A Cohort Study on Acute Circulatory Diseases among Medical Personnel Using the National Health Insurance Research Database

• Main Authors: Wang,Tsui-Yi, 王翠儀
• Other Authors: Cheng,Tain-Junn
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/03270836572877305356

碩士 === 嘉南藥理大學 === 職業安全衛生系 === 102 === Long-term overload from work could facilitate the development of circulatory diseases, including cardiovascular and cerebrovascular diseases. In the past several decades, the working environment of healthcare worker in Taiwan changed gradually. Due to the uneven distribution of manpower, many healthcare workers face long working hours and high working stress. Together with those, shift work makes medical personnel in Taiwan as a high-risk group for circulatory diseases. Data of one million subjects were obtained from a random population sample from the National Health Insurance Research Databaseas as a representative sample from 2000. We conducted a retrospective cohort study to assess the risk of acute circulatory diseases among medical personnels in Taiwan. Medical personnels were compared to controls matched by sex and age. We assessed the incidence of hospitalization due to acute circulatory diseases among groups using logistic regressions. We found that medical personnels in Taiwan had a lower risk of hospitalization due to acute circulatory diseases compared to the general population (hazard ratio [HR] = 0.75, p = 0.003). After stratification by professional categories, the HR among physicians was 0.70 (p = 0.005). After stratification by age, the HR among physicians aged between 35 to 50 years was 0.64 (p=0.035), while the HR among physicians aged below 35 years (p=0.73) or above 50 years (p=0.77). The differences did not reach statistical significance. None of the HRs in other medical personnels reached statistical significance (HR in nurses =0.81, HR in pharmacists = 0.73, HR in other medical personnels = 0.94; p > 0.05 in all groups). Although medical personnels have a more correct, complete medical knowledge with better self-care ability, still have a significant risk in facing high work pressure, long working hours and shift work. Therefore, workplace health promotion of health care personnels in hospitals to relieve pressure, prevent and treat chronic disease is mandntory.