Did the treatment outcomes for Yilan's acute myocardial infarction (AMI) patients improve after the opening of the Hsuehshan Tunnel?

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Title:	Did the treatment outcomes for Yilan's acute myocardial infarction (AMI) patients improve after the opening of the Hsuehshan Tunnel?
Authors:	蔡偉德;Lin, I-Ching;Li, Shu-Fen;Tsai, Wei-Der
Contributors:	管理學院產業經濟研究所
Keywords:	Access;Clinical outcomes;Counties;Health care industry;Heart attacks;Hospitalization;Hospitals;Manpower;Medical treatment;Migration;Mortality;Mortality rates;Myocardial infarction;National health insurance;Patients;Readmission;Regions;Staffing;Transportation;Treatment outcomes;Tunnels
Date:	2012-08-01
Issue Date:	2026-04-23 12:46:57 (UTC+8)
Publisher:	Taipei: Taiwan Public Health Association
Abstract:	摘要： Objectives: The purpose of this paper was to investigate whether there was an improvement in the treatment outcomes for AMI patients in Yilan County after the opening of the Hsuehshan Tunnel on June 16, 2006. The Hsuehshan Tunnel connects Taipei City with Yilan County and substantially cuts down the traveling time between the two regions. It may facilitate the migration of medical manpower between the two regions and increase accessibility to medical center hospitals for Yilan's inhabitants. Methods: By using the 2004-2008 National Health Insurance Database, we estimated the changes in the 30-day mortality rate and readmission rate of Yilan's AMI patients via the logistic regression model and difference-in-differences. Results: We found that 30-day mortality rates for AMI patients in Yilan County did decline after the opening of the Hsuehshan Tunnel. This finding persisted when AMI patients in Yilan County and Hualien County were compared via difference-in-differences. There was also a decline in the readmiss 出版者： Taipei: Taiwan Public Health Association 出版日期： 2012-08-01 出處： Taiwan gong gong wei sheng za zhi (Taiwan gong gong wei sheng xue hui), 2012-08, Vol.31 (4), p.388 資源來源： Airiti Library. Chinese Electronic Periodical Services (CEPS) 版權： Copyright Taiwan Public Health Association Aug 2012 識別號： ISSN: 1023-2141
Appears in Collections:	[Graduate Institute of Industrial Economics] journal & Dissertation

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