Disability and hospital care expenses among national health insurance beneficiaries: Analyses of population-based data in Taiwan

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Title Disability and hospital care expenses among national health insurance beneficiaries: Analyses of population-based data in Taiwan
Author Lin, Lan-Ping; Lee, Jiunn-Tay; Lin, Fu-Gong; Lin, Pei-Ying; Tang, Chi-Chieh; Chu, Cordia Ming-Yeuk; Wu, Chia-Ling; Lin, Jin-Ding
Journal Name Research in Developmental Disabilities
Year Published 2011
Place of publication United Kingdom
Publisher Elsevier
Abstract Nationwide data were collected concerning inpatient care use and medical expenditure of people with disabilities (N = 937,944) among national health insurance beneficiaries in Taiwan. Data included gender, age, hospitalization frequency and expenditure, healthcare setting and service department, discharge diagnose disease according to the ICD-9-CM coding system which has been used in Taiwan NHI diagnosis system. There were 27.88% of persons with disabilities have been hospitalized for treatments during the year 2005 and it was 3.5 times of the general population (7.95%). The mean of annual inpatient care expenditure was 163,544.21 NTD, and male patients use more inpatient care cost than female patients in people with disabilities. However, the hospitalization rate in female patients is statistical higher than male patients in the study (p < 0.001). Infectious and parasitic diseases, mental disorders, diseases of the respiratory system, diseases of the circulatory system, injury and poisoning were the top five reasons for hospitalization among the subjects. Our study also found that psychiatry, internal medicine, orthopedic, surgery and neurosurgery are the top five clinical divisions which the cases used more frequently than other clinical departments in hospitalizations. The present study presents the first information of hospitalization care and medical costs in people with disabilities based on a nationwide data analyzes in Taiwan. We suggest the importance of supporting people with disabilities during hospitalizations, following up rehabilitation and there is an urgent need for cost-effective intervention programs for disability prevention, which could be offset against the cost for treating the disabled in the future.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.ridd.2011.01.057
Volume 32
Issue Number 5
Page from 1589
Page to 1595
ISSN 0891-4222
Date Accessioned 2011-10-10; 2012-02-14T04:03:47Z
Date Available 2012-02-14T04:03:47Z
Research Centre Griffith Asia Institute
Faculty Faculty of Science, Environment, Engineering and Technology
Subject PRE2009-Care for Disabled; PRE2009-Public Health and Health Services
URI http://hdl.handle.net/10072/42525
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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