Concordance of Diseases among Parents and Children in Taiwan

• Main Authors: Hui-Hsin Lin, 林蕙欣
• Other Authors: 王中儀
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/kaaeuf

碩士 === 中國醫藥大學 === 醫務管理學系碩士班 === 102 === Purposes:Prior research reported that parent-child might suffer from concordant diseases. Family members share common risks from their living environments and also heredity, therefore, if one of parents suffers from illness, the odds of children for illness will be escalating. A comprehensive investigation on the varieties of concordant diseases and the risk factors among parent-child is certainly needed. In the midst of the implementation of the capitation reimbursement scheme and Family Physician System, prevention for concordant diseases with the approach of family cluster becomes extraordinarily important. This study sought to examine the concordant systemic diseases and the associated factors as well as the prevalence of concordant diseases among parent-child. There is a dearth of nationally-representative study on this domain in Taiwan. Study results can provide valuable information for advancing preventive medicine and healthcare practices on family units. Methods: In a retrospective cohort design, the current study analyzed the medical claims data extracted from 1,000,000 randomly sampled beneficiaries recorded in the 2002-2011 Taiwan National Health Insurance Research Database, which include 11,242 parent-child (22,484individuals) identified. The study and control groups (nonparent-child) were matched to 11,242 pairs (total 22,484 individuals) by identical gender and age. Analysis methods include Chi-square, McNemar’s test, binomial and multinomial logistic regression, and cluster analysis performed in SAS 9.3. Results:Concordant systemic diseases among parent-child include infection, psychiatry, neurology,uropathy, dermatology, and orthopedics. The factors associated with the concordance include age,sex,beneficiary category, premium, region, urbanization, and severity of illness. The results of matching indicated that parent-child was more likely to encounter concordant diseases than non parent-child did. Conclusion:That parent-child tends to suffer from concordant diseases echoes with the Ecological System Theory.Disease prevention may need to emphasize more on the family-based practices.The authorities and healthcare organizations should target family members of high risk, in endeavoring to establish intervention plans and related measures for preventing concordant diseases effectively.