Abstract
The paper aims to analyze the hospital inpatient care use and medical fee of people with ID co-occurring with schizophrenia in Taiwan. A nationwide data were collected concerning hospital admission and medical expenditure of people with ID (n=2565) among national health insurance beneficiaries in Taiwan. Multiple regression analyses were undertaken to determine the role of the explanatory variables to hospital psychiatric inpatient care and medical expenditure. We found that there were 2565 individuals with ID used hospital psychiatric inpatient care among people with ID in 2005, and 686 cases (26.7%) co-occurring with schizophrenia according to hospital discharge claims. Those ID patients co-occurring with schizophrenia consumed more annual inpatient fee than those without schizophrenia (251,346 vs. 126,666 NTD) (p<0.001). We found factors of female cases, longer hospital stay in chronic ward and general ward users among ID patients co-occurring with schizophrenia used more hospital inpatient care (R 2=0.417). Annual hospital inpatient days were significantly affected by factors of severe illness card holder, annual inpatient care fee, longer hospital stay in acute or chronic ward (R 2=0.746). Those factors of female cases, high inpatient care users, longer hospital stay in acute ward and general ward were consuming more medical care fee than their counterparts (R 2=0.620). The study highlights the future study should examine the efficacy of hospital inpatient care for people with ID and schizophrenia.
| Original language | English |
|---|---|
| Pages (from-to) | 1226-1231 |
| Number of pages | 6 |
| Journal | Research in Developmental Disabilities |
| Volume | 32 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - May 1 2011 |
| Externally published | Yes |
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Keywords
- Inpatient care
- Intellectual disability
- Medical expenditure
- National health insurance
- Schizophrenia
ASJC Scopus subject areas
- Clinical Psychology
- Developmental and Educational Psychology
Cite this
A retrospective population-based data analyses of inpatient care use and medical expenditure in people with intellectual disability co-occurring schizophrenia. / Lai, Chia Im; Hung, Wen Jiu; Lin, Lan Ping; Chien, Wu Chien; Lin, Jin Ding.
In: Research in Developmental Disabilities, Vol. 32, No. 3, 01.05.2011, p. 1226-1231.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A retrospective population-based data analyses of inpatient care use and medical expenditure in people with intellectual disability co-occurring schizophrenia
AU - Lai, Chia Im
AU - Hung, Wen Jiu
AU - Lin, Lan Ping
AU - Chien, Wu Chien
AU - Lin, Jin Ding
PY - 2011/5/1
Y1 - 2011/5/1
N2 - The paper aims to analyze the hospital inpatient care use and medical fee of people with ID co-occurring with schizophrenia in Taiwan. A nationwide data were collected concerning hospital admission and medical expenditure of people with ID (n=2565) among national health insurance beneficiaries in Taiwan. Multiple regression analyses were undertaken to determine the role of the explanatory variables to hospital psychiatric inpatient care and medical expenditure. We found that there were 2565 individuals with ID used hospital psychiatric inpatient care among people with ID in 2005, and 686 cases (26.7%) co-occurring with schizophrenia according to hospital discharge claims. Those ID patients co-occurring with schizophrenia consumed more annual inpatient fee than those without schizophrenia (251,346 vs. 126,666 NTD) (p<0.001). We found factors of female cases, longer hospital stay in chronic ward and general ward users among ID patients co-occurring with schizophrenia used more hospital inpatient care (R 2=0.417). Annual hospital inpatient days were significantly affected by factors of severe illness card holder, annual inpatient care fee, longer hospital stay in acute or chronic ward (R 2=0.746). Those factors of female cases, high inpatient care users, longer hospital stay in acute ward and general ward were consuming more medical care fee than their counterparts (R 2=0.620). The study highlights the future study should examine the efficacy of hospital inpatient care for people with ID and schizophrenia.
AB - The paper aims to analyze the hospital inpatient care use and medical fee of people with ID co-occurring with schizophrenia in Taiwan. A nationwide data were collected concerning hospital admission and medical expenditure of people with ID (n=2565) among national health insurance beneficiaries in Taiwan. Multiple regression analyses were undertaken to determine the role of the explanatory variables to hospital psychiatric inpatient care and medical expenditure. We found that there were 2565 individuals with ID used hospital psychiatric inpatient care among people with ID in 2005, and 686 cases (26.7%) co-occurring with schizophrenia according to hospital discharge claims. Those ID patients co-occurring with schizophrenia consumed more annual inpatient fee than those without schizophrenia (251,346 vs. 126,666 NTD) (p<0.001). We found factors of female cases, longer hospital stay in chronic ward and general ward users among ID patients co-occurring with schizophrenia used more hospital inpatient care (R 2=0.417). Annual hospital inpatient days were significantly affected by factors of severe illness card holder, annual inpatient care fee, longer hospital stay in acute or chronic ward (R 2=0.746). Those factors of female cases, high inpatient care users, longer hospital stay in acute ward and general ward were consuming more medical care fee than their counterparts (R 2=0.620). The study highlights the future study should examine the efficacy of hospital inpatient care for people with ID and schizophrenia.
KW - Inpatient care
KW - Intellectual disability
KW - Medical expenditure
KW - National health insurance
KW - Schizophrenia
UR - http://www.scopus.com/inward/record.url?scp=79952440664&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79952440664&partnerID=8YFLogxK
U2 - 10.1016/j.ridd.2010.12.024
DO - 10.1016/j.ridd.2010.12.024
M3 - Article
VL - 32
SP - 1226
EP - 1231
JO - Research in Developmental Disabilities
JF - Research in Developmental Disabilities
SN - 0891-4222
IS - 3
ER -