摘要

Objective: The impact of natural disasters on medical utilization is largely unknown and often overlooked how it affects bereaving and non-bereaving survivors. The aim of this study is to determine the medical utilization between both survivor groups and long-term effects.

Study design: A 10-year 1999-2009 population-based retrospective study by using the National Health Insurance claim database and the Household Registration database from the Department of Health, Executive Yuan, Taiwan.

Settings: Taiwan 1999 Chi-Chi earthquake-affected areas.

Participants: A total of 49 834 individuals which included 1183 bereaving survivors and 48 651 non-bereaving earthquake survivors.

Intervention(s): None.

Main Outcome Measures: Medical utilization of bereaving and non-bereaving survivors.

Results: The results showed that bereaving survivors had significantly more outpatient visits before the earthquake, within 3-month period and 1 year after earthquake (odds ratio (OR) = 1.11, 1.16 and 1.08). However, after 1 year after earthquake their outpatient visits were not significantly different from non-bereaving, and even significantly less in some years. Inpatient visits of bereaving survivors had similar trend to outpatient visits, i.e. visits were more both before earthquake and within 3-month period after earthquake (OR = 1.59 and 1.89), however, they were not significantly higher than non-bereaving survivors for the following years of the study.

Conclusion: Our study reveals that compared to non-bereaving survivors, bereaving survivors slightly had higher medical utilization in the beginning stage of earthquake, i.e. for the first 3-month period or 1 year after earthquake. However, there were no differences between these two groups in medical utilization including outpatient and inpatient visits in long run.
原文英語
頁(從 - 到)64-69
頁數6
期刊International Journal for Quality in Health Care
31
發行號1
DOIs
出版狀態已發佈 - 二月 1 2019

指紋

Earthquakes
Disasters
Survivors
Wounds and Injuries
Outpatients
Taiwan
Inpatients
Odds Ratio
Databases
antineoplaston A10
National Health Programs
Retrospective Studies
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

引用此文

@article{ac39b8c60f8e448da3b3e62d3c994967,
title = "A positive legacy of trauma?: A study on the impact of natural disasters on medical utilization",
abstract = "Objective: The impact of natural disasters on medical utilization is largely unknown and often overlooked how it affects bereaving and non-bereaving survivors. The aim of this study is to determine the medical utilization between both survivor groups and long-term effects.Study design: A 10-year 1999-2009 population-based retrospective study by using the National Health Insurance claim database and the Household Registration database from the Department of Health, Executive Yuan, Taiwan.Settings: Taiwan 1999 Chi-Chi earthquake-affected areas.Participants: A total of 49 834 individuals which included 1183 bereaving survivors and 48 651 non-bereaving earthquake survivors.Intervention(s): None.Main Outcome Measures: Medical utilization of bereaving and non-bereaving survivors.Results: The results showed that bereaving survivors had significantly more outpatient visits before the earthquake, within 3-month period and 1 year after earthquake (odds ratio (OR) = 1.11, 1.16 and 1.08). However, after 1 year after earthquake their outpatient visits were not significantly different from non-bereaving, and even significantly less in some years. Inpatient visits of bereaving survivors had similar trend to outpatient visits, i.e. visits were more both before earthquake and within 3-month period after earthquake (OR = 1.59 and 1.89), however, they were not significantly higher than non-bereaving survivors for the following years of the study.Conclusion: Our study reveals that compared to non-bereaving survivors, bereaving survivors slightly had higher medical utilization in the beginning stage of earthquake, i.e. for the first 3-month period or 1 year after earthquake. However, there were no differences between these two groups in medical utilization including outpatient and inpatient visits in long run.",
keywords = "bereaving survivors, earthquake, health expenditure, health risk, medical utilization, nature disasters",
author = "Usman Iqbal and Li, {Yu-Chuan Jack} and Kung-Pei Tang and Hui-Chen Chien and Ya-Ting Yang and Hsu, {Yi-Hsin Elsa}",
note = "{\circledC} The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.",
year = "2019",
month = "2",
day = "1",
doi = "10.1093/intqhc/mzy130",
language = "English",
volume = "31",
pages = "64--69",
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T1 - A positive legacy of trauma?

T2 - A study on the impact of natural disasters on medical utilization

AU - Iqbal, Usman

AU - Li, Yu-Chuan Jack

AU - Tang, Kung-Pei

AU - Chien, Hui-Chen

AU - Yang, Ya-Ting

AU - Hsu, Yi-Hsin Elsa

N1 - © The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Objective: The impact of natural disasters on medical utilization is largely unknown and often overlooked how it affects bereaving and non-bereaving survivors. The aim of this study is to determine the medical utilization between both survivor groups and long-term effects.Study design: A 10-year 1999-2009 population-based retrospective study by using the National Health Insurance claim database and the Household Registration database from the Department of Health, Executive Yuan, Taiwan.Settings: Taiwan 1999 Chi-Chi earthquake-affected areas.Participants: A total of 49 834 individuals which included 1183 bereaving survivors and 48 651 non-bereaving earthquake survivors.Intervention(s): None.Main Outcome Measures: Medical utilization of bereaving and non-bereaving survivors.Results: The results showed that bereaving survivors had significantly more outpatient visits before the earthquake, within 3-month period and 1 year after earthquake (odds ratio (OR) = 1.11, 1.16 and 1.08). However, after 1 year after earthquake their outpatient visits were not significantly different from non-bereaving, and even significantly less in some years. Inpatient visits of bereaving survivors had similar trend to outpatient visits, i.e. visits were more both before earthquake and within 3-month period after earthquake (OR = 1.59 and 1.89), however, they were not significantly higher than non-bereaving survivors for the following years of the study.Conclusion: Our study reveals that compared to non-bereaving survivors, bereaving survivors slightly had higher medical utilization in the beginning stage of earthquake, i.e. for the first 3-month period or 1 year after earthquake. However, there were no differences between these two groups in medical utilization including outpatient and inpatient visits in long run.

AB - Objective: The impact of natural disasters on medical utilization is largely unknown and often overlooked how it affects bereaving and non-bereaving survivors. The aim of this study is to determine the medical utilization between both survivor groups and long-term effects.Study design: A 10-year 1999-2009 population-based retrospective study by using the National Health Insurance claim database and the Household Registration database from the Department of Health, Executive Yuan, Taiwan.Settings: Taiwan 1999 Chi-Chi earthquake-affected areas.Participants: A total of 49 834 individuals which included 1183 bereaving survivors and 48 651 non-bereaving earthquake survivors.Intervention(s): None.Main Outcome Measures: Medical utilization of bereaving and non-bereaving survivors.Results: The results showed that bereaving survivors had significantly more outpatient visits before the earthquake, within 3-month period and 1 year after earthquake (odds ratio (OR) = 1.11, 1.16 and 1.08). However, after 1 year after earthquake their outpatient visits were not significantly different from non-bereaving, and even significantly less in some years. Inpatient visits of bereaving survivors had similar trend to outpatient visits, i.e. visits were more both before earthquake and within 3-month period after earthquake (OR = 1.59 and 1.89), however, they were not significantly higher than non-bereaving survivors for the following years of the study.Conclusion: Our study reveals that compared to non-bereaving survivors, bereaving survivors slightly had higher medical utilization in the beginning stage of earthquake, i.e. for the first 3-month period or 1 year after earthquake. However, there were no differences between these two groups in medical utilization including outpatient and inpatient visits in long run.

KW - bereaving survivors

KW - earthquake

KW - health expenditure

KW - health risk

KW - medical utilization

KW - nature disasters

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U2 - 10.1093/intqhc/mzy130

DO - 10.1093/intqhc/mzy130

M3 - Review article

C2 - 29982715

VL - 31

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EP - 69

JO - International Journal for Quality in Health Care

JF - International Journal for Quality in Health Care

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