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Impacts of doctor-shopping behavior on diabetic patients’ health: A retrospective longitudinal study in Taiwan
The aim of this study was to clarify the relationship between doctor-shopping behavior and clinical conditions, and to clearly outline the effects of both the number of clinic visits and the number of doctor changes on patients’ health conditions. Data from January 1, 2000 to December 31, 2004 was c...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592987/ https://www.ncbi.nlm.nih.gov/pubmed/32769885 http://dx.doi.org/10.1097/MD.0000000000021495 |
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author | Lin, Chin-Shien Khan, Haider Chang, Ruei-Yuan Liao, Wei-Chih Chen, Yi-Hsin Huang, Bo-Lin Hsieh, Teng-Fu |
author_facet | Lin, Chin-Shien Khan, Haider Chang, Ruei-Yuan Liao, Wei-Chih Chen, Yi-Hsin Huang, Bo-Lin Hsieh, Teng-Fu |
author_sort | Lin, Chin-Shien |
collection | PubMed |
description | The aim of this study was to clarify the relationship between doctor-shopping behavior and clinical conditions, and to clearly outline the effects of both the number of clinic visits and the number of doctor changes on patients’ health conditions. Data from January 1, 2000 to December 31, 2004 was collected from the National Health Insurance Research Database in Taiwan. After randomly selecting one million people, we extracted 5-year longitudinal data, about the number of clinic visits, number of doctor changes, and changes in self-health status for each patient with diabetes over the age of 18. We developed a relationship among the variables by using the generalized estimating equation. The results revealed that the number of clinic visits on the change of health status is a U curve, suggesting that health condition could be optimal with an appropriate number of clinic visits. The effect of the number of doctor changes is linearly correlated with health deterioration. The results suggest that disease conditions can only be controlled with an adequate number of clinic visits. Excessively frequent clinic visits are not only unfavorable to patients’ health status but are also wasteful of limited medical resources. For diabetic mellitus patients, the more they change doctors, the worse their health status. All of these results are important for patients to stay healthy and to save medical resources. |
format | Online Article Text |
id | pubmed-7592987 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-75929872020-10-29 Impacts of doctor-shopping behavior on diabetic patients’ health: A retrospective longitudinal study in Taiwan Lin, Chin-Shien Khan, Haider Chang, Ruei-Yuan Liao, Wei-Chih Chen, Yi-Hsin Huang, Bo-Lin Hsieh, Teng-Fu Medicine (Baltimore) 5400 The aim of this study was to clarify the relationship between doctor-shopping behavior and clinical conditions, and to clearly outline the effects of both the number of clinic visits and the number of doctor changes on patients’ health conditions. Data from January 1, 2000 to December 31, 2004 was collected from the National Health Insurance Research Database in Taiwan. After randomly selecting one million people, we extracted 5-year longitudinal data, about the number of clinic visits, number of doctor changes, and changes in self-health status for each patient with diabetes over the age of 18. We developed a relationship among the variables by using the generalized estimating equation. The results revealed that the number of clinic visits on the change of health status is a U curve, suggesting that health condition could be optimal with an appropriate number of clinic visits. The effect of the number of doctor changes is linearly correlated with health deterioration. The results suggest that disease conditions can only be controlled with an adequate number of clinic visits. Excessively frequent clinic visits are not only unfavorable to patients’ health status but are also wasteful of limited medical resources. For diabetic mellitus patients, the more they change doctors, the worse their health status. All of these results are important for patients to stay healthy and to save medical resources. Wolters Kluwer Health 2020-08-07 /pmc/articles/PMC7592987/ /pubmed/32769885 http://dx.doi.org/10.1097/MD.0000000000021495 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | 5400 Lin, Chin-Shien Khan, Haider Chang, Ruei-Yuan Liao, Wei-Chih Chen, Yi-Hsin Huang, Bo-Lin Hsieh, Teng-Fu Impacts of doctor-shopping behavior on diabetic patients’ health: A retrospective longitudinal study in Taiwan |
title | Impacts of doctor-shopping behavior on diabetic patients’ health: A retrospective longitudinal study in Taiwan |
title_full | Impacts of doctor-shopping behavior on diabetic patients’ health: A retrospective longitudinal study in Taiwan |
title_fullStr | Impacts of doctor-shopping behavior on diabetic patients’ health: A retrospective longitudinal study in Taiwan |
title_full_unstemmed | Impacts of doctor-shopping behavior on diabetic patients’ health: A retrospective longitudinal study in Taiwan |
title_short | Impacts of doctor-shopping behavior on diabetic patients’ health: A retrospective longitudinal study in Taiwan |
title_sort | impacts of doctor-shopping behavior on diabetic patients’ health: a retrospective longitudinal study in taiwan |
topic | 5400 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592987/ https://www.ncbi.nlm.nih.gov/pubmed/32769885 http://dx.doi.org/10.1097/MD.0000000000021495 |
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