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

<h4>Background</h4>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 t...

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Autores principales:	Shiu-Dong Chung, Shih-Ping Liu, Jau-Jiuan Sheu, Ching-Chun Lin, Herng-Ching Lin, Chao-Hung Chen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/01b85d644fc7497fab77c2c6bf741d39
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spelling	oai:doaj.org-article:01b85d644fc7497fab77c2c6bf741d392021-11-25T06:03:14ZIncreased healthcare service utilizations for patients with dementia: a population-based study.1932-620310.1371/journal.pone.0105789https://doaj.org/article/01b85d644fc7497fab77c2c6bf741d392014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25157405/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>We concluded that subjects who had received a clinical dementia diagnosis had significantly higher utilization of all healthcare services than comparison subjects.Shiu-Dong ChungShih-Ping LiuJau-Jiuan SheuChing-Chun LinHerng-Ching LinChao-Hung ChenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 8, p e105789 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shiu-Dong Chung Shih-Ping Liu Jau-Jiuan Sheu Ching-Chun Lin Herng-Ching Lin Chao-Hung Chen Increased healthcare service utilizations for patients with dementia: a population-based study.
description	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>We concluded that subjects who had received a clinical dementia diagnosis had significantly higher utilization of all healthcare services than comparison subjects.
format	article
author	Shiu-Dong Chung Shih-Ping Liu Jau-Jiuan Sheu Ching-Chun Lin Herng-Ching Lin Chao-Hung Chen
author_facet	Shiu-Dong Chung Shih-Ping Liu Jau-Jiuan Sheu Ching-Chun Lin Herng-Ching Lin Chao-Hung Chen
author_sort	Shiu-Dong Chung
title	Increased healthcare service utilizations for patients with dementia: a population-based study.
title_short	Increased healthcare service utilizations for patients with dementia: a population-based study.
title_full	Increased healthcare service utilizations for patients with dementia: a population-based study.
title_fullStr	Increased healthcare service utilizations for patients with dementia: a population-based study.
title_full_unstemmed	Increased healthcare service utilizations for patients with dementia: a population-based study.
title_sort	increased healthcare service utilizations for patients with dementia: a population-based study.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/01b85d644fc7497fab77c2c6bf741d39
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Increased healthcare service utilizations for patients with dementia: a population-based study.

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