کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
371703 621937 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Cost of hospitalization and length of stay in people with Down syndrome: Evidence from a national hospital discharge claims database
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
پیش نمایش صفحه اول مقاله
Cost of hospitalization and length of stay in people with Down syndrome: Evidence from a national hospital discharge claims database
چکیده انگلیسی

The present paper aims to describe the hospitalization profiles which include medical expenses and length of stays, and to determine their possible influencing factors of hospital admission on persons with Down syndrome in Taiwan. We employed a population-based, retrospective analyses used national health insurance hospital discharge data of the year 2005 in this study. Subject inclusion criteria included residents of Taiwan, and diagnosed with Down syndrome (ICD code is 758.0; N = 375). Inpatient records included personal characteristics, admissions, length of stay, and medical expenses of study subjects. The results found that Down syndrome patients used 2 hospital admissions and their annual length of stay in hospital was 22.26 days, and the mean medical cost of admissions was 143,257 NT$. The admission figures show that Down syndrome individuals used two times of hospital days and nearly three times of medical expenses comparing to the general population in Taiwan. Finally, the multiple regression models revealed that factors of age, hold a serious illness card, low income family member, frequency of hospital admission, high medical expense user were more likely to use longer inpatient days (R2 = 0.36). Annual inpatient expense of people with Down syndrome was significantly affected by factors of severe illness card holder, low income family member, frequency of hospital admission and longer hospital stays (R2 = 0.288). Based on these findings, we suggest the further study should focus on the effects of medical problems among persons with Down syndrome admitted for hospital care is needed.


► To describe the inpatient profiles – medical expenses and length of stays in persons with DS.
► The DS used two times of hospital days and three times of medical costs than the general population.
► Inpatient expenses were affected by severe illness card holder, family income, hospitalized frequency and stay days.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Research in Developmental Disabilities - Volume 32, Issue 5, September–October 2011, Pages 1709–1713
نویسندگان
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