Comparison of outpatient services between elderly people with intellectual disabilities and the general elderly population in Taiwan

Shang Wei Hsu, Jin Ding Lin, Po Huang Chiang, Yu Chia Chang, Ho Jui Tung

研究成果: 雜誌貢獻文章

10 引文 (Scopus)

摘要

This study aims to analyze the ambulatory visit frequency and medical expenditures of the general elderly population versus the elderly with intellectual disabilities in Taiwan, while examining the effects of age, gender, urbanization and copayment status on ambulatory utilization. A cross-sectional study was conducted to analyze data from 103,183 national health insurance claimants aged 65 or older. A total of 1469 had a principal diagnosis of mental retardation (intellectual disability) and claimed medical outpatient services in 2007. The average number of ambulatory visits was 30.1 ± 23.1, which is much higher than in the United States and other developed countries, and the mean annual visits of the elderly with intellectual disabilities was significantly higher than the general population in Taiwan (35.2 ± 28.7 vs. 30.0 ± 23.1). Age and copayment status affected outpatient visit frequency. The mean medical expenditure per visit and the mean annual outpatient cost were 1146.5 ± 4497.7 NT$ and 34,533.7 ± 115,891.7 NT$, respectively. Male beneficiaries tended to have higher average annual medical expenses and mean medical expenses per visit than female beneficiaries. The three most frequent principal diagnoses at ambulatory visits were circulatory system diseases, musculoskeletal system and connective tissue diseases and digestive system diseases. We conclude that the elderly with intellectual disabilities had higher demand than the general population for healthcare services, and the NHI program lowers the barrier to care for populations with special needs.

原文英語
頁(從 - 到)1429-1436
頁數8
期刊Research in Developmental Disabilities
33
發行號5
DOIs
出版狀態已發佈 - 九月 1 2012
對外發佈Yes

指紋

Disabled Persons
Ambulatory Care
Taiwan
Intellectual Disability
Population
Health Expenditures
Outpatients
Digestive System Diseases
Musculoskeletal System
Urbanization
Connective Tissue Diseases
National Health Programs
Cardiovascular System
Developed Countries
Cross-Sectional Studies
Delivery of Health Care
Costs and Cost Analysis

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

引用此文

Comparison of outpatient services between elderly people with intellectual disabilities and the general elderly population in Taiwan. / Hsu, Shang Wei; Lin, Jin Ding; Chiang, Po Huang; Chang, Yu Chia; Tung, Ho Jui.

於: Research in Developmental Disabilities, 卷 33, 編號 5, 01.09.2012, p. 1429-1436.

研究成果: 雜誌貢獻文章

Hsu, Shang Wei ; Lin, Jin Ding ; Chiang, Po Huang ; Chang, Yu Chia ; Tung, Ho Jui. / Comparison of outpatient services between elderly people with intellectual disabilities and the general elderly population in Taiwan. 於: Research in Developmental Disabilities. 2012 ; 卷 33, 編號 5. 頁 1429-1436.
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