Influence of Depression on the Medical Expenditure of Patient With Pneumoconiosis
碩士 === 國立陽明大學 === 醫務管理研究所 === 95 === Abstract Objectives:Pneumoconiosis, along with its related complications, is the most common cause of occupational handicap and mortality in Taiwan. Depression is a critical issue that has great impact on the quality of life and medical expenditure but little is...
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ndltd-TW-095YM0055280222015-10-13T14:13:12Z http://ndltd.ncl.edu.tw/handle/60111706022380252104 Influence of Depression on the Medical Expenditure of Patient With Pneumoconiosis 憂鬱傾向對塵肺症病人醫療費用之影響 Ling-Mei Lee 李玲美 碩士 國立陽明大學 醫務管理研究所 95 Abstract Objectives:Pneumoconiosis, along with its related complications, is the most common cause of occupational handicap and mortality in Taiwan. Depression is a critical issue that has great impact on the quality of life and medical expenditure but little is studied about depressive mood in patients with pneumoconiosis in Taiwan. The main purpose of this study is to examine the correlation of depression, pneumoconiosis and their medical expenditure. Methods:We collect all patients who were diagnosed as pneumoconiosis by a district hospital at northern Taiwan from January till December of 2001, all of them were evaluated with Taiwan Geriatric Depression Scale (TGDS) to decide their state of mood. The expenditure of outpatients and inpatients either had diagnosis of pneumoconiosis was also collected. Result:One hundred and eighty one patients were included in our study and 46.96% of them had depressive tendency, this incidence was higher than the community-dwelling elderly. The mean and medium expenditure of outpatients, numbers of outpatients visiting hospital and total expenditure were higher in patients with pneumoconiosis than in age-matched patients without pneumoconiosis. Also depressive tendency demonstrated significant influences on outpatients’ expenditure. Patients had pneumoconiosis, cardiovascular disease and psychiatric disease demonstrated significant influences on both outpatients’ and inpatients’ expenditure. Conclusion:Beside pulmonary function and related symptoms, we should consider the impact of mood disorder and comorbidity on the quality of life while treating patients with pneumoconiosis. Since the medical expenditure of the patients with pneumoconiosis is relatively high, we suggest applying the pay-by-quality program to secure their quality of medical care. Ching-Wen Chien 錢慶文 2007 學位論文 ; thesis 59 zh-TW |
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碩士 === 國立陽明大學 === 醫務管理研究所 === 95 === Abstract
Objectives:Pneumoconiosis, along with its related complications, is the most common cause of occupational handicap and mortality in Taiwan. Depression is a critical issue that has great impact on the quality of life and medical expenditure but little is studied about depressive mood in patients with pneumoconiosis in Taiwan. The main purpose of this study is to examine the correlation of depression, pneumoconiosis and their medical expenditure. Methods:We collect all patients who were diagnosed as pneumoconiosis by a district hospital at northern Taiwan from January till December of 2001, all of them were evaluated with Taiwan Geriatric Depression Scale (TGDS) to decide their state of mood. The expenditure of outpatients and inpatients either had diagnosis of pneumoconiosis was also collected. Result:One hundred and eighty one patients were included in our study and 46.96% of them had depressive tendency, this incidence was higher than the community-dwelling elderly. The mean and medium expenditure of outpatients, numbers of outpatients visiting hospital and total expenditure were higher in patients with pneumoconiosis than in age-matched patients without pneumoconiosis. Also depressive tendency demonstrated significant influences on outpatients’ expenditure. Patients had pneumoconiosis, cardiovascular disease and psychiatric disease demonstrated significant influences on both outpatients’ and inpatients’ expenditure. Conclusion:Beside pulmonary function and related symptoms, we should consider the impact of mood disorder and comorbidity on the quality of life while treating patients with pneumoconiosis. Since the medical expenditure of the patients with pneumoconiosis is relatively high, we suggest applying the pay-by-quality program to secure their quality of medical care.
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author2 |
Ching-Wen Chien |
author_facet |
Ching-Wen Chien Ling-Mei Lee 李玲美 |
author |
Ling-Mei Lee 李玲美 |
spellingShingle |
Ling-Mei Lee 李玲美 Influence of Depression on the Medical Expenditure of Patient With Pneumoconiosis |
author_sort |
Ling-Mei Lee |
title |
Influence of Depression on the Medical Expenditure of Patient With Pneumoconiosis |
title_short |
Influence of Depression on the Medical Expenditure of Patient With Pneumoconiosis |
title_full |
Influence of Depression on the Medical Expenditure of Patient With Pneumoconiosis |
title_fullStr |
Influence of Depression on the Medical Expenditure of Patient With Pneumoconiosis |
title_full_unstemmed |
Influence of Depression on the Medical Expenditure of Patient With Pneumoconiosis |
title_sort |
influence of depression on the medical expenditure of patient with pneumoconiosis |
publishDate |
2007 |
url |
http://ndltd.ncl.edu.tw/handle/60111706022380252104 |
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