https://scholars.lib.ntu.edu.tw/handle/123456789/495195
標題: | Poor self-rated health influences hospital service use in hospitalized inpatients with chronic conditions in Taiwan | 作者: | Isaac V. McLachlan C.S. Baune B.T. CHUN-TA HUANG CHIA-YI WU |
公開日期: | 2015 | 卷: | 94 | 期: | 36 | 起(迄)頁: | e1477 | 來源出版物: | Medicine (United States) | 摘要: | Our aim was to investigate the association between selfrated health (SRH) and use of hospital services (ie, medical outpatient department, emergency department, and general ward. admissions). Cross-sectional study data were collected from 230 consecutive patients admitted to medical departments of a 2000-bed academic medical center in Taiwan using standardized operating procedures for data collection of SRH (ie, a single-item question inquiring overall perceived health status), medical disorders, depressive symptoms, and combined service utilization over a 1-year period (ie, number of visits to outpatient department, number of visits to emergency department, and number of hospitalizations). Electronic medical records were retrieved, with self-reported external medical visits added to in-hospital frequencies of service use to provide better estimation of health service utilization. Fifty-two percent of study patients rated their health as poor or very poor. Poor SRH was associated with more visits to medical outpatient department, emergency department, and hospital admission. Multivariate logistic regression demonstrated an independent association between poor SRH and services utilization after adjustment for age, gender, hypertension, diabetes, metastatic cancer, number of chronic illness, life-threatening event, life-time suicidal ideation, and depression. SRH may be a useful research tool to model medical service use for inpatients with chronic conditions. Copyright ? 2015 Wolters Kluwer Health, Inc. All rights reserved. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/495195 | ISSN: | 0025-7974 | DOI: | 10.1097/MD.0000000000001477 | SDG/關鍵字: | adult; aged; apparent life threatening event; Article; chronic disease; chronic kidney disease; congestive heart failure; cross-sectional study; depression; diabetes mellitus; electronic medical record; emergency ward; female; gender; health care utilization; hospital admission; hospital utilization; hospitalization; human; hypertension; major clinical study; male; medical service; metastasis; outpatient care; outpatient department; peptic ulcer; priority journal; self care; self rated health; suicidal ideation; Taiwan; ward; chronic disease; health service; health status; International Classification of Diseases; Karnofsky Performance Status; middle aged; patient attitude; prevention and control; psychology; questionnaire; self evaluation; standards; statistics and numerical data; utilization; Adult; Aged; Chronic Disease; Cross-Sectional Studies; Diagnostic Self Evaluation; Female; Health Services; Health Services Misuse; Health Status; Hospitalization; Humans; International Classification of Diseases; Karnofsky Performance Status; Male; Middle Aged; Patient Acceptance of Health Care; Surveys and Questionnaires; Taiwan |
顯示於: | 護理學系所 |
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