The Ecology of Gynecological Care for Women

Autor: Chia Lin Chou, Li Fang Chou, Chia Pei Chang, Hann Chin Yu, H. Irene Su, Tzeng Ji Chen, Chun Chih Shao, Yueh Ching Chou
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Health
Toxicology and Mutagenesis

gynecological
8.1 Organisation and delivery of services
lcsh:Medicine
Toxicology
Ambulatory Care Facilities
Cohort Studies
Continuing medical education
Outpatient clinic
Young adult
Medicine
Chinese Traditional

education.field_of_study
Emergency Service
Ecology
national health insurance
Middle Aged
Health Services
Hospitalization
Women's Health Services
ecology
medical care
utilization
Cohort
Medicine
Female
Emergency Service
Hospital

Cohort study
Adult
medicine.medical_specialty
Adolescent
Population
MEDLINE
Taiwan
Article
Hospital
Young Adult
Clinical Research
medicine
Humans
education
Aged
Inpatients
business.industry
lcsh:R
Public Health
Environmental and Occupational Health

Chinese Traditional
National health insurance
Gynecology
Family medicine
Generic health relevance
business
Zdroj: International Journal of Environmental Research and Public Health, Vol 11, Iss 8, Pp 7669-7677 (2014)
Chang, CP; Chou, CL; Chou, YC; Shao, CC; Irene Su, H; Chen, TJ; et al.(2014). The ecology of gynecological care for women. International Journal of Environmental Research and Public Health, 11(8), 7669-7677. doi: 10.3390/ijerph110807669. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/1601x6kc
International Journal of Environmental Research and Public Health; Volume 11; Issue 8; Pages: 7669-7677
International journal of environmental research and public health, vol 11, iss 8
International Journal of Environmental Research and Public Health
ISSN: 1660-4601
Popis: Gynecological care is vital to women's health but utilization of gynecological care has been seldom addressed. We applied the population-based 'ecology model' to demonstrate the utilization of gynecological care of women, with examples from Taiwan. We analyzed the claims data from the cohort datasets within the National Health Insurance Research Database in Taiwan. Women's utilization of gynecological care in 2009 was computed. Of 1000 women, 319 utilized gynecological care at least once, 277 visited Western medicine clinics, 193 visited physician clinics, 118 visited hospital-based outpatient clinics, 73 visited traditional Chinese medicine clinics, eight were hospitalized, four were hospitalized in an academic medical center, and four visited emergency departments. More than 90% of young and middle-aged women who sought gynecological care visited gynecologist clinics. Elderly women were less likely to utilize gynecological care in all settings of medical care, but were more likely to be attended by non-gynecologists. Young women tended to visit emergency departments. The ecology model highlighted age disparities in women's utilization of gynecological care in various settings of medical care. Since gynecological conditions were common among women, more attention should be paid on the availability of gynecologists and continuing medical education in gynecological care for non-gynecologists to guarantee women's health. © 2014 by the authors; licensee MDPI, Basel, Switzerland.
Databáze: OpenAIRE