Health Resource Utilization of Depression among Patients with Diabetes

• Main Authors: Mei-Shien Lee, 李美嫻
• Other Authors: 林恆慶
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/38681691841703587955

碩士 === 臺北醫學大學 === 醫務管理學研究所 === 97 === Diabetes is one of the most serious chronic diseases in Taiwan. Chronic patients are always suffering by their ill-condition, and it might cause them to be depressive. The worse is those patients with depression are more possible to absent from their job, and that might decrease their production and increase their health utilization. Although there are some relative studies overseas, the Taiwanese conditions are still unknown. In this study, we explore the utilizations of diabetes with depression in Taiwan by the use of the Longitudinal Health Insurance Database 2005 (LHID2005) contained 1,000,000 beneficiaries’ original claim data and sampled from the National Health Insurance Research Database (NHIRD).In this database, there are 34,003 diabetes patients whose International Classification of Disease Ninth revision (ICD-9) code of 2005 ambulatory claims are 250, of which 1,048 were suffering from depression (3%).This study is trying to control gender, age, insurance amount every month, anemia, high cholesterol, high blood pressure, coronary heart disease, endstage renal disease, cerebrovascular disease, chronic obstructive pulmonary disease, area and urbanization, diabetes with depression use more medical resources than diabetes without depression in 2005. Such relative risk of outpatient visits was 1.58, length-of-stay raised 2.60 days, outpatient expenditure increased 23,649 NT dollars, inpatient expenditure increased 8,209 NT dollars, and total expenditure raised 31,858 NT dollars.