Increased healthcare service utilizations for patients with dementia: a population-based study

The majority of previous studies investigating the health care utilization of people with dementia were conducted in Western societies. There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in...

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Published in:PloS one 2014-08, Vol.9 (8), p.e105789-e105789
Main Authors: Chung, Shiu-Dong, Liu, Shih-Ping, Sheu, Jau-Jiuan, Lin, Ching-Chun, Lin, Herng-Ching, Chen, Chao-Hung
Format: Article
Language:English
Subjects:
Age
Aged
Aged, 80 and over
Ambulatory care
Analysis
Bibliometrics
Care and treatment
Codes
Community colleges
Costs
Delivery of Health Care
Dementia
Dementia - diagnosis
Dementia - economics
Dementia - epidemiology
Dementia disorders
Diagnosis
Female
Health care
Health Care Costs
Health care expenditures
Health care industry
Health care policy
Health insurance
Health Services
Hospitals
Humans
Insurance claims
Long term health care
Male
Medical care utilization
Medical research
Medicare
Medicine
Medicine and Health Sciences
Mental health services
National health insurance
Patient Acceptance of Health Care
Patients
Population
Population studies
Population-based studies
Researchers
Resource utilization
Scientometrics
Sleep
Studies
Taiwan - epidemiology
Thoracic surgery
Urology
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cited_by cdi_FETCH-LOGICAL-c692t-9c09ab21d13cc6e2adf14505e4ba1d4c1fb10e0a0b8c87bd2c981ce2fcebe4e13
cites cdi_FETCH-LOGICAL-c692t-9c09ab21d13cc6e2adf14505e4ba1d4c1fb10e0a0b8c87bd2c981ce2fcebe4e13
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container_start_page e105789
container_title PloS one
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creator Chung, Shiu-Dong
Liu, Shih-Ping
Sheu, Jau-Jiuan
Lin, Ching-Chun
Lin, Herng-Ching
Chen, Chao-Hung
description The majority of previous studies investigating the health care utilization of people with dementia were conducted in Western societies. There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database. This study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services. As for utilization of psychiatric services, subjects with a dementia diagnosis had significantly more outpatient visits (2.2 vs. 0.3, p
doi_str_mv 10.1371/journal.pone.0105789
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There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database. This study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services. As for utilization of psychiatric services, subjects with a dementia diagnosis had significantly more outpatient visits (2.2 vs. 0.3, p<0.001) and significantly higher outpatient costs (US$124 vs. US$16, p<0.001) than comparison subjects. For non-psychiatric services, subjects with a dementia diagnosis also had significantly more outpatient visits (34.4 vs. 31.6, p<0.001) and significantly higher outpatient costs (US$1754 vs. US$1322, p<0.001) than comparison subjects. For all healthcare services, subjects with a dementia diagnosis had significantly more outpatient visits (36.7 vs. 32.0, p<0.001) and significantly higher outpatient costs (US$1878 vs. US$1338, p<0.001) than comparison subjects. Furthermore, the total cost was about 2-fold greater for subjects with a dementia diagnosis than for comparison subjects (US$3997 vs. US$2409, p<0.001). 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There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database. This study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services. 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There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database. This study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services. As for utilization of psychiatric services, subjects with a dementia diagnosis had significantly more outpatient visits (2.2 vs. 0.3, p<0.001) and significantly higher outpatient costs (US$124 vs. US$16, p<0.001) than comparison subjects. For non-psychiatric services, subjects with a dementia diagnosis also had significantly more outpatient visits (34.4 vs. 31.6, p<0.001) and significantly higher outpatient costs (US$1754 vs. US$1322, p<0.001) than comparison subjects. For all healthcare services, subjects with a dementia diagnosis had significantly more outpatient visits (36.7 vs. 32.0, p<0.001) and significantly higher outpatient costs (US$1878 vs. US$1338, p<0.001) than comparison subjects. Furthermore, the total cost was about 2-fold greater for subjects with a dementia diagnosis than for comparison subjects (US$3997 vs. US$2409, p<0.001). We concluded that subjects who had received a clinical dementia diagnosis had significantly higher utilization of all healthcare services than comparison subjects.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25157405</pmid><doi>10.1371/journal.pone.0105789</doi><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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1932-6203
language eng
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source PubMed (Medline); ProQuest - Publicly Available Content Database
subjects Age
Aged
Aged, 80 and over
Ambulatory care
Analysis
Bibliometrics
Care and treatment
Codes
Community colleges
Costs
Delivery of Health Care
Dementia
Dementia - diagnosis
Dementia - economics
Dementia - epidemiology
Dementia disorders
Diagnosis
Female
Health care
Health Care Costs
Health care expenditures
Health care industry
Health care policy
Health insurance
Health Services
Hospitals
Humans
Insurance claims
Long term health care
Male
Medical care utilization
Medical research
Medicare
Medicine
Medicine and Health Sciences
Mental health services
National health insurance
Patient Acceptance of Health Care
Patients
Population
Population studies
Population-based studies
Researchers
Resource utilization
Scientometrics
Sleep
Studies
Taiwan - epidemiology
Thoracic surgery
Urology
title Increased healthcare service utilizations for patients with dementia: a population-based study
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