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Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan

Background: Causing more than 40,000 deaths each year, cancer is one of the leading causes of mortality and preventable hospitalizations (PH) in Taiwan. To reduce the incidence and severity of cancer, the National Cancer Control Program (NCCP) includes screening for various types of cancer. A cohort...

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Autores principales: Hung, Yu-Han, Chung, Yu-Chieh, Lee, Pi-Yueh, Kao, Hao-Yun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431543/
https://www.ncbi.nlm.nih.gov/pubmed/34501914
http://dx.doi.org/10.3390/ijerph18179327
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author Hung, Yu-Han
Chung, Yu-Chieh
Lee, Pi-Yueh
Kao, Hao-Yun
author_facet Hung, Yu-Han
Chung, Yu-Chieh
Lee, Pi-Yueh
Kao, Hao-Yun
author_sort Hung, Yu-Han
collection PubMed
description Background: Causing more than 40,000 deaths each year, cancer is one of the leading causes of mortality and preventable hospitalizations (PH) in Taiwan. To reduce the incidence and severity of cancer, the National Cancer Control Program (NCCP) includes screening for various types of cancer. A cohort study was conducted to explore the long-term trends in PH/person-years following NCCP intervention from 1997 to 2013. Methods: Trend analysis was carried out for long-term hospitalization. The Poisson regression model was used to compare PH/person-years before (1997–2004) and after intervention (2005–2013), and to explore the impact of policy intervention. Results: The policy response reduced 26% for the risk of hospitalization; in terms of comorbidity, each additional point increased the risk of hospitalization by 2.15 times. The risk of hospitalization doubled for each 10-year increase but was not statistically significant. Trend analysis validates changes in the number of hospitalizations/person-years in 2005. Conclusions: PH is adopted as an indicator for monitoring primary care quality, providing governments with a useful reference for which to gauge the adequacy, accessibility, and quality of health care. Differences in PH rates between rural and urban areas can also be used as a reference for achieving equitable distribution of medical resources.
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spelling pubmed-84315432021-09-11 Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan Hung, Yu-Han Chung, Yu-Chieh Lee, Pi-Yueh Kao, Hao-Yun Int J Environ Res Public Health Article Background: Causing more than 40,000 deaths each year, cancer is one of the leading causes of mortality and preventable hospitalizations (PH) in Taiwan. To reduce the incidence and severity of cancer, the National Cancer Control Program (NCCP) includes screening for various types of cancer. A cohort study was conducted to explore the long-term trends in PH/person-years following NCCP intervention from 1997 to 2013. Methods: Trend analysis was carried out for long-term hospitalization. The Poisson regression model was used to compare PH/person-years before (1997–2004) and after intervention (2005–2013), and to explore the impact of policy intervention. Results: The policy response reduced 26% for the risk of hospitalization; in terms of comorbidity, each additional point increased the risk of hospitalization by 2.15 times. The risk of hospitalization doubled for each 10-year increase but was not statistically significant. Trend analysis validates changes in the number of hospitalizations/person-years in 2005. Conclusions: PH is adopted as an indicator for monitoring primary care quality, providing governments with a useful reference for which to gauge the adequacy, accessibility, and quality of health care. Differences in PH rates between rural and urban areas can also be used as a reference for achieving equitable distribution of medical resources. MDPI 2021-09-03 /pmc/articles/PMC8431543/ /pubmed/34501914 http://dx.doi.org/10.3390/ijerph18179327 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
Hung, Yu-Han
Chung, Yu-Chieh
Lee, Pi-Yueh
Kao, Hao-Yun
Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan
title Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan
title_full Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan
title_fullStr Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan
title_full_unstemmed Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan
title_short Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan
title_sort exploration of preventable hospitalizations for colorectal cancer with the national cancer control program in taiwan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431543/
https://www.ncbi.nlm.nih.gov/pubmed/34501914
http://dx.doi.org/10.3390/ijerph18179327
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