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題名 Estimating medical costs of gastroenterological diseases 作者 周麗芳 日期 2004-01 上傳時間 6-一月-2009 15:21:08 (UTC+8) 摘要 AIM: To estimate the directmedical costs of gastroenterological\r\ndiseases within the universal health insurance program\r\namong the population of local residents in Taiwan.\r\nMETHODS: The data sources were the first 4 cohort\r\ndatasets of 200 000 people from the National Health\r\nInsurance Research Database in Taipei. The ambulatory,\r\ninpatient and pharmacy claims of the cohort in 2001 were\r\nanalyzed. Besides prevalence and medical costs of diseases,\r\nboth amount and costs of utilization in procedures and drugs\r\nwere calculated.\r\nRESULTS: Of the cohort with 183 976 eligible people, 44.2%\r\nhad ever a gastroenterological diagnosis during the year.\r\nThe age group 20-39 years had the lowest prevalence rate\r\n(39.2%) while the elderly had the highest (58.4%). The\r\nprevalence rate was higher in women than in men (48.5%\r\nvs. 40.0%). Totally, 30.4% of 14 888 inpatients had ever a\r\ngastroenterological diagnosis at discharge and 18.8% of\r\n51 359 patients at clinics of traditional Chinese medicine had\r\nsuch a diagnosis there. If only the principal diagnosis on each\r\nclaimwas considered, 16.2%of admissions, 8.0%of outpatient\r\nvisits, and 10.1%of the totalmedical costs (8 469 909 US dollars/\r\n83 830 239 US dollars) were attributed to gastroenterological\r\ndiseases. On average, 46.0 US dollars per insured person in\r\na year were spent in treating gastroenterological diseases.\r\nDiagnostic procedures related to gastroenterological diseases\r\naccounted for 24.2%of the costs for all diagnostic procedures\r\nand 2.3% of the total medical costs. Therapeutic procedures\r\nrelated to gastroenterological diseases accounted for 4.5%\r\nof the costs for all therapeutic procedures and 1.3% of the\r\ntotal medical costs. Drugs related to gastroenterological\r\ndiseases accounted for 7.3% of the costs for all drugs and\r\n1.9% of the total medical costs.\r\nCONCLUSION: Gastroenterological diseases are prevalent\r\namong the population of local residents in Taiwan, accounting\r\nfor a tenth of the total medical costs. Further investigations\r\nare needed to differentiate 關聯 World Journal of Gastroenterology,10(2),273-278 資料類型 article dc.creator (作者) 周麗芳 zh_TW dc.date (日期) 2004-01 en_US dc.date.accessioned 6-一月-2009 15:21:08 (UTC+8) - dc.date.available 6-一月-2009 15:21:08 (UTC+8) - dc.date.issued (上傳時間) 6-一月-2009 15:21:08 (UTC+8) - dc.identifier.uri (URI) https://ah.lib.nccu.edu.tw/item?item_id=23222 - dc.description.abstract (摘要) AIM: To estimate the directmedical costs of gastroenterological\r\ndiseases within the universal health insurance program\r\namong the population of local residents in Taiwan.\r\nMETHODS: The data sources were the first 4 cohort\r\ndatasets of 200 000 people from the National Health\r\nInsurance Research Database in Taipei. The ambulatory,\r\ninpatient and pharmacy claims of the cohort in 2001 were\r\nanalyzed. Besides prevalence and medical costs of diseases,\r\nboth amount and costs of utilization in procedures and drugs\r\nwere calculated.\r\nRESULTS: Of the cohort with 183 976 eligible people, 44.2%\r\nhad ever a gastroenterological diagnosis during the year.\r\nThe age group 20-39 years had the lowest prevalence rate\r\n(39.2%) while the elderly had the highest (58.4%). The\r\nprevalence rate was higher in women than in men (48.5%\r\nvs. 40.0%). Totally, 30.4% of 14 888 inpatients had ever a\r\ngastroenterological diagnosis at discharge and 18.8% of\r\n51 359 patients at clinics of traditional Chinese medicine had\r\nsuch a diagnosis there. If only the principal diagnosis on each\r\nclaimwas considered, 16.2%of admissions, 8.0%of outpatient\r\nvisits, and 10.1%of the totalmedical costs (8 469 909 US dollars/\r\n83 830 239 US dollars) were attributed to gastroenterological\r\ndiseases. On average, 46.0 US dollars per insured person in\r\na year were spent in treating gastroenterological diseases.\r\nDiagnostic procedures related to gastroenterological diseases\r\naccounted for 24.2%of the costs for all diagnostic procedures\r\nand 2.3% of the total medical costs. Therapeutic procedures\r\nrelated to gastroenterological diseases accounted for 4.5%\r\nof the costs for all therapeutic procedures and 1.3% of the\r\ntotal medical costs. Drugs related to gastroenterological\r\ndiseases accounted for 7.3% of the costs for all drugs and\r\n1.9% of the total medical costs.\r\nCONCLUSION: Gastroenterological diseases are prevalent\r\namong the population of local residents in Taiwan, accounting\r\nfor a tenth of the total medical costs. Further investigations\r\nare needed to differentiate - dc.format application/pdf en_US dc.format.extent 126731 bytes - dc.format.mimetype application/pdf - dc.language en en_US dc.language en-US en_US dc.language.iso en_US - dc.relation (關聯) World Journal of Gastroenterology,10(2),273-278 en_US dc.title (題名) Estimating medical costs of gastroenterological diseases en_US dc.type (資料類型) article en
