進階搜尋


   電子論文尚未授權公開,紙本請查館藏目錄
(※如查詢不到或館藏狀況顯示「閉架不公開」,表示該本論文不在書庫,無法取用。)
系統識別號 U0026-2608201511191100
論文名稱(中文) 以商業智慧法分析近端股骨骨折致病因子之城鄉差異
論文名稱(英文) A Business-Intelligence Approach toward the Difference Analysis for Proximal Femoral Fracture between Urban and Rural Hospitals
校院名稱 成功大學
系所名稱(中) 高階管理碩士在職專班(EMBA)
系所名稱(英) Executive Master of Business Administration (EMBA)
學年度 103
學期 2
出版年 104
研究生(中文) 陳維利
研究生(英文) Wei-Li Chen
學號 R07014827
學位類別 碩士
語文別 中文
論文頁數 59頁
口試委員 指導教授-李昇暾
口試委員-林清河
口試委員-耿伯文
口試委員-李經維
中文關鍵字 商業智慧  近端股骨骨折  城鄉差異  致病因子 
英文關鍵字 Business Intelligence  proximal femoral fracture  causes factors  the urban and rural areas 
學科別分類
中文摘要 台灣在1993 年起老年人的人口比率已超過7%,正式進入高齡化(aging)國家,也就是所謂老化社會,並推估2050年台灣將有超過三分之一是老年人口,因此,如何因應老化社會所帶來的變遷與挑戰,是眾人憂心的議題。而老年人髖關節骨折無論對病患、家屬或社會而言,均耗費巨大的醫療資源及社會成本。本研究運用商業智慧法收集南部某一家財團法人醫療機構,同時擁有都會型院區的區域教學醫院和鄉下院區的區域教學醫院,兩個院區收治的病患皆以當地居民為主,收集十年來分別發生在兩院區近端股骨骨折的病例,就髖關節骨折在城鄉之間的差異狀況來做分析。得到結論是性別在城鄉的差距不大,女性較多且比率相當,發生年齡鄉村地區骨折較晚,可見骨質狀況優於都會地區;就糖尿病,高血壓,或三高的病史而言,都會區髖部骨折的老人有這些慢性病的病史的比率都高於鄉村地區的老人;就骨折病史或對側髖部骨折的病史而言,鄉村地區的比率都是低於都會區的;至於出院的狀況,大部分骨折都可順利出院。本研究提供醫療人員可以給予病患更好的醫療照顧,特別是針對都市與鄉村的差異,同時提供醫院管理方針及提供相關衛教資訊。
英文摘要 Taiwan has become an aging country since 1993. It will become an aged country in 2017, and the population of elderly people will hold over 30 % in 2050. With the aging of the Taiwan population, the incidence of hip fracture is steadily increasing. Elderly patients with hip fracture are associated with substantial morbidity and mortality due to the presence of several coexisting medical condition; 30% of the elderly patients die within 1 year of hip fracture. Several factors have been shown to be predictive of hip fracture suffering, including sex, age, medical disease and osteoporosis. The aim of our study is to analyze the difference of the cause factors between the urban and rural area. We collected the cases of hip fractures about 10 years from a regional teaching hospital with an urban branch and a rural branch in Tainan city and the business-intelligence method was approached to analyze the difference of the cause factors of hip fracture between patients living in these two areas. The conclusion was that there were little differences between people living in these two areas but more bone strength in rural area and more elder suffered hip fracture in rural area.
論文目次 摘要 I
誌謝 VI
圖目錄 IX
第一章 緒論 1
1.1 研究背景與動機 1
1.2 研究目的 3
1.3 研究限制 3
第二章 文獻探討 5
2.1 近端股骨骨折 5
2.1.1 股骨的結構 5
2.1.2 致病機轉與骨折的流行病學 6
2.1.3致病因子 8
2.1.4骨折的分類和治療 9
2.1.5 骨關節系統城鄉的差異 12
2.2商業智慧 13
2.2.1 商業智慧的內涵 13
2.2.2 商業智慧方法論 14
2.2.3商業智慧構成元件 14
第三章 研究方法 20
3.1 研究流程 21
3.2 運用商業智慧系統協助日常管理與決策 21
3.3 商業智慧系統的建置 22
3.3.1 資料倉儲的資料維度模式 23
3.3.2 資料倉儲建置流程 24
3.4 線上即時分析處理資料模型建置 27
第四章 結果與分析 29
4.1 研究環境分析 29
4.2 研究對象 30
4.3 結果與分析 31
4.3.1 性別 31
4.3.2 年齡 32
4.3.3 糖尿病病史 35
4.3.4 高血壓病史 36
4.3.5 三高病史 38
4.3.6 骨折的病史 40
4.3.7 對側髖部骨折病史 42
4.3.8 出院狀態 44
4.3.9 多維度院區分析 45
第五章 結論與未來展望 51
5.1 結論與建議 51
5.2 未來展望 53
參考文獻 55
參考文獻 中文文獻
施麗媛(2003),老年骨折與處理,臺灣老年醫學會會訊,第51期,頁22-26。
洪秀娟、楊榮森、曹昭懿(2005),台灣髖部骨折之流行病學,臺灣醫學,第九卷第一期,頁29-38。
國健署(2007),台灣地區高血壓、高血糖、高血脂之追蹤調查研究。
郭仁富(2011),糖尿病與骨質疏鬆症,內科學誌,22,頁243-253。
陳憲煜、鄭哲舟、李昇暾、莊惠棋、張有彤(2015),以商業智慧方法論分析台灣健保體系下醫事人員流動趨勢,醫院雙月刊,第四十八卷第二期,頁6-23。
黃旭愉(2005),決策分析的利器—線上分析處理(OLAP),華南銀行資訊室,第32期。
黃喜南、楊榮森(2010),老年人髖部骨折手術前後的考量,台灣老年醫學暨老年學雜誌,第五卷第一期,頁22-35。
臺南市地區災害防救計劃,臺南市政府全球資訊網。
鄭奇浲(2012),50歲以上髖關節骨折之歷年發生率、死亡率與手術併發症分析-以台灣人口為基礎之世代研究。
錢鴻全(2012),都市與鄉村社區老年人的健康狀態及老年病症候群之比較,台灣老年醫學暨老年學雜誌,第七卷第四期,頁233-245。


英文文獻
Baumgaertner M.R., Higgins T.F., Bucholz R.W., Heckman J.D., Rockwood C.A., Green D.P.(2002), Femoral neck fractures. In: Rockwood and Green's Fractures in Adults, Bucholz RW, Lippincott Williams & Wilkins, Philadelphia, pp.1579.
Biere, M. (2003), Business intelligence for the enterprise: IBM Press.
Chami G., Jeys L., Freudmann M., Connor L., Siddiqi M.(2006), Are osteoporotic fracture being adequately investigated ? A questionjaire of GP and orthopaedic surgeons. BMC Fam Pract, 7(7).
Chang H.Y., Hsu C.C., Pan W.H., et al.(2010), Gender differences in trends in diabetes prevalence from 1993 to 2008 in Taiwan. Diabetes Res Clin Pract 90, pp.358-364.
Chaudhuri, S. & Dayal, U. (1997), An overview of data warehousing and OLAP technology. ACM Sigmod Record, 26(1), 65-74.
Codd, E.F., Codd, S. B., & Salley, C. T. (1993), Providing OLAP (On-line Analytical Processing) to User-Analysts: An IT Mandate. Codd & Date, Inc.
Cooper C., Campion G., Melton L.J. III(1992), Hip fractures in the elderly: aworld-wide projection. Osteoporos Int 2, pp.285-289.
Cummings S.R., Melton L.J. III(2002), Epidemiology and outcomes of osteoporotic fractures. Lancet 359, pp.1761-1767.
Farahmand B.Y., Michaelesson K., Ahlbom A., Ljunghall S., Baon J.A.(2005), Survival after hip fracture, Osteoporos Int 16, pp.1583-1590.
Filip R.S.(2001), Bone mineral density and osteoporosis in rural and urban women. Epidemiological study of the Lublin region (Eastern Poland). (Ann Argic Enviro Med: 8 (2) , pp.221-226.
Greene, R. (1996), Business intelligence and espionage: Dow Jones-Irwin.
Grigsby P.W., Roberts H.L., Perej C.A.(1995), Femoral neck fracture following groin irradiation. Int J Radiat Oncol Biol Phys 21, pp.63-67.
Gullberg B., Johnell O., Kanis J.A.(1997), World-wide projections for hip fracture. Osteoporos Int 7, pp.407-413.
Hammergren, T.(1996), Data Warehousing–Building the Corporate Knowledge Base. International Thomas Publishing Company. HarperCollins, New York.
Huang K.Y., Chang J.K., Ling S.Y., Endo N.(2000), Epidemiology of cervical and trochanteric fractures of the proximal femur in 1996 in Kaohsiung City, Taiwan. J Bone Miner Metab 18, pp.89-95.
Hwang L.C., Bai C.H., Chen C.J.(2006), Prevalence of obesity and metabolic syndrome in Taiwan: J Formos Med J Biomed Lab Sci 2009 Vol 20 No 3~4 Assoc 105, pp.626-635.
Inmon, W.H. (2002), Building the Data Warehouse (3rd.), New York: Wiley.
Inmon, W.H. (2005), Building the Data Warehouse (4ed.), New York: Wiley.
Johnell O.(1997), The socioeconomic burden of fracture : Today and in the 21st century . Am J Med 1997; 103: 20S-25S.
Johnell O.(1997), The socioeconomic burden of fractures: today and in the 21st century. Am J Med 1997;103:20S–5S. discussion 25S–26S.
Koh W.P., Wang R., Ang L.W. , et al.(2010), Diabetes and risk of hip fracture in the Singapore Chinese Health Study. Diabetes Care 33, pp.1766-1770.
Liporace F.A., Egol K.A., Tejwani N., Zuckerman J.D., Koval K.J.(2005), What’s new in hip fracture? Current concepts. Am J Orthop 34, pp.66-74.
Palaniappan. S., Chua. S. (2008), Clinical Decision Support Using OLAP With Data Mining. IJCSNS International Journal of Computer Science and Network Security, September 8 (9).
Pourabbas. E., Rafanelli. M.(2000), Hierarchies and Relative Operators in the OLAP Environment. SIGMOD Record, 29(1), pp. 32-37.
Ray N.F., Chan J.K., Thamer M., Melton L.J. 3rd(1997), Medical expenditures for the treatment of osteoporotic fracture in the united states in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res 12, pp. 24-35.
Reginster J.Y., Burlet N.(2006), Osteoporosis: A still increasing prevalence. Bone 38 (2)1, pp.S4-S9.
Sanders K.M.(2002), Fracture rates lower in rural than urban communities: the Geelong Osteoporosis Study, J Epidemiol Community Health 56, pp.466-470.
Seinsheimer F.(1978), Subtrochanteric fracture of the Femur, J.Bone Joint Surg. 60A, pp.300-306.
Sell, D., Cabral, L., Motta, E., Domingue, J., & Pacheco, R.(2005), Adding Semantics to Business Intelligence. Processings of the 16th International Workshop on Database and Expert Systems Applications.
Sharon L., Brennan(2010), The association between urban or rural locality and hip fracture in community-based adults:
a systematic review, J Epidemiol Community 64, pp.656-665.
Turban, E., Aronson, J.E., Liang, T.P., Sharda, R. (2007), Decision Support and Business Intelligence Systems.8th ed. Pearson Education, Inc. Upper Saddle River, New Jersey, Peason Prentice Hall.
Vitt, E., Luckevich, M., Misner, S. (2002), Business Intelligence: Making better decisions faster: Microsoft Press.
Yang S.(2014), Association between hypertension and fragility fracture: a longitudinal study, Osteoporosis Int., 25(1), pp.97-103.
論文全文使用權限
  • 同意授權校內瀏覽/列印電子全文服務,於2025-12-31起公開。


  • 如您有疑問,請聯絡圖書館
    聯絡電話:(06)2757575#65773
    聯絡E-mail:etds@email.ncku.edu.tw