台灣親密關係暴力被害人醫療利用與費用分析
Journal
台灣公共衛生雜誌
Journal Volume
39
Journal Issue
1
Date Issued
2020
Author(s)
江宛霖(WAN-LIN CHIANG)
劉淑瓊(SHU-CHIUNG LIU)
黃志中(JOH-JONG HUANG)
Abstract
Objectives: To estimate medical care utilization by intimate partner violence (IPV) victims and the associated costs in Taiwan. Methods: A Ministry of Health and Welfare domestic violence reporting data set containing data of 14, 531 IPV victims aged 20-64 years was linked to utilization and cost data from the National Health Insurance (NHI). The NHI data included utilization and costs of medical services, such as impatient, outpatient, and ambulatory care. A comparative analysis of the utilization and costs between IPV victims and non-IPV patients was performed. Results: Compared with non-IPV patients, IPV victims demonstrated higher medical service utilization and associated costs. Moreover, they were considerably more likely to have mental health disorders in inpatient and outpatient settings and have injuries in ambulatory care settings. For IPV victims, the average cost of medical services was NT$56, 202 per person per year-approximately 2.4 times higher than that for non-IPV patients. Conclusions: Cost analysis is a tool useful for estimating medical care utilization and associated costs, the results of which can facilitate the formulation of government policies for both IPV prevention and medical service provision. © 2020 Chinese Public Health Association of Taiwan. All rights reserved.
Subjects
Intimate partner violence; Medical care costs; Medical care utilization; National Health Insurance research databases
Publisher
臺灣公共衛生學會
Type
journal article