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Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study

INTRODUCTION: Chronic conditions are the leading causes of death and disability worldwide. Providing care to people diagnosed with a chronic disease is challenging, and controlling multiple chronic conditions (MCCs) can be overwhelming, particularly in rapidly aging societies. The objective of this...

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Autores principales: Fu, Serena, Huang, Nicole, Chou, Yiing-Jenq
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4208993/
https://www.ncbi.nlm.nih.gov/pubmed/25340359
http://dx.doi.org/10.5888/pcd11.140205
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author Fu, Serena
Huang, Nicole
Chou, Yiing-Jenq
author_facet Fu, Serena
Huang, Nicole
Chou, Yiing-Jenq
author_sort Fu, Serena
collection PubMed
description INTRODUCTION: Chronic conditions are the leading causes of death and disability worldwide. Providing care to people diagnosed with a chronic disease is challenging, and controlling multiple chronic conditions (MCCs) can be overwhelming, particularly in rapidly aging societies. The objective of this study was to examine the prevalence of MCCs from 2000 to 2010 in Taiwan. METHODS: A random sample of 1 million representative National Health Insurance beneficiaries in 3 years (2000, 2005, and 2010) was obtained from the Taiwan National Health Insurance Research Database to examine the prevalence of MCCs. Chronic Condition Indicator and Clinical Classifications Software were used to determine and classify codes from the International Classification of Diseases, Ninth Revision. People who had 2 or more conditions among the 15 categories of conditions were defined as having MCCs. RESULTS: The prevalence of MCCs increased from 9.6% in 2000 to 17.1% in 2010. The highest prevalence of MCCs was found among people aged 65 years or older (42.3% in 2000 and 64.5% in 2010, a relative increase of 52.5%). However, the highest rate of increase was found among people younger than 18 years (0.5% in 2000 and 1.6% in 2010, a relative increase of 220.0%). CONCLUSION: MCCs are increasingly prevalent among the older (≥65 y) population and among children and adolescents. Prevention and early intervention programs targeted to certain age groups may be required. If the increase in MCCs continues rapidly, the management of people diagnosed with MCCs would challenge the capacity of the health care system in Taiwan.
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spelling pubmed-42089932014-11-03 Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study Fu, Serena Huang, Nicole Chou, Yiing-Jenq Prev Chronic Dis Original Research INTRODUCTION: Chronic conditions are the leading causes of death and disability worldwide. Providing care to people diagnosed with a chronic disease is challenging, and controlling multiple chronic conditions (MCCs) can be overwhelming, particularly in rapidly aging societies. The objective of this study was to examine the prevalence of MCCs from 2000 to 2010 in Taiwan. METHODS: A random sample of 1 million representative National Health Insurance beneficiaries in 3 years (2000, 2005, and 2010) was obtained from the Taiwan National Health Insurance Research Database to examine the prevalence of MCCs. Chronic Condition Indicator and Clinical Classifications Software were used to determine and classify codes from the International Classification of Diseases, Ninth Revision. People who had 2 or more conditions among the 15 categories of conditions were defined as having MCCs. RESULTS: The prevalence of MCCs increased from 9.6% in 2000 to 17.1% in 2010. The highest prevalence of MCCs was found among people aged 65 years or older (42.3% in 2000 and 64.5% in 2010, a relative increase of 52.5%). However, the highest rate of increase was found among people younger than 18 years (0.5% in 2000 and 1.6% in 2010, a relative increase of 220.0%). CONCLUSION: MCCs are increasingly prevalent among the older (≥65 y) population and among children and adolescents. Prevention and early intervention programs targeted to certain age groups may be required. If the increase in MCCs continues rapidly, the management of people diagnosed with MCCs would challenge the capacity of the health care system in Taiwan. Centers for Disease Control and Prevention 2014-10-23 /pmc/articles/PMC4208993/ /pubmed/25340359 http://dx.doi.org/10.5888/pcd11.140205 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Original Research
Fu, Serena
Huang, Nicole
Chou, Yiing-Jenq
Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study
title Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study
title_full Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study
title_fullStr Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study
title_full_unstemmed Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study
title_short Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study
title_sort trends in the prevalence of multiple chronic conditions in taiwan from 2000 to 2010: a population-based study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4208993/
https://www.ncbi.nlm.nih.gov/pubmed/25340359
http://dx.doi.org/10.5888/pcd11.140205
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