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透過分級醫療議題在社群媒體上訊息發佈與時序性發展，探討社會大眾對於在社群媒體上關注健康政策的效用。利用臉書（Facebook）Graph ... API與人工搜尋方式，擷取2016年9月22日至2018年9月30日間，以內含「分級醫療六大政策」相關關鍵字的臉書公開貼文（posts）作為研究對象，觀察各貼文其發布來源，就發文數量與時序間的變化，以及民眾按讚、回應及分享產生之貼文民眾參與情形進行研究。並利用臺灣大學意見詞詞典繁體版（NTUSD-traditional）進行語意傾向之情感分析判斷。2016年9月22日至2018年9月30日間，對於分級醫療議題的發文，以個人帳號為最多，政府機關則是五類別中發文數量最低的。至於發文民眾參與，則以新聞媒體為最高，醫療機構則最低。情感分析結果，平均最正向的是政府機關，次之是醫療機構，接著由高至低分別為個人帳號、其他組織及新聞媒體。社群媒體提供可供民眾自由發表意見與看法的虛擬平台，有別於傳統瞭解民意的途徑，社群媒體在獲得訊息的同時，還能進一步分析抱持正向意見或反向意見的來源。因應社群媒體的興起，政府機關可評估將社群媒體納為瞭解多元民意的管道之一。 more

目標：探討醫院評鑑的醫院分級結果，是否與醫療品質資訊公開指標有顯著的相關性，以及醫院層級的差異與異動是否也符合醫療品質指標的測量結果。方法：採橫斷式研究法，2008年到2018年間醫療品質資訊公開網中所公布的三類疾病別與處置別：急性心肌梗塞、糖尿病、透析治療、醫院整體性指標，共16項品質指標進行分析。在控制權屬別、健保分區別等醫院特質後，探討醫院層級別在三類疾病別與處置別的品質指標中，是否有顯著差異。另外，比較醫院層級有變動的醫院在13項指標品質的差異。結果：16項指標中有10項指標於醫院層級別呈現顯著差異；其中7項急性心肌梗塞的指標，皆是醫學中心的指標平均值優於區域醫院，區域醫院又優於地區醫院；但在糖尿病與透析治療的相關指標中，則無顯著差異。在研究觀察期間評鑑等級升格的11間醫院中，僅有3間醫院的品質表現是明顯優於原層級同儕醫院，且與新層級醫院群體之品質表現相當。結論：醫院評鑑之結果，未必能反映不同層級醫院在部分常見疾病別與處置別照護品質之品質表現。建議未來應進一步探討品質資訊公開與醫院評鑑標準中對醫療品質的測量，是否能全面性反應個別醫院醫療品質之良窳。使民眾在參考這些資訊時做出更合適的就醫選擇。

全民健保自1998年陸續實施牙醫門診、中醫、西醫基層、醫院等部門之總額支付制度，在此制度下將預算分配到健保署各業務分組，以促進各地區醫療資源之有效自主管理。然而目前各總額部門之地區預算分配方式互異，雖遭致許多批評但應如何修訂迄今仍難凝聚各方共識。部分醫界代表及專家學者認為，除了現行地區預算分配方式中納入的分配參數，也應將各地區醫療需求程度差異、人口風險因子、醫療服務提供者之執業成本、醫療服務供給等因素納入考量。因此本研究經由文獻探討，瞭解實施總額支付制度或醫療先進之國家，其地區醫療預算分配方式、參考因素、發展趨勢與經驗，以提出臺灣全民健保總額支付制度下地區預算分配方式之改善方向及具體建議，提供主管機關作為未來政策修訂之參考。本研究經由文獻探討發現，英國、澳洲、紐西蘭等國有進行地區醫療預算之分配，且均採用「以人口為基礎」（population-based）、或稱為「以需求為基礎」（need-based）之預算分配方法。分配預算的參考因素或校正因子除了基本的年齡、性別組成，多數國家也納入民眾罹病狀態、社經特性以反映不同地區民眾對醫療需求的差異；有些國家亦將供給面的成本差異或未被滿足的醫療需求等因素納入分配預算的條件。各國預算分配機制除了反映醫療需求的差異，也期望透過地區預算的分配降低地區間的醫療資源分配不公平。本研究建議於未來的地區預算分配機制中，納入罹病狀態與社經特性等參考因子，並建議發展本土化、共通性的社經特性測量工具，並進行調查研究以瞭解現況下民眾有多少未被滿足的醫療需求。

碩士 嘉南藥理大學 化粧品應用與管理系 103 This study is investigation the application of polymeric liquids as high temperture stationary phase for gas chromatograhy. The polymeric ionic liquids systhesis steps was ... following, the imidazole reacted with 1-bromo-6-chlorohexane to form the monomer first. The monomers were placed in ethylene glycol for self-polymerization, then 1-vinylimidazole was added for terminal group modification. Lithium bis (trifluoromethanesulfon) imide was added for anion exchange. Finally, azobisisobutyronitrile was added for free radical cross linking. The structures of monomer and polymer was determination by nuclear magnetic resonance. The phane change was observed by differential scanning calorimetry. The molecular weight of polymer was determination by gel permeation chromatography. For the column test, a gas chromatography with flame ionization detector was used for compounds separation evaluation. Several types compounds were used for test, including alkanes (C8~C40), alcohols, PAHs, benzenes and more

碩士 中國文化大學 體育學系運動教練碩博士班 102 This study investigated whether university students’ expectations for career development would vary by experience of participation in sports clubs. Specifically, this study ... aimed to : (1) factors affecting their participation in sports clubs; (2) benefits of participation in sports clubs; (3) effects of participation in sports club on career development; and (4) whether participation in sports clubs could help them attain their ultimate career goals. Based on a qualitative research approach, this study collected data from in-depth interview, field notes, and participant observation. The data included experiences of participation in sports clubs and expectations for career development. After collecting the data, this study established research questions and derived the following findings: (1) Most students participated in sports clubs out of “interest”. (2) In addition to good memories, students gained opportunities to collaborate with others, closer relationships with others, and ph more

碩士 慈濟大學 公共衛生學系碩士班 100 Background: Taiwan has a comprehensive health care services, but the difference in mortality between urban and rural areas still exist. Many factors that affect mortality ... including lifestyle, socioeconomic status and the health care service. Amenable mortality is a widely used indicator in the measurement of health outcome. When amenable mortality is higher in the area of medical resources inadequate or uneven distributed, that means the government should pay more attention to the health care investment. Objectives: First, to explore amenable mortality and its trend between aboriginal and non-aboriginal areas in Hualien during 1986 to 2010. Second, to compare the trends of amenable mortality before and after the implementation of National Health Insurance (NHI). Methods: We used direct standardized method to calculate amenable mortality rates and gender-specific, age-specific and cause-specific amenable mortality rates. Joinpoint regression was used to identify changes in mortality trend more

碩士 國立臺灣大學 外國語文學研究所 107 In this thesis, I read the works of the Irish novelist Eimear McBride, A Girl is a Half-formed Thing (2013) and The Lesser Bohemians (2016), as failed stories of development ... and trauma narratives. Marked by truncated words and broken syntax, McBride''s elliptical style enacts the impacts of sexual abuse on language and human psyche, and penetrates to the core of bodily experience and trauma, breaking out of the radical interiority of pain. Read together, Girl and Bohemians are two sides of the same coin, as they explore alternative models of subject formation in a hostile environment that hinders maturation. In Girl, the nameless girl''s interior monologue shows that she is incapable of externalizing trauma, and her profound isolation culminates in her half-formed identity and life. By contrast, in Bohemians, the conversation between the two protagonists indicates that survival is possible through the witnessing of trauma based on the responsibility towards the other''s alterity. A relational model of subjectivity, then, is needed in the face of trauma. On the other hand, the silenced mothers in the two novels suggest that the breakdown of the balance between self-assertion and mutual recognition, which leads to the polarities of effacement or unconditional elevation of the other, is the potential origin of trauma. more