Please use this identifier to cite or link to this item: https://ah.nccu.edu.tw/handle/140.119/22292


Title: Estimating medical costs of gastroenterological diseases
Authors: 周麗芳
Date: 2004-01
Issue Date: 2009-01-06 15:21:08 (UTC+8)
Abstract: AIM: To estimate the directmedical costs of gastroenterological
diseases within the universal health insurance program
among the population of local residents in Taiwan.
METHODS: The data sources were the first 4 cohort
datasets of 200 000 people from the National Health
Insurance Research Database in Taipei. The ambulatory,
inpatient and pharmacy claims of the cohort in 2001 were
analyzed. Besides prevalence and medical costs of diseases,
both amount and costs of utilization in procedures and drugs
were calculated.
RESULTS: Of the cohort with 183 976 eligible people, 44.2%
had ever a gastroenterological diagnosis during the year.
The age group 20-39 years had the lowest prevalence rate
(39.2%) while the elderly had the highest (58.4%). The
prevalence rate was higher in women than in men (48.5%
vs. 40.0%). Totally, 30.4% of 14 888 inpatients had ever a
gastroenterological diagnosis at discharge and 18.8% of
51 359 patients at clinics of traditional Chinese medicine had
such a diagnosis there. If only the principal diagnosis on each
claimwas considered, 16.2%of admissions, 8.0%of outpatient
visits, and 10.1%of the totalmedical costs (8 469 909 US dollars/
83 830 239 US dollars) were attributed to gastroenterological
diseases. On average, 46.0 US dollars per insured person in
a year were spent in treating gastroenterological diseases.
Diagnostic procedures related to gastroenterological diseases
accounted for 24.2%of the costs for all diagnostic procedures
and 2.3% of the total medical costs. Therapeutic procedures
related to gastroenterological diseases accounted for 4.5%
of the costs for all therapeutic procedures and 1.3% of the
total medical costs. Drugs related to gastroenterological
diseases accounted for 7.3% of the costs for all drugs and
1.9% of the total medical costs.
CONCLUSION: Gastroenterological diseases are prevalent
among the population of local residents in Taiwan, accounting
for a tenth of the total medical costs. Further investigations
are needed to differentiate
Relation: World Journal of Gastroenterology,10(2),273-278
Data Type: article
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