Abstract
INTRODUCTION: Studies indicate that Health Examination (HE) is associated better health outcomes over shorter period of time among general populations. In this study, we evaluate the effectiveness of regular HE on health care expenditure and all-cause mortality among a group of newly diagnosed diabetes patients over a 6-year period. METHODS: Newly diagnosed diabetes patients aged 70 or older between 2003 and 2007 were identified from the National Health Insurance Research Database. The selected cases were divided into four groups: (1) those who never had HE; (2) those who received one HE; (3) those who received two HEs; and (4) those who received 3 HEs over the past three years. Proportional hazards and linear regression models were used to compare the risk of all-cause mortality and their diabetes-related health care expenditure across the four groups. RESULTS: Among the 13,349 newly diagnosed diabetes patients, 29.9% of them never had HE and 22.7% receiving 3 HEs over the past 3 years. Patients received 3, 2, and 1 HE over the past 3 years spent 43%, 31%, and 23% less, respectively, when compared to those who never had annual, HE. For all-cause mortality, patients with 3, 2, and 1 HE was 33%, 26%, and 13% less likely to die, respectively, when compared to those who never had HE over the 3-year period. DISCUSSION: Our analyses confirm that, for the newly diagnosed diabetes patients, regular HE seems effective in reducing their health care spending on diabetes and mortality.
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@proceedings{APCPH-2019-166,
title = {Evaluate the Effectiveness of Regular Health Examination Among the Newly Diagnosed Diabetes Patients in Taiwan},
author = {Yu-Chia Chang and Ho-Jui Tung and Te-Feng Yeh},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Studies indicate that Health Examination (HE) is associated better health outcomes over shorter period of time among general populations. In this study, we evaluate the effectiveness of regular HE on health care expenditure and all-cause mortality among a group of newly diagnosed diabetes patients over a 6-year period. METHODS: Newly diagnosed diabetes patients aged 70 or older between 2003 and 2007 were identified from the National Health Insurance Research Database. The selected cases were divided into four groups: (1) those who never had HE; (2) those who received one HE; (3) those who received two HEs; and (4) those who received 3 HEs over the past three years. Proportional hazards and linear regression models were used to compare the risk of all-cause mortality and their diabetes-related health care expenditure across the four groups. RESULTS: Among the 13,349 newly diagnosed diabetes patients, 29.9% of them never had HE and 22.7% receiving 3 HEs over the past 3 years. Patients received 3, 2, and 1 HE over the past 3 years spent 43%, 31%, and 23% less, respectively, when compared to those who never had annual, HE. For all-cause mortality, patients with 3, 2, and 1 HE was 33%, 26%, and 13% less likely to die, respectively, when compared to those who never had HE over the 3-year period. DISCUSSION: Our analyses confirm that, for the newly diagnosed diabetes patients, regular HE seems effective in reducing their health care spending on diabetes and mortality.},
note = {Type: POSTER PRESENTATION; Organisation: Department of Healthcare Administration, Asia University, Taichung, Taiwan, Department of Health Care Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan},
keywords = {Effectiveness, health examination, newly diagnosed diabetes, regular},
pubstate = {published},
tppubtype = {proceedings}
}