Title page for etd-0011115-234133


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URN etd-0011115-234133
Author Yi-Chien Yao
Author's Email Address No Public.
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Department Master of Health Care Management, Department of Business Management
Year 2014
Semester 1
Degree Master
Type of Document
Language zh-TW.Big5 Chinese
Title The Effect of Dementia on Medical Care in Middle-aged and Elderly Patients with Diabetes Mellitus
Date of Defense 2014-11-20
Page Count 88
Keyword
  • Propensity Score Matching
  • Diabetes
  • Dementia
  • Charlson Comorbidity Index
  • Middle-Aged and Elderly
  • Abstract Objective:
    The main objective of this study is to research the influence of middle-aged and elderly patients with diabetes on their medical care situation after suffering from dementia, and to explore the substantial effect of dementia on medical resource consumption and medical care outcomes of diabetes.
    Method:
    A retrospective secondary data analysis approach was used to analyze data from the National Health Insurance Database. All study samples were divided into a case group and control group based on whether they were diabetics suffering from dementia or not. A propensity score match method was used to control variables in order to reduce the effects of interference between the study groups. Adopting the T test, chi-square test and regression analysis method, medical resource consumption and medical care outcomes were explored between the case group and control group.
    Result:
    Study results showed that diabetics suffering from dementia have a significantly higher rate of healthcare utilization. Using multivariate logistic regression analysis, results also showed that diabetic patients with dementia have an increased risk of hospitalization (OR=1.64), emergency rate(OR=2.15) and mortality rate(OR=1.22).
    Conclusion:
    Results from this study showed that diabetics who suffer from dementia have a poorer quality of health care with a higher resource utilization.
    Advisory Committee
  • Ying-Ying Lo - chair
  • YY Chia - co-chair
  • Ying-Chun Li - advisor
  • Files
  • etd-0011115-234133.pdf
  • Indicate in-campus at 5 year and off-campus access at 5 year.
    Date of Submission 2015-01-11

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