Healthcare cost; service use and mortality in major psychiatric disorders in Taiwan

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Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/112084

Title:	Healthcare cost;service use and mortality in major psychiatric disorders in Taiwan
Authors:	Pan, Yi-Ju;Pan, Yi-Ju;Ku, Kuei-Hong;Kuo, Kuei-Hong;葉玲玲;Yeh, Ling-Ling
Contributors:	健康產業管理學系
Date:	2019-03
Issue Date:	2019-09-18 03:38:06 (UTC+0)
Abstract:	Background We aimed to examine the differences in the cost distributions, service use, and mortality outcomes, across major psychiatric disorders in Taiwan. Method A national cohort of adult patients (n = 68,068) who had newly received a diagnosis of schizophrenia, bipolar disorder, and major depressive disorder (MDD) was identified from the National Health Insurance Research Database and followed for the subsequent three years. Variations in the 1-year and 3-year healthcare cost distributions and mortality outcomes were examined according to age group (18–64 years, ≥65 years) and diagnosis. Results Regardless of age group, individuals with schizophrenia had the highest total and psychiatric healthcare costs. Healthcare costs for psychiatric services accounted for 84.25%, 60%, and 29.62% of the 1-year total healthcare costs for younger patients with a diagnosis of schizophrenia, bipolar disorder, and MDD, respectively. Psychiatric inpatient care costs constituted a major part of the 1-year psychiatric healthcare costs, e.g., 85.86% for schizophrenia patients aged 18–64 years, while psychiatric medication costs contributed to a relatively smaller part. For those older than 65 years, costs of other specialties for comorbid physical conditions were more prominent. Limitations The perspective of the current analysis was limited to healthcare services, and we were not able to analyse wider economic impacts. Conclusions Psychiatric inpatient care costs contributed to a significant share of psychiatric expenditures, emphasizing the need of developing strategies to reduce rehospitalisations. For those aged 65 years or older, efforts to improve interdisciplinary service care for comorbid physical conditions may be required.
Relation:	JOURNAL OF AFFECTIVE DISORDERS
Appears in Collections:	[Department of Healthcare Administration] Journal Article

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