Medical care needs for patients receiving home healthcare in Taiwan: Do gender and income matter?
| Autor: | Kai-Ping Zhang, Chao A. Hsiung, Jung-Yu Liao, Fang-Yi Huang, Ping-Jen Chen, Sang-Ju Yu, Chung-Han Ho |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Pulmonology Economics Double burden Social Sciences Disease Vascular Medicine Geographical Locations Medical Conditions 0302 clinical medicine Health care Medicine and Health Sciences Public and Occupational Health 030212 general & internal medicine Aged 80 and over Feminization of poverty Multidisciplinary 030503 health policy & services Middle Aged Home Care Services Socioeconomic Aspects of Health Stroke Oncology Neurology Nephrology Renal Cancer Income Medicine Female 0305 other medical science Research Article medicine.medical_specialty Asia Science Chronic Obstructive Pulmonary Disease Cerebrovascular Diseases Taiwan MEDLINE 03 medical and health sciences Health Economics Sex Factors medicine Humans Aged Poverty business.industry Odds ratio Integrated care Health Care Cross-Sectional Studies Socioeconomic Factors Family medicine People and Places Women's Health business Delivery of Health Care Health Insurance |
| Zdroj: | PLoS ONE PLoS ONE, Vol 16, Iss 2, p e0247622 (2021) |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0247622 |
| Popis: | Studies about medical care needs for home healthcare (HHC) previously focused on disease patterns but not gender and income differences. We used the Taiwan National Health Research Insurance Database from 1997 to 2013 to examine trends in medical care needs for patients who received HHC, and the gender and income gaps in medical care needs, which were represented by resource utilization groups (RUG). We aimed to clarify three questions: 1. Are women at a higher level of medical care needs for HHC than men, 2. Does income relate to medical care needs? 3. Is the interaction term (gender and income) related to the likelihood of medical care needs? Results showed that the highest level of medical care need in HHC was reducing whereas the basic levels of medical care need for HHC are climbing over time in Taiwan during 1998 and 2013. The percentages of women with income-dependent status in RUG1 to RUG4 are 26.43%, 26.24%, 30.68%, and 32.07%, respectively. Women were more likely to have higher medical care needs than men (RUG 3: odds ratio, OR = 1.17, 95% confidence interval, CI = 1.10–1.25; RUG4: OR = 1.13, 95% CI = 1.06–1.22) in multivariates regression test. Compared to the patients with the high-income status, patients with the income-dependent status were more likely to receive RUG3 (OR = 2.34, 95% CI = 1.77–3.09) and RUG4 (OR = 1.98, 95% CI = 1.44–2.71). The results are consistent with the perspectives of fundamental causes of disease and feminization of poverty theory, implying gender and income inequalities in medical care needs. Policymakers should increase public spending for delivering home-based integrated care resources, especially for women with lower income, to reduce the double burden of female poverty at the higher levels of medical care needs for HHC. |
| Databáze: | OpenAIRE |
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