The prevalence of chronic conditions and medical expenditures of the elderly by chronic condition indicator (CCI)

Mei-Ju Chi, Cheng yi Lee, Shwu chong Wu

研究成果: 雜誌貢獻文章

43 引文 (Scopus)

摘要

The aim of this study was to understand the prevalence of chronic conditions and medical expenditures of the elderly for health care planning development of chronic conditions. This research is based on the representative sample (N= 114,873) of seniors over 65 years nationwide. The CCI by the U.S. Agency for Healthcare Research and Quality (AHRQ), and clinical classifications software (CCS) were adopted to determine chronic condition diagnosis codes and classify the diseases. The results are presented by descriptive and multiple regression analysis. The chronic condition prevalence for seniors is 70.4% and the medical expenditures for seniors with chronic conditions accounts for 92.7% of the total medical expenditures for seniors, while 25% of the medical expenditure is spent on 8.2% of seniors who have five chronic conditions and above. Chronic conditions suffered by the elderly, in the order of its prevalence, are hypertension (36.1%), COPD (23.7%), and cataracts (16.7%). From the viewpoint of annual average medical expenditures, cardiovascular diseases rank the most costly diseases, with average medical expenditures as high as $4291. Urinary disease and diabetes ranks the second and the third most costly with an average expenditure of $3644 and $3594. This research showed that the average medical expenditure for seniors with chronic conditions is 5.4 times higher compared with seniors without chronic conditions. It is recommended to further study the characteristics of the target population that spends the most in medical expenditures to outline a more beneficial disease management model, reduce avoidable medical costs and achieve the goal of saving medical resources.
原文英語
頁(從 - 到)284-289
頁數6
期刊Archives of Gerontology and Geriatrics
52
發行號3
DOIs
出版狀態已發佈 - 五月 2011

指紋

Health Expenditures
expenditures
Disease
United States Agency for Healthcare Research and Quality
Health Planning
Health Services Needs and Demand
development planning
hypertension
Disease Management
Research
Cataract
Chronic Obstructive Pulmonary Disease
chronic illness
regression analysis
Cardiovascular Diseases
Software
Regression Analysis
health care
Hypertension
Delivery of Health Care

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Health(social science)
  • Gerontology

引用此文

The prevalence of chronic conditions and medical expenditures of the elderly by chronic condition indicator (CCI). / Chi, Mei-Ju; Lee, Cheng yi; Wu, Shwu chong.

於: Archives of Gerontology and Geriatrics, 卷 52, 編號 3, 05.2011, p. 284-289.

研究成果: 雜誌貢獻文章

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abstract = "The aim of this study was to understand the prevalence of chronic conditions and medical expenditures of the elderly for health care planning development of chronic conditions. This research is based on the representative sample (N= 114,873) of seniors over 65 years nationwide. The CCI by the U.S. Agency for Healthcare Research and Quality (AHRQ), and clinical classifications software (CCS) were adopted to determine chronic condition diagnosis codes and classify the diseases. The results are presented by descriptive and multiple regression analysis. The chronic condition prevalence for seniors is 70.4{\%} and the medical expenditures for seniors with chronic conditions accounts for 92.7{\%} of the total medical expenditures for seniors, while 25{\%} of the medical expenditure is spent on 8.2{\%} of seniors who have five chronic conditions and above. Chronic conditions suffered by the elderly, in the order of its prevalence, are hypertension (36.1{\%}), COPD (23.7{\%}), and cataracts (16.7{\%}). From the viewpoint of annual average medical expenditures, cardiovascular diseases rank the most costly diseases, with average medical expenditures as high as $4291. Urinary disease and diabetes ranks the second and the third most costly with an average expenditure of $3644 and $3594. This research showed that the average medical expenditure for seniors with chronic conditions is 5.4 times higher compared with seniors without chronic conditions. It is recommended to further study the characteristics of the target population that spends the most in medical expenditures to outline a more beneficial disease management model, reduce avoidable medical costs and achieve the goal of saving medical resources.",
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