Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.

<h4>Background</h4>This study aims to investigate the differences in the utilization of healthcare services between patients with bladder pain syndrome/interstitial cystitis (BPS/IC) and patients without using a population-based database in Taiwan.<h4>Methods</h4>This study c...

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Autores principales:	Shiu-Dong Chung, Shih-Ping Liu, Hsien-Chang Li, Herng-Ching Lin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f52ab76c581e4b27a509274c9b2be9a2
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spelling	oai:doaj.org-article:f52ab76c581e4b27a509274c9b2be9a22021-11-18T08:34:58ZHealth care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.1932-620310.1371/journal.pone.0087522https://doaj.org/article/f52ab76c581e4b27a509274c9b2be9a22014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24489932/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>This study aims to investigate the differences in the utilization of healthcare services between patients with bladder pain syndrome/interstitial cystitis (BPS/IC) and patients without using a population-based database in Taiwan.<h4>Methods</h4>This study comprised of 350 patients with BPS/IC and 1,750 age-matched controls. Healthcare resource utilization was evaluated in the one-year follow-up period as follows: number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatment. A multivariate regression analysis was used to evaluate the relationship between BPS/IC and total costs of health care services.<h4>Results</h4>For urological services, patients with BPS/IC had a significantly higher number of outpatient visits (2.5 vs. 0.2, p<0.001) as well as significantly higher outpatient costs ($US166 vs. $US6.8, p<0.001) than the controls. For non-urologic services, patients with BPS/IC had a significantly high number of outpatient visits (35.0 vs. 21.3, p<0.001) as well as significantly higher outpatient cots ($US912 vs. $US675, p<0.001) as compared to the controls. Overall, patients with BPS/IC had 174% more outpatient visits and 150% higher total costs than the controls. Multiple-regression-analyses also showed that the patients with BPS/IC had significantly higher total costs for all healthcare services than the controls.<h4>Conclusions</h4>This study found that patients with BPS/IC have a significantly higher number of healthcare related visits, and have significantly higher healthcare related costs than age-matched controls. The high level of healthcare services utilization accrued with BPS/IC was not necessarily exclusive for BPS/IC, but may have also been associated with medical co-morbidities.Shiu-Dong ChungShih-Ping LiuHsien-Chang LiHerng-Ching LinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e87522 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shiu-Dong Chung Shih-Ping Liu Hsien-Chang Li Herng-Ching Lin Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.
description	<h4>Background</h4>This study aims to investigate the differences in the utilization of healthcare services between patients with bladder pain syndrome/interstitial cystitis (BPS/IC) and patients without using a population-based database in Taiwan.<h4>Methods</h4>This study comprised of 350 patients with BPS/IC and 1,750 age-matched controls. Healthcare resource utilization was evaluated in the one-year follow-up period as follows: number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatment. A multivariate regression analysis was used to evaluate the relationship between BPS/IC and total costs of health care services.<h4>Results</h4>For urological services, patients with BPS/IC had a significantly higher number of outpatient visits (2.5 vs. 0.2, p<0.001) as well as significantly higher outpatient costs ($US166 vs. $US6.8, p<0.001) than the controls. For non-urologic services, patients with BPS/IC had a significantly high number of outpatient visits (35.0 vs. 21.3, p<0.001) as well as significantly higher outpatient cots ($US912 vs. $US675, p<0.001) as compared to the controls. Overall, patients with BPS/IC had 174% more outpatient visits and 150% higher total costs than the controls. Multiple-regression-analyses also showed that the patients with BPS/IC had significantly higher total costs for all healthcare services than the controls.<h4>Conclusions</h4>This study found that patients with BPS/IC have a significantly higher number of healthcare related visits, and have significantly higher healthcare related costs than age-matched controls. The high level of healthcare services utilization accrued with BPS/IC was not necessarily exclusive for BPS/IC, but may have also been associated with medical co-morbidities.
format	article
author	Shiu-Dong Chung Shih-Ping Liu Hsien-Chang Li Herng-Ching Lin
author_facet	Shiu-Dong Chung Shih-Ping Liu Hsien-Chang Li Herng-Ching Lin
author_sort	Shiu-Dong Chung
title	Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.
title_short	Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.
title_full	Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.
title_fullStr	Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.
title_full_unstemmed	Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.
title_sort	health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/f52ab76c581e4b27a509274c9b2be9a2
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Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system.

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