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Article

Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study

1
Department of Family Medicine, Chi-Mei Medical Center, Tainan 710, Taiwan
2
Department of Emergency Medicine, An Nan Hospital, China Medical University, Tainan 709, Taiwan
3
Department of Medical Research, Chi-Mei Medical Center, Tainan 710, Taiwan
4
Yushokai Medical Corporation, Tokyo 105-0004, Japan
5
Department of Geriatrics and Gerontology, Chi-Mei Medical Center, Tainan 710, Taiwan
6
Department of Senior Welfare and Services, Southern Taiwan University of Science and Technology, Tainan 710, Taiwan
*
Authors to whom correspondence should be addressed.
These authors contributed equally.
Academic Editors: Elena Lobo, Patricia Gracia-García and Robbert Huijsman
Int. J. Environ. Res. Public Health 2021, 18(11), 5705; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115705
Received: 19 April 2021 / Revised: 17 May 2021 / Accepted: 24 May 2021 / Published: 26 May 2021
(This article belongs to the Special Issue Aging and Cognition: Improving Wellbeing in Older Age)
To evaluate the trend of healthcare utilization among patients with dementia (PwD) in different post-diagnosis periods, Taiwan’s nationwide population database was used in this study. PwD were identified on the basis of dementia diagnoses during 2002–2011. We further subdivided the cases into 10 groups from the index year to the 10th year after diagnosis. The frequency of emergency department visits and hospitalizations, the length of stay, outpatient and department visits, and the number of medications used were retrieved. The Joinpoint regression approach was used to estimate the annual percent change (APC) of healthcare utilization. The overall trend of healthcare utilization increased with the progression of dementia, with a significant APC during the first to second year after diagnosis (p < 0.01), except that the frequency of outpatient visits showed a decreasing trend with a significant APC from the first to fifth year. All sex- and age-stratified analyses revealed that male gender and old age contributed to greater use of healthcare services but did not change the overall trend. This study provides a better understanding of medical resource utilization across the full spectrum of dementia, which can allow policymakers, physicians, and caregivers to devise better care plans for PwD. View Full-Text
Keywords: dementia; healthcare utilization; medical services; national health insurance dementia; healthcare utilization; medical services; national health insurance
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MDPI and ACS Style

Chen, Y.-H.; Lai, Y.-C.; Wu, Y.-C.; Sasaki, J.; Tsai, K.-T.; Ho, C.-H. Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study. Int. J. Environ. Res. Public Health 2021, 18, 5705. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115705

AMA Style

Chen Y-H, Lai Y-C, Wu Y-C, Sasaki J, Tsai K-T, Ho C-H. Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study. International Journal of Environmental Research and Public Health. 2021; 18(11):5705. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115705

Chicago/Turabian Style

Chen, Yu-Han, Yi-Chen Lai, Yu-Cih Wu, Jun Sasaki, Kang-Ting Tsai, and Chung-Han Ho. 2021. "Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study" International Journal of Environmental Research and Public Health 18, no. 11: 5705. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115705

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