Cargando…

Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?

BACKGROUND: We attempted to identify the domain of self-rated health (SRH) that best predicts medical care utilization among Taiwanese adults. In addition, we examined the association between SRH and different measure of medical care utilization. METHODS: We analyzed data on 11 987 community-dwellin...

Descripción completa

Detalles Bibliográficos
Autores principales: Pu, Christy, Tang, Gau-Jun, Fang, Yi-Ting, Chou, Yiing-Jenq
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japan Epidemiological Association 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3798636/
https://www.ncbi.nlm.nih.gov/pubmed/22672999
http://dx.doi.org/10.2188/jea.JE20110144
_version_ 1782287806241964032
author Pu, Christy
Tang, Gau-Jun
Fang, Yi-Ting
Chou, Yiing-Jenq
author_facet Pu, Christy
Tang, Gau-Jun
Fang, Yi-Ting
Chou, Yiing-Jenq
author_sort Pu, Christy
collection PubMed
description BACKGROUND: We attempted to identify the domain of self-rated health (SRH) that best predicts medical care utilization among Taiwanese adults. In addition, we examined the association between SRH and different measure of medical care utilization. METHODS: We analyzed data on 11 987 community-dwelling adults aged 18 to 64 years from the 2005 Taiwan National Health Interview Survey (NHIS). NHIS data were linked to the 2006 National Health Insurance (NHI) administrative database. Then, medical care utilization in 2006, including all outpatient visits, hospitalizations, and mental health outpatient visits, was identified. Domain-specific health ratings were measured by using the Short Form-36 (SF-36) health survey questionnaire. Negative binominal models were used to estimate the contribution of the health domains to medical care utilization. Incidence rate ratios (IRRs) are presented. RESULTS: The IRR for the physical component scale showed that those with the highest scores had 77% of the outpatient visits of those with the lowest scores. The importance of mental health domains was markedly higher in estimating mental health outpatient visits. Those with mental health scores above the median had only 61% of mental health outpatient visits of those with scores below the median. CONCLUSIONS: A person’s medical care utilization is reflected in the different domains of general health. Domain-specific measures of subjective health are not interchangeable with global general health ratings, because different domains have independent effects on medical care utilization. Our results are potentially important for medical resource allocation because they identify different health domain experiences that require improvement.
format Online
Article
Text
id pubmed-3798636
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Japan Epidemiological Association
record_format MEDLINE/PubMed
spelling pubmed-37986362013-12-03 Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults? Pu, Christy Tang, Gau-Jun Fang, Yi-Ting Chou, Yiing-Jenq J Epidemiol Original Article BACKGROUND: We attempted to identify the domain of self-rated health (SRH) that best predicts medical care utilization among Taiwanese adults. In addition, we examined the association between SRH and different measure of medical care utilization. METHODS: We analyzed data on 11 987 community-dwelling adults aged 18 to 64 years from the 2005 Taiwan National Health Interview Survey (NHIS). NHIS data were linked to the 2006 National Health Insurance (NHI) administrative database. Then, medical care utilization in 2006, including all outpatient visits, hospitalizations, and mental health outpatient visits, was identified. Domain-specific health ratings were measured by using the Short Form-36 (SF-36) health survey questionnaire. Negative binominal models were used to estimate the contribution of the health domains to medical care utilization. Incidence rate ratios (IRRs) are presented. RESULTS: The IRR for the physical component scale showed that those with the highest scores had 77% of the outpatient visits of those with the lowest scores. The importance of mental health domains was markedly higher in estimating mental health outpatient visits. Those with mental health scores above the median had only 61% of mental health outpatient visits of those with scores below the median. CONCLUSIONS: A person’s medical care utilization is reflected in the different domains of general health. Domain-specific measures of subjective health are not interchangeable with global general health ratings, because different domains have independent effects on medical care utilization. Our results are potentially important for medical resource allocation because they identify different health domain experiences that require improvement. Japan Epidemiological Association 2012-09-05 /pmc/articles/PMC3798636/ /pubmed/22672999 http://dx.doi.org/10.2188/jea.JE20110144 Text en © 2012 Japan Epidemiological Association. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Original Article
Pu, Christy
Tang, Gau-Jun
Fang, Yi-Ting
Chou, Yiing-Jenq
Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?
title Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?
title_full Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?
title_fullStr Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?
title_full_unstemmed Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?
title_short Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?
title_sort which domain of self-rated health best predicts medical care utilization among taiwanese adults?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3798636/
https://www.ncbi.nlm.nih.gov/pubmed/22672999
http://dx.doi.org/10.2188/jea.JE20110144
work_keys_str_mv AT puchristy whichdomainofselfratedhealthbestpredictsmedicalcareutilizationamongtaiwaneseadults
AT tanggaujun whichdomainofselfratedhealthbestpredictsmedicalcareutilizationamongtaiwaneseadults
AT fangyiting whichdomainofselfratedhealthbestpredictsmedicalcareutilizationamongtaiwaneseadults
AT chouyiingjenq whichdomainofselfratedhealthbestpredictsmedicalcareutilizationamongtaiwaneseadults