https://scholars.lib.ntu.edu.tw/handle/123456789/543857
標題: | Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system | 作者: | Chung S.-D. SHIH-PING LIU Li H.-C. Lin H.-C. |
公開日期: | 2014 | 出版社: | Public Library of Science | 卷: | 9 | 期: | 1 | 起(迄)頁: | e87522 | 來源出版物: | PLoS ONE | 摘要: | Background: 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. Methods: 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. Results: 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. Conclusions: 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 comorbidities. ? 2014 Chung et al. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900398846&doi=10.1371%2fjournal.pone.0087522&partnerID=40&md5=8a658674622028ce61f184bc3c02bb2b https://scholars.lib.ntu.edu.tw/handle/123456789/543857 |
ISSN: | 1932-6203 | DOI: | 10.1371/journal.pone.0087522 | SDG/關鍵字: | cystistat; hyaluronic acid; unclassified drug; adult; age distribution; aged; ambulatory care; article; controlled study; cross-sectional study; cystalgia; female; health care cost; health care planning; health care system; health care utilization; health insurance; health service; human; interstitial cystitis; major clinical study; middle aged; morbidity; multivariate logistic regression analysis; national health insurance; population research; Taiwan; urbanization; Abdominal Pain; Adolescent; Adult; Aged; Ambulatory Care Facilities; Case-Control Studies; Cross-Sectional Studies; Cystitis, Interstitial; Delivery of Health Care; Female; Humans; Middle Aged; Single-Payer System; Taiwan; Urology Department, Hospital; Young Adult |
顯示於: | 醫學系 |
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