Title page for etd-0809116-104105


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URN etd-0809116-104105
Author Hsing-Jung Li
Author's Email Address alicialu047@yahoo.com.tw
Statistics This thesis had been viewed 5574 times. Download 383 times.
Department Master of Health Care Management, Department of Business Management
Year 2016
Semester 1
Degree Master
Type of Document
Language zh-TW.Big5 Chinese
Title Survey of Rehabilitation Resources in Children with Attention Deficit Hyperactivity Disorder under National Health Insurance in Taiwan
Date of Defense 2016-08-25
Page Count 62
Keyword
  • non-drug treatment
  • Taiwan
  • Attention deficit hyperactivity disorder
  • Rehabilitation Resources
  • National Health Insurance
  • Abstract Background:
    Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder in children. The research goal is to understand the situation on the use of non-drug treatment rehabilitation treatment.
    Method:
    According to the National Health Insurance Research Database rehabilitation materials from 2008 to 2012, selected children aged 3-12 years would be included in the research objective, The children who are diagnosed by ICD-9-CM will be divided into two groups; attention deficit hyperactivity disorder and non-attention deficit hyperactivity disorder; to discuss the differences in the use of resources on rehabilitation, and find relevant facts.
    Result:
    Using chi-squared test, independent sample t test and multiple regression analysis, we found that children receiving rehabilitation resources diagnosed as attention deficit hyperactivity disorder are on average of 18.5%. The number of patients and the frequency are increasing year by year. The ADHD group compared to non-ADHD one is more, while the male to female ratio is 3: 1 (p <0.001). The proportion of school-age children with ADHD was identified as being higher than in preschool (p <0.001). The most use of rehabilitation resources is at clinics, accounting for 60% (p <0.001). Non-teaching hospitals accounted for more than 70% (p <0.001). Regional aspects of treatment are highest in Taipei, in contrast to Eastern which is the lowest (p <0.001). No matter whether it is the average cost per year, the average number of times or annual total cost, ADHD group is more than non-ADHD one (p <0.001). The prediction of rehabilitation resources usage on ADHD, the average cost, average frequency, the total annual cost are affected by factors such as whether ADHD has been diagnosed or not, timing of rehabilitation use, demographic characteristics, and speciality of hospitals and regions (p <0.001).
    Conclusion:
    The number of children with ADHD and the use of resources on rehabilitation is increasing, but health care point value is still low, and severe uneven distribution of resources is concerned. It will be worthwhile setting policies to assist children to reduce the family burden and the social costs in the future.
    Advisory Committee
  • Ching-Hong Tsai - chair
  • Chow PC - co-chair
  • Ying-Chun Li - advisor
  • Files
  • etd-0809116-104105.pdf
  • indicate access worldwide
    Date of Submission 2016-09-09

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