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政大典藏 > College of Social Science > Department of Public Finance > Periodical Articles > Item 140.119/70818

Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/70818

Title:	Patterns of nonemergent visits to different healthcare facilities on the same day: a nationwide analysis in Taiwan
Authors:	Wu, Meng-Hsuan;Wu, Meng-Ju;Chou, Li-Fang;Chen, Tzeng-Ji 周麗芳
Contributors:	財政系
Date:	2014.04
Issue Date:	2014-10-27 15:31:33 (UTC+8)
Abstract:	Doctor shopping is a common phenomenon in many countries. However, patterns of switching healthcare facilities on the same day were little known. The data were obtained from the longitudinal cohort datasets (LHID2010) of Taiwan`s National Health Insurance Research Database in 2010. Of 1,000,000 persons of the cohort with 13,276,928 nonemergent visits, 185,347 patients had visited different healthcare facilities within one day, with a total of 672,478 visits and 337,260 switches between facilities in 329,073 patient-days. While 63.0% (n= 212,590) of all switches occurred between facilities of the same accreditation level, 14.1% (n= 47,664) moved from lower to higher level, and 22.8% (n=77,006) moved in the opposite direction. In 33,689 switches, patients moved to the same specialty of another facility. In 48,324 switches, patients moved to another facility with the same diagnosis, and the most frequent diagnoses were diseases of the digestive system (11,148) and diseases of the respiratory system (10,393). In a densely populated country without strict referral regulation, a high percentage of Taiwanese people had the experience of visiting different healthcare facilities on the same day. The system of family physicians as personal doctors and gatekeepers to healthcare might ameliorate the harmful impact.
Relation:	The Scientific World Journal, 2014, 627580
Data Type:	article
DOI link:	http://dx.doi.org/10.1155/2014/627580
DOI:	10.1155/2014/627580
Appears in Collections:	[Department of Public Finance] Periodical Articles

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