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    题名: Estimating medical costs of gastroenterological diseases
    作者: 周麗芳
    日期: 2004-01
    上传时间: 2009-01-06 15:21:08 (UTC+8)
    摘要: AIM: To estimate the directmedical costs of gastroenterological
    diseases within the universal health insurance program
    among the population of local residents in Taiwan.
    METHODS: The data sources were the first 4 cohort
    datasets of 200 000 people from the National Health
    Insurance Research Database in Taipei. The ambulatory,
    inpatient and pharmacy claims of the cohort in 2001 were
    analyzed. Besides prevalence and medical costs of diseases,
    both amount and costs of utilization in procedures and drugs
    were calculated.
    RESULTS: Of the cohort with 183 976 eligible people, 44.2%
    had ever a gastroenterological diagnosis during the year.
    The age group 20-39 years had the lowest prevalence rate
    (39.2%) while the elderly had the highest (58.4%). The
    prevalence rate was higher in women than in men (48.5%
    vs. 40.0%). Totally, 30.4% of 14 888 inpatients had ever a
    gastroenterological diagnosis at discharge and 18.8% of
    51 359 patients at clinics of traditional Chinese medicine had
    such a diagnosis there. If only the principal diagnosis on each
    claimwas considered, 16.2%of admissions, 8.0%of outpatient
    visits, and 10.1%of the totalmedical costs (8 469 909 US dollars/
    83 830 239 US dollars) were attributed to gastroenterological
    diseases. On average, 46.0 US dollars per insured person in
    a year were spent in treating gastroenterological diseases.
    Diagnostic procedures related to gastroenterological diseases
    accounted for 24.2%of the costs for all diagnostic procedures
    and 2.3% of the total medical costs. Therapeutic procedures
    related to gastroenterological diseases accounted for 4.5%
    of the costs for all therapeutic procedures and 1.3% of the
    total medical costs. Drugs related to gastroenterological
    diseases accounted for 7.3% of the costs for all drugs and
    1.9% of the total medical costs.
    CONCLUSION: Gastroenterological diseases are prevalent
    among the population of local residents in Taiwan, accounting
    for a tenth of the total medical costs. Further investigations
    are needed to differentiate
    關聯: World Journal of Gastroenterology,10(2),273-278
    数据类型: article
    显示于类别:[財政學系] 期刊論文

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