國家衛生研究院 NHRI:Item 3990099045/5600

國家衛生研究院 NHRI > 群體健康科學研究所 > 藍祚運(2003-2011) > 會議論文/會議摘要 > Item 3990099045/5600

Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/5600

Title:	Functional status and health care costs in older population in Taiwan
Authors:	Lan, TY;Chang, HY;Tai, TY
Contributors:	Division of Geriatric Research;Division of Health Services and Preventive Medicine;Institute of Cellular and Systems Medicine
Abstract:	n the past decade, results from many studies have shown that older people experiencing functional problems or decline are more likely to have higher medical utilization than independent older people. However, these studies are limited to earlier surveys, local people, women, or use of ADLs as the only measure of functional status, and none of them are from non-US countries. We analyzed the NHIS (National Health Interview Survey) data merged with the National Health Insurance claims data for the year at interviews in 2002 in Taiwan, and aimed to re-examine the magnitude of health care services utilized by older adults with different functional status measured by ADLs and questions involving advanced skills. A clear gradient relationship between functional status and expenses was observed in a total of 2,333 aged 60 and over community-dwelling older persons, with a small proportion of people having declined function responsible for a large proportion of expenses. Multiple linear regression analysis, adjusting for age, sex, education, marital status, self-rated health, and number of chronic diseases, further showed that functional status was independently associated with one-year health care expenditures. This suggests that physical function in the elderly has contribution to health care utilization not only in the US but also in other countries in the world. In addition to disease prevention, delaying or preventing the occurrence of functional decline in the elderly is also important to achieve reduction in health care expenditures.
Date:	2005-12-13
Relation:	The 133th annual meeting of APHA. 2005 Dec 13.
Link to:	http://apha.confex.com/apha/133am/techprogram/paper_102291.htm
Appears in Collections:	[藍祚運(2003-2011)] 會議論文/會議摘要 [張新儀] 會議論文/會議摘要 [戴東原(2003-2005)] 會議論文/會議摘要

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