Medical Care Utilization and Expenditures Under Taiwan National Health Insurance Scheme Among Patients with Multiple Sclerosis
| Autor: | Pei-Hsuan Lee, 李培瑄 |
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| Rok vydání: | 2013 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 101 The multiple sclerosis is a kind of rare disease, and it is one of the top five rare diseases in Taiwan. In current healthcare system, although patients with multiple sclerosis are only provided treatments as relieves of symptoms on the mitigation, supportive care and functional rehabilitation. It still causes a serious financial burden for both patients and the authority of National Health Insurance. Objectives: The objectives of this study were to investigate multiple sclerosis outpatients and inpatient medical expenditure and their associated factors based on 2001-2005 National Health Insurance Research database in Taiwan. Methods: We used a cross-sectional retrospective study design, based on the 2001-2005 National Health Insurance databases of outpatient prescriptions and treatment detail files (CD) and inpatient use and medical expenditures detail files (DD). Multiple sclerosis patients (ICD-9-CM: 340) were selected in our study, and data was analyzed by IBM SPSS Statistics 21.0. Results: The results found that the number of multiple sclerosis in outpatient and inpatient care, women was three times more than men gender. The disease prevalence was 0.12-0.19/per 10,000 of general population, average age was 42-45 years old, and most of the patients treated in the neurological department. For outpatient utilization, gender, clinical department and hospital level had significant effects on outpatient care expenditure. With regards to inpatient care, case’s age, admission days had significant effects on inpatient care expenditure. In the hospital level of medical care utilization, most of patients were more likely to use private corporate hospitals than other kinds of hospital. Conclusions: In this study, it showed that those cases preferred to choose large medical institutions, and the medical accessibility were also affect the medical care utilization for this group of people. Finally, this study suggests healthcare system should monitor medical utilization regularly for patients with multiple sclerosis, and to initiate appropriate health policies for them in the future. Keywords: Rare disease, Multiple sclerosis, Prevention of Rare Disease and Drugs Act, Medical utilization, Medical expenditure, Inpatient, Outpatient |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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