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  1. NTU Scholars
  2. 醫學院
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Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/496335
Title: Accountability and utilization of diabetes care from 2005 to 2014 in Taiwan
Authors: CHIH-YUAN WANG 
Wu Y.-L.
Sheu W.H.-H.
Tu S.-T.
Hsu C.-C.
Tai T.-Y.
Keywords: Accountability; Complication; Cost; Diabetes mellitus; Utilization
Issue Date: 2019
Publisher: Elsevier B.V.
Journal Volume: 118
Start page/Pages: S111-S121
Source: Journal of the Formosan Medical Association
Abstract: 
Background/purpose: Diabetes mellitus (DM) prevalence has been rapidly increasing in Taiwan and globally. Team care for DM has been provided through diabetes shared-care networks in Taiwan more than 20 years. Methods: The study analyzed the National Health Insurance (NHI) claims data from 2005 to 2014 to better understand diabetes care accountability and utilization in Taiwan. Results: The completion rate of annual check-ups for various metabolic measurements increased significantly, which indicates improvement in diabetes management quality. The average annual visits and drug cost for each patient increased enormously from 2005 to 2014. The annual number of outpatient department/inpatient department (OPD/IPD) patients with diabetes undergoing dialysis increased. The number of OPD visits in patients with diabetes was 1.9 times higher than that in all patients in general. IPD cost appeared to increase, whereas both drug cost and the average length of hospitalization per patient decreased. Endocrine and metabolic diseases were still the leading cause of OPD expenses. The leading cause of IPD expenses was respiratory diseases. An increasing trend was noted in the medical cost for patients with microvascular instead of macrovascular complications. OPD care for patients with diabetes was rather evenly distributed since 2009. Regarding IPD care, medical centers and regional hospitals each hospitalized 37% of the diabetic outpatients in 2014. Conclusion: Accountability of diabetes care in Taiwan improved significantly till 2014. The ongoing fight against DM and tracing, examining and learning from the overall outcomes in future decades is still required. ? 2019
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85072609592&doi=10.1016%2fj.jfma.2019.08.010&partnerID=40&md5=46d7b5d2ff598a149add1098293f8719
https://scholars.lib.ntu.edu.tw/handle/123456789/496335
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2019.08.010
SDG/Keyword: Article; data base; diabetes mellitus; dialysis; endocrine disease; health care cost; health care quality; health care utilization; hospital subdivisions and components; human; inpatient department; length of stay; metabolic disorder; national health insurance; outpatient department; respiratory tract disease; social responsibility; Taiwan; adult; aged; diabetes mellitus; economics; factual database; female; health care planning; hospitalization; male; middle aged; outpatient; patient attitude; prevalence; Taiwan; young adult; Adult; Aged; Databases, Factual; Diabetes Mellitus; Female; Health Resources; Hospitalization; Humans; Male; Middle Aged; Outpatients; Patient Acceptance of Health Care; Prevalence; Taiwan; Young Adult
[SDGs]SDG3
Appears in Collections:醫學系

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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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