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題名 Patterns of nonemergent visits to different healthcare facilities on the same day: a nationwide analysis in Taiwan 作者 Wu, Meng-Hsuan;Wu, Meng-Ju;Chou, Li-Fang;Chen, Tzeng-Ji
周麗芳貢獻者 財政系 日期 2014.04 上傳時間 27-Oct-2014 15:31:33 (UTC+8) 摘要 Doctor shopping is a common phenomenon in many countries. However, patterns of switching healthcare facilities on the same day were little known. The data were obtained from the longitudinal cohort datasets (LHID2010) of Taiwan`s National Health Insurance Research Database in 2010. Of 1,000,000 persons of the cohort with 13,276,928 nonemergent visits, 185,347 patients had visited different healthcare facilities within one day, with a total of 672,478 visits and 337,260 switches between facilities in 329,073 patient-days. While 63.0% (n= 212,590) of all switches occurred between facilities of the same accreditation level, 14.1% (n= 47,664) moved from lower to higher level, and 22.8% (n=77,006) moved in the opposite direction. In 33,689 switches, patients moved to the same specialty of another facility. In 48,324 switches, patients moved to another facility with the same diagnosis, and the most frequent diagnoses were diseases of the digestive system (11,148) and diseases of the respiratory system (10,393). In a densely populated country without strict referral regulation, a high percentage of Taiwanese people had the experience of visiting different healthcare facilities on the same day. The system of family physicians as personal doctors and gatekeepers to healthcare might ameliorate the harmful impact. 關聯 The Scientific World Journal, 2014, 627580 資料類型 article DOI http://dx.doi.org/10.1155/2014/627580 dc.contributor 財政系 en_US dc.creator (作者) Wu, Meng-Hsuan;Wu, Meng-Ju;Chou, Li-Fang;Chen, Tzeng-Ji en_US dc.creator (作者) 周麗芳 zh_TW dc.date (日期) 2014.04 en_US dc.date.accessioned 27-Oct-2014 15:31:33 (UTC+8) - dc.date.available 27-Oct-2014 15:31:33 (UTC+8) - dc.date.issued (上傳時間) 27-Oct-2014 15:31:33 (UTC+8) - dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/70818 - dc.description.abstract (摘要) Doctor shopping is a common phenomenon in many countries. However, patterns of switching healthcare facilities on the same day were little known. The data were obtained from the longitudinal cohort datasets (LHID2010) of Taiwan`s National Health Insurance Research Database in 2010. Of 1,000,000 persons of the cohort with 13,276,928 nonemergent visits, 185,347 patients had visited different healthcare facilities within one day, with a total of 672,478 visits and 337,260 switches between facilities in 329,073 patient-days. While 63.0% (n= 212,590) of all switches occurred between facilities of the same accreditation level, 14.1% (n= 47,664) moved from lower to higher level, and 22.8% (n=77,006) moved in the opposite direction. In 33,689 switches, patients moved to the same specialty of another facility. In 48,324 switches, patients moved to another facility with the same diagnosis, and the most frequent diagnoses were diseases of the digestive system (11,148) and diseases of the respiratory system (10,393). In a densely populated country without strict referral regulation, a high percentage of Taiwanese people had the experience of visiting different healthcare facilities on the same day. The system of family physicians as personal doctors and gatekeepers to healthcare might ameliorate the harmful impact. en_US dc.format.extent 1344990 bytes - dc.format.mimetype application/pdf - dc.language.iso en_US - dc.relation (關聯) The Scientific World Journal, 2014, 627580 en_US dc.title (題名) Patterns of nonemergent visits to different healthcare facilities on the same day: a nationwide analysis in Taiwan en_US dc.type (資料類型) article en dc.identifier.doi (DOI) 10.1155/2014/627580 en_US dc.doi.uri (DOI) http://dx.doi.org/10.1155/2014/627580 en_US
