Chung Shiu-Dong, Ho Jau-Der, Lin Herng-Ching, Kao Li-Ting, Tsai Ming-Chieh
*Department of Surgery, Far Eastern Memorial Hospital, New Taipei City †Sleep Research Center, Taipei Medical University Hospital ‡Department of Ophthalmology, Taipei Medical University Hospital §Department of Ophthalmology, Taipei Medical University ∥School of Health Care Administration, Taipei Medical University ¶Graduate Institute of Life Science, National Defense Medical Center #Department of Internal Medicine, Cathay General Hospital, Taipei, Taiwan.
J Glaucoma. 2015 Jun-Jul;24(5):e116-20. doi: 10.1097/IJG.0000000000000222.
To investigate differences in the utilization of healthcare services between subjects with open-angle glaucoma (OAG) and comparison subjects without OAG using Taiwan's National Health Insurance population-based database.
The study comprised 2204 subjects with OAG and 2204 sex-matched and age-matched subjects without OAG. We individually followed each subject for a 1-year period to evaluate their healthcare resource utilization. Outcome variables of the healthcare resource utilization were as follows: numbers of outpatient visits and inpatient days and the mean costs of outpatient and inpatient treatment. In addition, we divided healthcare resource utilization into ophthalmologic and nonophthalmologic services.
As for the utilization of ophthalmologic services, OAG subjects had significantly more outpatient visits (7.4 vs. 1.3, P<0.001) and significantly higher outpatient costs (US$272 vs. US$39, P<0.001) than comparison subjects. For nonophthalmologic services, OAG subjects also had significantly more outpatient visits (29.4 vs. 21.8, P<0.001) and significantly higher outpatient costs (US$1263 vs. US$847, P<0.001) than comparison subjects. Furthermore, OAG subjects incurred significantly higher inpatient costs compared with comparison subjects (US$434 vs. US$234, P<0.001). For all healthcare services, OAG subjects had significantly more outpatient visits (36.8 vs. 23.1, P<0.001) and significantly higher outpatient (US$1535 vs. US$887, P<0.001) and total (US$2245 vs. US$1122, P<0.001) costs than comparison subjects. In other words, the total cost was about 2-fold greater for OAG subjects than comparison subjects.
We concluded that subjects with OAG had significantly higher utilization of all healthcare services than comparison subjects.
利用台湾全民健康保险人群数据库，调查开角型青光眼（OAG）患者与非OAG对照受试者在医疗服务利用方面的差异。
本研究纳入2204例OAG患者以及2204例性别和年龄匹配的非OAG受试者。我们对每位受试者进行为期1年的随访，以评估其医疗资源利用情况。医疗资源利用的结果变量如下：门诊就诊次数、住院天数以及门诊和住院治疗的平均费用。此外，我们将医疗资源利用分为眼科服务和非眼科服务。
在眼科服务利用方面，OAG患者的门诊就诊次数（7.4次对1.3次，P<0.001）和门诊费用（272美元对39美元，P<0.001）显著高于对照受试者。对于非眼科服务，OAG患者的门诊就诊次数（29.4次对21.8次，P<0.001）和门诊费用（1263美元对847美元，P<0.001）也显著高于对照受试者。此外，与对照受试者相比，OAG患者的住院费用显著更高（434美元对234美元，P<0.001）。对于所有医疗服务，OAG患者的门诊就诊次数（36.8次对23.1次，P<0.001）、门诊费用（1535美元对887美元，P<0.001）和总费用（2245美元对1122美元，P<0.001）均显著高于对照受试者。换句话说，OAG患者的总费用约为对照受试者的2倍。
我们得出结论，OAG患者在所有医疗服务方面的利用率显著高于对照受试者。
Zotero 插件