Title page for etd-0010116-163957


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URN etd-0010116-163957
Author Chao-Mei Wang
Author's Email Address No Public.
Statistics This thesis had been viewed 5575 times. Download 897 times.
Department Master of Health Care Management, Department of Business Management
Year 2015
Semester 1
Degree Master
Type of Document
Language zh-TW.Big5 Chinese
Title The Effects of Insomnia on Health Care Utilization and Medical Care Outcome
Date of Defense 2015-12-02
Page Count 71
Keyword
  • Cost
  • Propensity Score Matching
  • Psychiatric
  • Insomnia
  • Health Care Utilization
  • Abstract Objective:
      This research were to discuss the relationship between the outcome of health care utilization in medical car and patients with or without insomnia. In order to analyze the influence of health care utilization and medical care outcome from insomniac.
    Method:
      This research is a retrospective secondary analysis, mainly use the data from the National Health Insurance Database. To reduce the difference of each separate group, choose the Propensity Score Match as a main method. Then, control the gender , age and Charlson Comorbidity Index score based on the 1:1 proportion to set the newly diagnosis insomniac as a case group, and recipients without insomnia as a control group for discussing the impact of health care utilization and medical care outcome between case and control group by analyzing the statistics of t test, chi-square test and regression test.
    Result:
      This study results showed that high prevalence insomniacs are female adults, whose ages are between 45–64, and have higher clinic visit rate and emergency rate. In Charles Comorbidity Index, their score are basically 0. In addition, the research results revealed that the risk of patients visiting Psychiatric due to insomnia is (OR=5.56); the risk of visiting emergency in reason of insomnia is (OR=73.42), and the rate of visiting emergency in any reason is (OR=1.61).
    Conclusion:
      Patients with insomnia actually have higher utilization rate of health care and lower quality of medical care outcome.
    Advisory Committee
  • Ying-Ying Lo - chair
  • Ti Lu - co-chair
  • Ying-Chun Li - advisor
  • Files
  • etd-0010116-163957.pdf
  • indicate access worldwide
    Date of Submission 2016-01-10

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