Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?

スポンサーリンク

概要

• 論文の詳細を見る

• Background: We attempted to identify the domain of self-rated health (SRH) that best predicts medical care utilization among Taiwanese adults. In addition, we examined the association between SRH and different measure of medical care utilization.<BR>Methods: We analyzed data on 11 987 community-dwelling adults aged 18 to 64 years from the 2005 Taiwan National Health Interview Survey (NHIS). NHIS data were linked to the 2006 National Health Insurance (NHI) administrative database. Then, medical care utilization in 2006, including all outpatient visits, hospitalizations, and mental health outpatient visits, was identified. Domain-specific health ratings were measured by using the Short Form-36 (SF-36) health survey questionnaire. Negative binominal models were used to estimate the contribution of the health domains to medical care utilization. Incidence rate ratios (IRRs) are presented.<BR>Results: The IRR for the physical component scale showed that those with the highest scores had 77% of the outpatient visits of those with the lowest scores. The importance of mental health domains was markedly higher in estimating mental health outpatient visits. Those with mental health scores above the median had only 61% of mental health outpatient visits of those with scores below the median.<BR>Conclusions: A person’s medical care utilization is reflected in the different domains of general health. Domain-specific measures of subjective health are not interchangeable with global general health ratings, because different domains have independent effects on medical care utilization. Our results are potentially important for medical resource allocation because they identify different health domain experiences that require improvement.

著者

• Pu Christy

  Institute Of Hospital And Health Care Administration School Of Medicine National Yang-ming Universit

• Chou Yiing-jenq

  Department Of Public Health School Of Medicine National Yang-ming University

• TANG Gau-Jun

  Institute of Hospital and Health Care Administration, School of Medicine, National Yang-Ming University

• FANG Yi-Ting

  Institute of Health and Welfare Policy, School of Medicine, National Yang-Ming University

関連論文

• Comparison of hypothalamopituitary axis dysfunction of intrasellar and third ventricular craniopharyngiomas in children
• Predictive Power of Self-Rated Health for Subsequent Mortality Risk During Old Age : Analysis of Data From a Nationally Representative Survey of Elderly Adults in Taiwan
• Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?
• Which Domain of Self-Rated Health Best Predicts Medical Care Utilization Among Taiwanese Adults?

スポンサーリンク