title Analysis Cost-effectiveness in Departments of ENT and Oral Surgery for Oral Cavity Cancer
Date of Defense 2014-01-15
Page Count 71
Keyword
  • Survival days
  • ENT department
  • Oral cavity Cancer
  • Cost-effectiveness
  • Oral surgery
  • Expenditure
  • Abstract Compared with the year 2001, the cancer standard death rate reduced by 7.6% in 2011; however, a dramatic rise in oral cavity cancer grew by 18.1%. There has been a constant rise of medical expenditure on oral malignant tumor. The main preoccupation of domestic health care providers has been aiming to bring down cost and maintain medical quality. Most prior studies related to oral cavity cancer merely focused on the clinic outcomes. Therefore, this study aims to compare the cost-effectiveness between ENT (ear-nose-throat) and oral surgery departments. The samples of this study were drawn from the registered Taiwan National Health Insurance database in the period from 2002 to 2008. The total number of samples is two million strong, all randomly selected. These samples go through two more steps of reselection. First, the inclusion criteria is based on Inpatient expenditures by admission and Ambulatory care expenditures by visits from selective International Classification of Disease 9th version (ICD-9) codes 140, 141, 143, 144, 145, 149. Second, samples will be divided into ENT department or oral surgery department, whose chief medical department will later be determined by the highest number of occurrence. Classification of cancer stages and mode of treatments are also analyzed by Taiwan Cancer Registry Long form. Survival days are counted from the subtraction of patients' first clinic date and the death date. In all stages, ENT group has longer length of stays and higher hospital expenses. Better cost effectiveness is performed by ENT group on the third stage. The rest stages are performed better by oral surgery (the first, second and the fourth stage).There are no significances on survival days and treatment modes. Modes of treatment sequences and inadequate treatments should be further explored.
    Advisory Committee
  • Mu-Kuan Chen - chair
  • Shu-Chuan Jennifer Yeh - co-chair
  • Ying-Chun Li - advisor
  • Ya-Hsin Li - advisor
  • Files
  • etd-0106114-093347.pdf
  • Indicate in-campus at 5 year and off-campus access at 5 year.
    Date of Submission 2014-02-06

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