Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013

Huang, Chia-Yu; Wu, Mei-Yao; Chang, Chia‐Ling; Liao, Yuan-Ching; Chen, Yingyu; Lin, Wu-Chou; Yen, Hung-Rong

doi:10.1016/j.ctim.2021.102782

Cited by 7 publications

(8 citation statements)

References 44 publications

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“…In Taiwan, 70% of the elderly population has sought treatment from Chinese medical physicians. 13 Our results indicate that acupuncture therapy still works in patients with a progressive disease course, which may be due to smoothing the restriction of limb motion. These findings have not been reported in a previous study.…”

Section: Discussionmentioning

confidence: 68%

“…Data from the NHI have been recorded in the National Health Insurance Research Database (NHIRD) since 1995. 13 Thus, it is feasible to use the NHIRD to investigate the long-term outcomes after medical intervention. In this study, we aimed to determine the relationship between acupuncture treatment and the development of pressure ulcers in Taiwanese dementia patients.…”

Section: Introductionmentioning

confidence: 99%

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The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study

Huang,

Wu,

Huang

et al. 2023

Integrative Medicine Research

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study

Huang,

Wu,

Huang

et al. 2023

Integrative Medicine Research

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“…In Taiwan, the records of medical services are saved in the database of the National Health Insurance (NHI) program—the National Health Insurance Research Database (NHIRD). This service of the NHI has been operating from 1995 until now, and the coverage rate in the Taiwanese population is more than 99% 28. In other words, the medical data in the NHIRD cover a long enough time and are large enough to be used for nationwide population research.…”

Section: Introductionmentioning

confidence: 99%

“…This service of the NHI has been operating from 1995 until now, and the coverage rate in the Taiwanese population is more than 99%. 28 In other words, the medical data in the NHIRD cover a long enough time and are large enough to be used for nationwide population research. Sampling bias could be prevented when the study is conducted through such a large-scale database.…”

Section: Introductionmentioning

confidence: 99%

Effect of acupuncture on ischaemic stroke in patients with rheumatoid arthritis: a nationwide propensity score-matched study

Huang,

Liao

et al. 2024

BMJ Open

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ObjectiveTo demonstrate that acupuncture is beneficial for decreasing the risk of ischaemic stroke in patients with rheumatoid arthritis (RA).DesignA propensity score-matched cohort study.SettingA nationwide population-based study.ParticipantsPatients with RA diagnosed between 1 January 1997 and 31 December 2010, through the National Health Insurance Research Database in Taiwan.InterventionsPatients who were administered acupuncture therapy from the initial date of RA diagnosis to 31 December 2010 were included in the acupuncture cohort. Patients who did not receive acupuncture treatment during the same time interval constituted the no-acupuncture cohort.Primary outcome measuresA Cox regression model was used to adjust for age, sex, comorbidities, and types of drugs used. We compared the subhazard ratios (SHRs) of ischaemic stroke between these two cohorts through competing-risks regression models.ResultsAfter 1:1 propensity score matching, a total of 23 226 patients with newly diagnosed RA were equally subgrouped into acupuncture cohort or no-acupuncture cohort according to their use of acupuncture. The basic characteristics of these patients were similar. A lower cumulative incidence of ischaemic stroke was found in the acupuncture cohort (log-rank test, p<0.001; immortal time (period from initial diagnosis of RA to index date) 1065 days; mean number of acupuncture visits 9.83. In the end, 341 patients in the acupuncture cohort (5.95 per 1000 person-years) and 605 patients in the no-acupuncture cohort (12.4 per 1000 person-years) experienced ischaemic stroke (adjusted SHR 0.57, 95% CI 0.50 to 0.65). The advantage of lowering ischaemic stroke incidence through acupuncture therapy in RA patients was independent of sex, age, types of drugs used, and comorbidities.ConclusionsThis study showed the beneficial effect of acupuncture in reducing the incidence of ischaemic stroke in patients with RA.

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“…In Taiwan, patients could have prescriptions from three sources, namely, a Western physician, 15 , 16 traditional Chinese physician, 17 , 18 and dentist. 19 Since 1995, these medical services have all been reimbursed by the National Health Insurance (NHI) program. More than 99.7% of Taiwanese people are covered by the HNI program, and their medical information is collected into the National Health Insurance Research Database (NHIRD).…”

Section: Introductionmentioning

confidence: 99%

Trends in Coprescription Among Taiwanese Children from 2002 to 2012

Tou,

Lin,

Huang

et al. 2023

JMDH

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Purpose Coprescription means that patients use different prescription medications at the same time, which can lead to polypharmacy and subsequent complications. In Taiwan, prescriptions can be ordered by Western physicians, traditional Chinese physicians and dentists. It is essential to disclose the trends in coprescription to prevent possible polypharmacy among children. Patients and Methods We used the Longitudinal Health Insurance Database 2000 in Taiwan. Children <18 years old who had coprescription from 2002 to 2012 are included. The odds ratio and 95% confidence interval are estimated by a logistic regression model to evaluate the correlation between basic characteristics and coprescription. Results A total of 44,801 children are included in the analysis. The numbers of children with coprescription and the numbers of coprescriptions ordered for children increased with calendar years. Children aged 3–5 year and 6–8 years constituted the majority of coprescriptions, while those aged <3 years constituted the minority of coprescriptions. Compared to those in the Western medication-alone group, aged 3–5 years and children who lived in central and southern Taiwan are more likely to have coprescription. Conclusion Coprescription among Taiwanese children is not uncommon. Healthcare providers, policymakers and parents should be aware of the real coprescription situation among the children.

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Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013

Cited by 7 publications

References 44 publications

The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study

The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study

Effect of acupuncture on ischaemic stroke in patients with rheumatoid arthritis: a nationwide propensity score-matched study

Trends in Coprescription Among Taiwanese Children from 2002 to 2012

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