Modifiable health risk factors and medical expenditures – The case of Taiwan

Lin, Tsui-Fang

doi:10.1016/j.socscimed.2008.09.010

Cited by 12 publications

(16 citation statements)

References 28 publications

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“…Moreover, the people in the SM group also use inpatient services more frequently than those in the base group-the difference in the logs of expected counts of the inpatient utilization frequency is expected to increase by 1.213. These findings are consistent with Lin's findings [13]. These facts indicate that smoking greatly affects personal health.…”

Section: Discussionsupporting

confidence: 93%

“…Previous studies indicate that personal health status and medical expenditure are associated with modifiable risk factors [12][13][14][15][16][17][18][19]. For example, some unhealthy behaviors, such as smoking, excessive drinking, chewing betel nut, lack of exercise, and an unbalanced diet, have been identified as the major causes of several chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

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Addiction and the Utilization of Medical Care

Lin

Chen

Liu

et al. 2012

Economics Research International

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We investigate the effect of different scales of addictive factors on the utilization of medical services in this paper using a two-part model. Data are from the 2005 National Health Interview Survey and the claims data in the National Health Insurance Research Database in Taiwan. The results show that personal addictive behavior is significantly associated with both outpatient and inpatient utilization. Moreover, our result implies that those who smoked at least 20 cigarettes per day might not visit a doctor until the illness was severe. It suggests that the government can accomplish these goals by promotion and education in order to increase public awareness of personal health.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Addiction and the Utilization of Medical Care

Lin

Chen

Liu

et al. 2012

Economics Research International

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“…A recent study from Taiwan reported that males use healthcare services less frequently than do females (19). This provides supportive evidence to rule out the possibility that the male preponderance in Taiwan might be due to selection bias.…”

Section: Discussionmentioning

confidence: 69%

Epidemiological Study of Psoriasis in the National Health Insurance Database in Taiwan

Chang¹,

Chen²,

Liu³

et al. 2009

Acta Derm Venerol

115

151

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The aim of this study was to determine the prevalence, treatment modalities and comorbidity of psoriasis in Taiwan. A nationally representative cohort of 1,000,000 individuals from the National Health Insurance database was followed up for the years 2000 to 2006. Their claims data was used for an epidemiological study. The mean one-year prevalence of psoriasis was 0.23% for men and 0.16% for women, respectively. The prevalence of psoriasis increased more rapidly in male patients aged 30 years and over and reached its peak in patients aged 70 years and over, regardless of sex. Overall, 98.4% of patients received treatment with topical corticosteroids, while 13.1% used Chinese herbal medicines and 13.6% received systemic treatment. Patients with psoriasis had a higher comorbidity of diabetes, hyperlipidaemia, and hypertension. In conclusion, in contrast to Caucasians, the prevalence of psoriasis in Taiwanese people is high er in men than in women and the prevalence increases significantly in patients over 70 years of age.

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“…By tracing Korean physical examination data for 6 years, it was noted that long-term exercise reduced salary by preventing 22% of having colorectal cancer and 12% of having diabetes and hypertension [34]; however, a Taiwanese analysis of ambulatory care spending in 2010 showed that exercise performers had higher medical expenditures in outpatient clinics than non-exercise performers [35]. Generally, the duration of exercise was an important factor for exercise, but this study limited its consideration of duration because the screening checklist for exercise was based on the previous week.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Metabolic Syndrome and Related Medical Costs by the Scale of Enterprise in Korea

Kong

Lee

Yim

et al. 2013

Ann of Occup and Environ Med

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ObjectivesThe purpose of this study was to identify the risk factors of metabolic syndrome (MS) and to analyze the relationship between the risk factors of MS and medical cost of major diseases related to MS in Korean workers, according to the scale of the enterprise.MethodsData was obtained from annual physical examinations, health insurance qualification and premiums, and health insurance benefits of 4,094,217 male and female workers who underwent medical examinations provided by the National Health Insurance Corporation in 2009. Logistic regression analyses were used to the identify risk factors of MS and multiple regression was used to find factors associated with medical expenditures due to major diseases related to MS.ResultThe study found that low-income workers were more likely to work in small-scale enterprises. The prevalence rate of MS in males and females, respectively, was 17.2% and 9.4% in small-scale enterprises, 15.9% and 8.9% in medium-scale enterprises, and 15.9% and 5.5% in large-scale enterprises. The risks of MS increased with age, lower income status, and smoking in small-scale enterprise workers. The medical costs increased in workers with old age and past smoking history. There was also a gender difference in the pattern of medical expenditures related to MS.ConclusionsHealth promotion programs to manage metabolic syndrome should be developed to focus on workers who smoke, drink, and do little exercise in small scale enterprises.

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Modifiable health risk factors and medical expenditures – The case of Taiwan

Cited by 12 publications

References 28 publications

Addiction and the Utilization of Medical Care

Addiction and the Utilization of Medical Care

Epidemiological Study of Psoriasis in the National Health Insurance Database in Taiwan

Factors Associated with Metabolic Syndrome and Related Medical Costs by the Scale of Enterprise in Korea

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