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Yang Y.-T.,Taipei Medical University | Yang Y.-T.,National Taiwan University | Yang Y.-T.,Golden Dream Think Tank and Research Center | Iqbal U.,Taipei Medical University | And 9 more authors.
Computer Methods and Programs in Biomedicine | Year: 2015

Over the past two decades, the use of telemedicine as a way to provide medical services has grown as communication technologies advance and patients seek more convenient ways to receive care. Because developments within this field are still rapidly evolving, identifying trends within telemedicine literature is an important task to help delineate future directions of telemedicine research. In this study, we analyzed 7960 telemedicine-related publication records found in the Science Citations Index - Expanded database between 1993 and 2012. Bibliometric analyses revealed that while the total growth in telemedicine literature has been significant in the last twenty years, the publication activity per country and over time has been variable. While the United States led the world in the cumulative number of telemedicine publications, Norway ranked highest when we ordered countries by publications per capita. We also saw that the growth in the number of publications per year has been inconsistent over the past two decades. Our results identified that neuroscience neurology and nursing as two fields of research in telemedicine that have seen considerable growth in interest in this field, and are poised to be the focus of research activity in the near future. © 2015 Published by Elsevier Ireland Ltd. Source

Yang Y.-T.,National Taiwan University | Yang Y.-T.,Golden Dream Think Tank and Research Center | Iqbal U.,Taipei Medical University | Ko H.-L.,Golden Dream Think Tank and Research Center | And 10 more authors.
International Journal for Quality in Health Care | Year: 2015

Objective: The purpose of this study was to explore the relationship between accessibility of healthcare facilities and medical care utilization among the middle-aged and elderly population in Taiwan. Design: Cross-sectional study from 2007 Taiwan Longitudinal Study on Ageing (TLSA) survey. Setting: Community-based study. Participants: A total of 4249 middle-aged and elderly subjects were recruited. Intervention(s): None. Main Outcome Measure(s): Outpatient visits within 1 month, and hospitalization, emergency visits as well as to shop in pharmacy stores within 1 year, respectively. Results: Adjusting for important confounding variables, the middle-aged and elderly with National Health Insurance (NHI) and commercial insurance compared with those with NHI alone tended to have outpatient visits. The middle-aged and elderly with longer time to access healthcare facilities were less likely to shop in pharmacy stores compared with those with <30 min. The middle-aged and elderly who perceived inconvenient to access health care tended to shop in pharmacy stores compared with those with perceived convenience. Conclusions: Our study of Taiwan's experience could provide a valuable lesson for countries that are planning to launch universal health insurance system, locate budgets in health care and transportation. The middle-aged and elderly whowere facing more challenges in accessing health care, no matter in perceived accessibility or real time to access health care, had less outpatient visits and more drug stores shopping. Strategic policies are needed to improve accessibility in increasing patients' perception on access and escalating convenience of transportation systemfor improving accessibility. © The Author 2015. Source

Yang Y.-T.,National Taiwan University | Yang Y.-T.,Golden Dream Think Tank and Research Center | Yang Y.-T.,Taipei Medical University | Wang Y.-H.,Taipei Medical University | And 8 more authors.
Archives of Gerontology and Geriatrics | Year: 2015

Purpose: Few nationwide comprehensive studies analyzed the factors leading to the onset of depression in correlation with medical disease and other related factors concerning geriatric depression. This study examined medical diseases with other factors which lead to depression among the elderly. Methods: This Taiwan-based longitudinal study examined a collection of 1467 seniors aged over 65. Subjects who fit this criteria were initially interviewed in 2003, and then four years later. Independent variables included baseline demographics, chronic medical illnesses, and the change of subjects' self-perceived health status, functional limitations including ADL, IADL and mobility limitation factors. The dependent variable was the symptoms of incident depression, as ascertained by the ten-item questionnaire during the later session. The logistic regression analyses were used to examine some of the predictors related to depressive disorders. Results: The findings showed that heart conditions (adjusted OR = 1.55, 95% CI: 1.12-2.15, p= 0.008) and joint disorders (adjusted OR = 1.51, 95% CI: 1.09-2.09, p= 0.013), as well as functional limitations, particularly IADL (adjusted OR = 1.81, 95% CI: 1.24-2.65, p= 0.002) and ADL (adjusted OR = 1.77, 95% CI: 1.27-2.47, p= 0.001) were independently associated with the onset of depression among the elderly population. Conclusion: These findings indicated that when classifying symptoms of depression in geriatric patients with several underlying medical diseases, keen attention should be directed to the type of medical disorders and the functional deterioration in terms of daily activities and autonomic capabilities. © 2015. Source

Yang Y.-T.,National Taiwan University | Yang Y.-T.,Golden Dream Think Tank and Research Center | Yang Y.-T.,Taipei Medical University | Elsa Hsu Y.-H.,Golden Dream Think Tank and Research Center | And 7 more authors.
International Journal for Quality in Health Care | Year: 2016

Objective: Population ageing is a global issue that affects almost every country.Most ageing researches focused on demand side and studies related to supply side were relatively scarce. This study selected quality enterprises focus on ageing health and analysed their patterns on providing quality services successfully. Design: Our study selected quality senior health enterprises and explored their success patterns through face-to-face semi-structured in-depth interviews with CEO of each enterprise in 2013. Setting: Thirty-three quality senior health enterprises in Taiwan. Participants: Thirty-three CEO's of enterprises were interviewed individually. Intervention: None. Main Outcome Measures: Core values and vision, historical development, organization structure, services/products provided, delivering channels, customer relationships and further development strategies. Results: Our results indicated success patterns for senior enterprises that there weremeeting diversified lifestyles and substitutive needs for the elderly and their caregivers, providing a total solution for actual/virtual integration and flexible one-stop shopping services. We classified these enterprises by used degree of clicks-and-mortar of services and residing situation of the elderly. Industry characteristics and policy implications were summarized. Conclusions: Our observations will serve as a primary evidenced base for enterprises developing their senior market, and also for opening dialogue between customers and enterprises to facilitate valuable opportunities for co-creation between the supply and demand sides. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care. Source

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