Effects of health-information-based diabetes shared care program participation on preventable hospitalizations in Taiwan
| Autor: | Hsiao-Feng Chang, Yia-Wun Liang, Yu-Hsiu Lin |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Catastrophic illness Adolescent Databases Factual Taiwan Comorbidity Preventable hospitalizations Health administration Diabetes shared care program Health Information Systems Young Adult 03 medical and health sciences 0302 clinical medicine Health care Health information system medicine Humans Medical history Longitudinal Studies 030212 general & internal medicine Aged Quality of Health Care Shared care business.industry lcsh:Public aspects of medicine 030503 health policy & services Health Policy Nursing research Public health Participation lcsh:RA1-1270 Middle Aged medicine.disease United States Hospitalization Logistic Models Diabetes Mellitus Type 2 Family medicine Income Female Health education 0305 other medical science business Research Article |
| Zdroj: | BMC Health Services Research, Vol 19, Iss 1, Pp 1-9 (2019) BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-019-4738-1 |
| Popis: | Background Taiwan’s Diabetes Shared Care Program has been implemented since 2012, and the health information system plays a vital role in supporting most services of this program. However, little is known regarding the effectiveness of this information-based program. Therefore, this study investigated the effects of the participation of the Diabetes Shared Care Program on preventable hospitalizations. Methods This longitudinal study examined the data of health-care claims from 2011 to 2014 obtained from the diabetes mellitus health database. Patients with diabetes aged ≥18 years were included. Preventable hospitalizations were identified on the basis of prevention quality indicators developed for administrative data by the US Agency for Healthcare Research and Quality. A multilevel logistic regression was performed to examine the effects of the participation of the Diabetes Shared Care Program on preventable hospitalizations after adjustment for other variables. Analyses were conducted in late 2018. Results A medium level of participation (p = 0.05), age between 40 and 64 years(p p p p = 0.0203), low income level(p p = 0.0106), and presence of many comorbidities(p Conclusions The health information system records patients’ medical history, monitors quality of care, schedules patient follow-ups, and reminds case managers to provide timely health education. This health-information-based Diabetes Shared Care Program is associated with better quality care of ambulatory, so it should be promoted on a broader scale. |
| Databáze: | OpenAIRE |
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