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Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study

To evaluate the trend of healthcare utilization among patients with dementia (PwD) in different post-diagnosis periods, Taiwan’s nationwide population database was used in this study. PwD were identified on the basis of dementia diagnoses during 2002–2011. We further subdivided the cases into 10 gro...

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Autores principales: Chen, Yu-Han, Lai, Yi-Chen, Wu, Yu-Cih, Sasaki, Jun, Tsai, Kang-Ting, Ho, Chung-Han
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199003/
https://www.ncbi.nlm.nih.gov/pubmed/34073398
http://dx.doi.org/10.3390/ijerph18115705
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author Chen, Yu-Han
Lai, Yi-Chen
Wu, Yu-Cih
Sasaki, Jun
Tsai, Kang-Ting
Ho, Chung-Han
author_facet Chen, Yu-Han
Lai, Yi-Chen
Wu, Yu-Cih
Sasaki, Jun
Tsai, Kang-Ting
Ho, Chung-Han
author_sort Chen, Yu-Han
collection PubMed
description To evaluate the trend of healthcare utilization among patients with dementia (PwD) in different post-diagnosis periods, Taiwan’s nationwide population database was used in this study. PwD were identified on the basis of dementia diagnoses during 2002–2011. We further subdivided the cases into 10 groups from the index year to the 10th year after diagnosis. The frequency of emergency department visits and hospitalizations, the length of stay, outpatient and department visits, and the number of medications used were retrieved. The Joinpoint regression approach was used to estimate the annual percent change (APC) of healthcare utilization. The overall trend of healthcare utilization increased with the progression of dementia, with a significant APC during the first to second year after diagnosis (p < 0.01), except that the frequency of outpatient visits showed a decreasing trend with a significant APC from the first to fifth year. All sex- and age-stratified analyses revealed that male gender and old age contributed to greater use of healthcare services but did not change the overall trend. This study provides a better understanding of medical resource utilization across the full spectrum of dementia, which can allow policymakers, physicians, and caregivers to devise better care plans for PwD.
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spelling pubmed-81990032021-06-14 Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study Chen, Yu-Han Lai, Yi-Chen Wu, Yu-Cih Sasaki, Jun Tsai, Kang-Ting Ho, Chung-Han Int J Environ Res Public Health Article To evaluate the trend of healthcare utilization among patients with dementia (PwD) in different post-diagnosis periods, Taiwan’s nationwide population database was used in this study. PwD were identified on the basis of dementia diagnoses during 2002–2011. We further subdivided the cases into 10 groups from the index year to the 10th year after diagnosis. The frequency of emergency department visits and hospitalizations, the length of stay, outpatient and department visits, and the number of medications used were retrieved. The Joinpoint regression approach was used to estimate the annual percent change (APC) of healthcare utilization. The overall trend of healthcare utilization increased with the progression of dementia, with a significant APC during the first to second year after diagnosis (p < 0.01), except that the frequency of outpatient visits showed a decreasing trend with a significant APC from the first to fifth year. All sex- and age-stratified analyses revealed that male gender and old age contributed to greater use of healthcare services but did not change the overall trend. This study provides a better understanding of medical resource utilization across the full spectrum of dementia, which can allow policymakers, physicians, and caregivers to devise better care plans for PwD. MDPI 2021-05-26 /pmc/articles/PMC8199003/ /pubmed/34073398 http://dx.doi.org/10.3390/ijerph18115705 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Yu-Han
Lai, Yi-Chen
Wu, Yu-Cih
Sasaki, Jun
Tsai, Kang-Ting
Ho, Chung-Han
Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study
title Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study
title_full Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study
title_fullStr Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study
title_full_unstemmed Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study
title_short Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study
title_sort healthcare utilization in different stages among patients with dementia: a nationwide population-based study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199003/
https://www.ncbi.nlm.nih.gov/pubmed/34073398
http://dx.doi.org/10.3390/ijerph18115705
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