Title page for etd-0829108-114112


[Back to Results | New Search]

URN etd-0829108-114112
Author Chih-Chiang Tai
Author's Email Address tai1969@gmail.com
Statistics This thesis had been viewed 5567 times. Download 5488 times.
Department Institute of Health Care Management
Year 2007
Semester 2
Degree Master
Type of Document
Language zh-TW.Big5 Chinese
Title Pediatric asthma and medical resources utilization
Date of Defense 2008-07-30
Page Count 45
Keyword
  • asthma
  • medical resources
  • Abstract Background
    Children with asthma usually use more medical resources than those without asthma. However, studies on the relationship between ratios of asthma-related complications and consumption of medical resources are rare.
    Methods
    We sampled data from “Registry for beneficiaries” of “National Health Insurance Research Database”, National Health Insurance Institute, 2004. The target group was patients, aged between 1 and 18 years old, whose main diagnosis number from outpatient department (ICD-9-CM) is 493. Ratios of asthma-related complications and consumption of medical costs and resources were submitted to statistical analysis.
    Results
    Data of 394197 outpatients, of whom 62.5% are males, were included. Among the entire sample, 7627 children have asthma. Children with asthma are 8.2 times likely to get allergic rhinitis than those without asthma. Children with asthma are 2.1 times likely to get atopic dermatitis, 1.3 times likely to get otitis media, 1.5 times likely to get sinusitis than those without asthma. With regard to average expenditure on medical treatment, that of children with asthma is higher than that of children without asthma. Expenditures on medical treatment are compared among four divided groups. Children without asthma or complications ( NT$ 3714 ± 24538 ) , Children without asthma having complications ( NT$ 6448 ± 8880 ) , children with asthma not having complications ( NT$ 7396 ± 6434 ) , children with asthma having complications ( NT$ 12708 ± 10585 ) . Results of expenditures on medical treatment among these four divided groups show statistically significant. Seventy % of medical resources utilized are pediatrics, 40% are clinics, 50% are in the northern area.
    Conclusion
    Ratio of comorbidities of children with asthma is obviously higher than that of children without asthma. With regard to medical costs, that of children with asthma having comorbidities is higher than that of children with asthma not having comorbidities. Therefore, local pediatricians have an important role in the care of children with asthma.
    Advisory Committee
  • Lawrence Sun - chair
  • Jen-Her Wu - co-chair
  • Ying-Chun Li - advisor
  • Files
  • etd-0829108-114112.pdf
  • indicate access worldwide
    Date of Submission 2008-08-29

    [Back to Results | New Search]


    Browse | Search All Available ETDs

    If you have more questions or technical problems, please contact eThesys