中山醫學大學機構典藏 CSMUIR:Item 310902500/10499
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    题名: Health-care utilization and costs in Taiwanese pediatric patients with asthma.
    作者: Sun HL
    Kao YH
    Lu TH
    Chou MC
    Lue KH
    贡献者: 中山醫學大學
    关键词: asthma;cost;health-care utilization
    日期: 2007-02
    上传时间: 2015-03-18T05:07:22Z (UTC)
    ISSN: 1328-8067
    摘要: BACKGROUND:
    In many countries, the burden of asthma is sufficient to warrant recognition as a high-priority disorder in governmental health strategies. However, the components of the total health-care costs for pediatric patients with asthma have not been well studied, and an overall understanding of health-care utilization patterns in this population is lacking in Taiwan.
    METHODS:
    A total of 33 461 patients aged 3-17 years who were enrolled in the National Health Insurance Research database from 1 January to 31 December 2002 were evaluated. Health-care utilization and costs, including those related to office, outpatient hospital, emergency department, and inpatient hospital visits were compared between pediatric patients with and without asthma.
    RESULTS:
    In 2002, the period prevalence of treated asthma was 6.0%. Pediatric patients with asthma used substantially more services than did those without asthma in all categories. Hospital outpatient visits and overall health-care expenditure for patients with asthma were 2.2-fold higher than those of patients without asthma. Asthma care represented 20% of all health-care services that patients with asthma received, while the remaining 80% were for non-asthma care. Almost three-fourths of all asthma-related costs were attributable to office and hospital outpatient visits; one-fourth was attributable to urgent care and hospitalizations.
    CONCLUSIONS:
    These findings may serve as baseline data for future evaluation of changes in health-care utilization and expenditure among pediatric patients with asthma.
    URI: https://ir.csmu.edu.tw:8080/ir/handle/310902500/10499
    http://dx.doi.org/10.1111/j.1442-200X.2007.02317.x
    關聯: Pediatr Int. 2007 Feb;49(1):48-52.
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