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引文資料
題名:
Length of Stay and Direct Medical Costs for Psychogeriatric Inpatients in Taiwan
書刊名:
Taiwanese Journal of Psychiatry
作者:
劉金明
/
利菊秀
/
劉純之
/
杜珠錦
作者(外文):
Liu, Chin-ming
/
Li, Chu-shiu
/
Liu, Chwen-chi
/
Tu, Chu-chin
出版日期:
2011
卷期:
25:4
頁次:
頁248-260+297
主題關鍵詞:
住院天數
;
直接醫療成本
;
老年醫學
;
Length of stay
;
Direct medical cost
;
Geriatrics
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:
3
點閱:38
Objective: In this study, we aimed to analyze the length of stay (LOS) and direct medical costs (DMC) for psychogeriatric inpatients in Taiwan. Methods: We obtained the data from the Psychiatric Inpatient Medical Claim database of Taiwan's National Health Insurance. LOS and DMC of different mental illnesses were analyzed. Results: The average LOS of our study patients was 43.53 days, and the mean DMC was 2,576 US dollars. Dementia was the most common psychiatric diagnosis. Average LOS and DMC were significantly higher in male patients than female (p < 0.001 and p = 0.022, respectively). Over 90% of DMC were non-drug expenses (NDE). The LOS of patients with dementia and major depression was significantly higher for males than for females (p < 0.001). Patients' LOS and DMC showed differences among gender, diagnosis, and type of hospital. The LOS of dementia and delusional disorders and the DMC of major depressive disorders had heterogeneities across hospital types. The results of regression analysis indicated the LOS and the DMC of schizophrenic patients were significantly higher than those of dementia patients (p < 0.001); the LOS of community hospitals was significantly higher (p < 0.001) than that of general hospitals (medical centers and regional hospitals), with the opposite being true for DMC. Compared to public hospitals, the drug expense (DE) was significantly higher in private hospitals (p < 0.04), but LOS and NDE were lower. Conclusion: The determinants affecting differences of LOS and DMC of psychogeriatric inpatients were gender, psychiatric diagnosis, and type of hospital. The DE and NDE of DMC were about 10% and 90%, respectively, but only the NDE showed significant difference based on gender.
以文找文
期刊論文
1.
Lin, Ming-jen、Luoh, Ming-ching(2008)。Can Hepatitis B Mothers Account for the Number of Missing Women? Evidence from Three Million Newborns in Taiwan。American Economic Review,98(5),2259-2273。
2.
Chien, I. C.、Chou, Y. J.、Lin, C. H.、Bih, S. H.、Chou, P.(2004)。Prevalence of psychiatric disorders among national health insurance enrollees in Taiwan。Psychiatric Services,55(6),691-697。
3.
Chong, S. A.、Verma, S.、Vaingankar, J. A.、Chan, Y. H.、Wong, L. Y.、Heng, B. H.(2007)。Perception of the public towards the mentally ill in developed Asian country。Soc Psychiatry Psychiatr Epidemio.,42,734-739。
4.
Chung, W.、Oh, S. M.、Suh, T.、Lee, Y. M.、Oh, B. H.、Yoon, C. W.(2010)。Determinants of length of stay for psychiatric inpatients, analysis of a national database covering the entire Korean elderly population。Health Policy,94,120-128。
5.
Hung, J. H.、Li, Chang(2008)。Has cost containment after the National Health Insurance system been successful? Determinants of Taiwan hospital costs。Health Policy,85,321-335。
6.
Theurl, E.、Winner, H.(2007)。The impact of hospital financing on the length of stay, evidence from Austria。Health Policy,82,375-389。
7.
Wang, G.、Cheng, Q.、Zhang, S.、Bai, L.、Zeng, J.、Cui, P. J.、Zhang, T.、Sun, Z. K.、Ren, R. J.、Deng, Y. L.、Xu, W.、Wang, Y.、Chen, S. D.(2008)。Economic impact of dementia in developing countries, an evaluation of Alzheimer-Type Dementia。in Shanghai, China. J Alzheimers Dis.,15,109-115。
8.
葉玲玲、藍忠孚、鄭若瑟(20030600)。臺灣精神分裂症患者精神醫療利用與費用之分析探討。臺灣公共衛生雜誌,22(3),194-203。
延伸查詢
9.
Imai H、Hosomi J、Nakao H(2005)。Characteristics of psychiatric hospitals associated with length of stay in Japan。Health Pol,74,115-121。
10.
Chan AL、Cham TM、Lin SJ(2009)。Direct medical costs in patients with Alzheimer’s disease in Taiwan: a popu-lation-based study。Curr Ther Res Clin,70,10-18。
11.
Wang KI、Cheng SH(2006)。The analysis of level of outpa-tient visits and healthcare utilization: a before and af-ter observation of the SARS outbreak。Taiwan Journal of Public Health,25,75-82。
12.
Chung W、Cho WH、Yoon CW(2009)。; 68The influence of in-stitutional characteristics on length of stay for psy-chiatric patients: a national database study in South Korea。Soc Sci Med,68,1137-1144。
13.
Blank K、Hixon L、Gruman C、Robison J、Hickey G、Schwardz HI(2005)。Determinants of geropsychiatric inpa-tient length of stay。Psychiatr Quart,76,195-212。
14.
Akincigil A、Hoover DR、Walkup JT(2008)。Hospitalization for psychiatric illness among com-munity-dwelling elderly persons in 1992 and 2002。Psychiatr Serv,59,1046-1048。
15.
Grassi L、Biancosino B、Marmai L(2006)。Violence in psychiatric units: a 7-year Italian study of persistent-ly assaultive patients。Soc Psychiatry Psychiatr Epidemiol,41,734-739。
16.
Nose M、Barbui C、Tansella M(2003)。How often do pa-tients with psychosis fail to adhere to treatment pro-grammes? a systemic review。Psychol Med,33,1149-1160。
17.
Sellwood W、Tarrier N(1994)。Demographic factors associ-ated with extreme non-compliance in schizophrenia。Soc Psychiatry Psychiatr Epidemiol,29,172-177。
18.
Su CB、Peng, TG、Teng, JH(2001)。The relationship between resource advantage, strategic advantage, and perfor-mance under the department of health。Journal of Healthcare Management,2,93-109。
會議論文
1.
(2010)。Population Projections for Taiwan Areas: 2008-2056。Taiwan:Executive Yuan。
圖書
1.
(2008)。Organization for Economic Co-operation and Development。Paris:OECD Health Data。
2.
Bureau of National Health Insurance(2011)。Statistic Annual Report。
3.
Lin TF:(2009)。1949 Great Retreat。Taipei:Linking Publications。
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