Abstract:
BACKGROUND:The Adjusted Clinical Group (ACG) system has been used in measuring an individual's and a population's morbidities. Although all required inputs for running the ACG system are readily available, patients' morbidities and their associations to health care utilizations have been rarely studied in Taiwan. Therefore, the objective of this study was using the ACG system to quantify morbidities for Taiwanese population and to examine their relationship to ambulatory utilizations and costs. METHODS:This secondary analysis examined claims data for ambulatory services provided to 2.71 million representative Taiwanese in 2002 and 2003. People were grouped by the ACG system according to age, gender, and all ambulatory diagnosis codes in a given year. The software collapses the full set of ACGs into six morbidity categories (Non-users, Healthy, Low-morbidity, Moderate-, High- and Very-high) termed Resource Utilization Bands (RUBs). Each ACG was assigned a relative weight (RW), which was calculated as the ratio of mean ambulatory cost for each ACG to that for the overall. The distribution of morbidities was compared between years 2002 and 2003. The consistency of the distributions of visits, costs, and RWs of each ACG were examined for a two-year period. The relationship between people's morbidities and their ambulatory utilizations and costs was assessed. RESULTS:Ninety-eight percent of the subjects were correctly assigned to ACGs. Except for non-users (7.9 approximately 8.3%), most subjects were assigned to ACGs of acute and minor diseases and ACGs of moderate-to-high-morbid chronic diseases. The distributions of ACG-based morbidities were highly consistent (r = 0.949, p < 0.001) between 2002 and 2003. The ACG-specific visits (r = 0.955, p < 0.001), costs (r = 0.966, p < 0.001) and RWs (r = 0.991, p < 0.001) were correlated across two years. People grouped to the high-morbid ACGs had more visits and costs than those grouped to the low-morbid ACGs. Forty-six percent of the total ambulatory costs were spent by eighteen percent of the population, who were grouped to the High- and Very-high-morbidity RUBs. CONCLUSION:This study demonstrated the feasibility, validity, and reliability of using the ACG system to measure morbidities in a Taiwan population and to explain their associations with ambulatory utilizations and costs for the whole country.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Lee WCdoi
10.1186/1472-6963-8-153subject
Has Abstractpub_date
2008-07-21 00:00:00pages
153issn
1472-6963pii
1472-6963-8-153journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Ensuring access to timely and appropriate primary healthcare for people living in poverty is an issue facing all countries, even those with universal healthcare systems. The transformation of healthcare practices and organization could be improved by involving key stakeholders from the community and the heal...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-92
更新日期:2013-03-11 00:00:00
abstract:BACKGROUND:Highly competitive market in the private hospital industry has caused increasing pressure on them to provide services with higher quality. The aim of this study was to determine the different dimensions of the service quality in the private hospitals of Iran and evaluating the service quality from the patien...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-31
更新日期:2012-02-02 00:00:00
abstract:BACKGROUND:Teamwork and job satisfaction are important among the multidisciplinary team who care patients with chronic illnesses such as heart failure (HF) patients. TeamSTEPPS teamwork perceptions questionnaire (T-TPQ) and Minnesota Satisfaction Questionnaire "short form" (MSQ-short) are both self-report questionnaire...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05451-8
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:Administrative data are widely used to study health systems and make important health policy decisions. Yet little is known about the influence of coder characteristics on administrative data validity in these studies. Our goal was to describe the relationship between several measures of validity in coded ho...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-99
更新日期:2010-04-21 00:00:00
abstract:BACKGROUND:The increasing number of patients co-affected with Diabetes and TB may place individuals with low socio-economic status at particular risk of persistent poverty. Kyrgyz health sector reforms aim at reducing this burden, with the provision of essential health services free at the point of use through a State-...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1369-7
更新日期:2016-04-05 00:00:00
abstract:BACKGROUND:Research has shown high rates of stress and dissatisfaction among allied health professionals, including physiotherapists, having an adverse impact on workforce retention rates. This study aimed to examine the job satisfaction and influential factors among physiotherapists working in private and government h...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3184-9
更新日期:2018-06-07 00:00:00
abstract:BACKGROUND:The Swedish government has increasingly begun to rely on so called informative governance when regulating healthcare. The question this article sets out to answer is: considered to be "the backbone" of the Swedish state's strategy for informative governance in healthcare, what kind of regulatory arrangement ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0509-1
更新日期:2014-11-05 00:00:00
abstract:BACKGROUND:There are many instruments available freely for evaluating obstetric care quality in low-resource settings. However, this profusion can be confusing; moreover, evaluation instruments need to be adapted to local issues. In this article, we present tools we developed to guide the choice of instruments and desc...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-10-20
更新日期:2010-01-20 00:00:00
abstract:BACKGROUND:The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services in Jordan is encouraging, detailed information about the quality of these services is limited. Theref...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4232-9
更新日期:2019-06-26 00:00:00
abstract:BACKGROUND:Continuity of care (COC) has become a primary point of concern for care providers in both developed and developing countries, which is regarded as the "cornerstone of care" and an "essential element" of good health care. A robust and proper instrument is of necessity to identify problems and evaluate interve...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3915-6
更新日期:2019-01-29 00:00:00
abstract:BACKGROUND:Despite widespread documentation of racial/ethnic disparities in care (predominantly under-use of needed care), differences in population-wide attitudes or experiences about under- or overuse (care where harms may outweigh potential benefits) of care are not well understood. We examined whether race/ethnicit...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1106-7
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Surgical theater (ST) operations planning is a key subject in the healthcare management literature, particularly the scheduling of procedures in operating rooms (ORs). The OR scheduling problem is usually approached using mathematical modeling and made available to ST managers through dedicated software. Reg...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05555-1
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:HIV treatment models in Africa are labour intensive and require a high number of skilled staff. In this context, task-shifting is considered a feasible alternative for ART service delivery. In 2006, a lay health cadre of expert patients (EPs) at a tertiary referral HIV clinic in Zomba, Malawi was capacitated...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2291-3
更新日期:2017-05-09 00:00:00
abstract:BACKGROUND:Pediatric admissions to intensive care outside children's hospitals are generally excluded from registry-based studies. This study compares pediatric admission to specialist pediatric intensive care units (PICU) with pediatric admissions to intensive care units (ICU) in general hospitals in an Australian pop...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3041-x
更新日期:2018-04-10 00:00:00
abstract:BACKGROUND:Falls are a common adverse event in both elderly inpatients and patients admitted to rehabilitation units. The Hendrich Fall Risk Model II (HIIFRM) has been already tested in all hospital wards with high fall rates, with the exception of the rehabilitation setting. This study's aim is to address the feasibil...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2815-x
更新日期:2018-01-11 00:00:00
abstract:BACKGROUND:Inequity of accessibility to and utilization of reproductive health (RH) services among youths is a global concern, especially in resource-limited areas. The level of inequity also varies by cultural and socio-economic contexts. To tailor RH services to the needs of youths, relevant solutions are required. T...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-458
更新日期:2012-12-15 00:00:00
abstract:BACKGROUND:Primary care records from the UK have frequently been used to identify episodes of upper gastrointestinal bleeding in studies of drug toxicity because of their comprehensive population coverage and longitudinal recording of prescriptions and diagnoses. Recent linkage within England of primary and secondary c...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-392
更新日期:2012-11-13 00:00:00
abstract:BACKGROUND:Poor adherence is the main barrier to the effectiveness of HIV medication. The objective of this study was to explore and conceptualize patterns and difficulties in physicians' work with patients' adherence to HIV medication. No previous studies on this subject have directly observed physicians' behavior. M...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-6-154
更新日期:2006-12-04 00:00:00
abstract:BACKGROUND:Patient safety culture is an important aspect for quality healthcare delivery and is an issue of high concern globally. In Ethiopia health system little is known and information is limited in scope about patient safety culture. Therefore, the aim of this study was to assess the level of patient safety cultur...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-016-1757-z
更新日期:2016-09-20 00:00:00
abstract:BACKGROUND:The introduction of non-VKA oral anticoagulants (NOACs) has changed the landscape of preventing thromboembolism events in many countries. However, the prescription trends of oral anticoagulant (OAC) in China are still unclear, which were evaluated in this study through data extracted and summarized from 5 ma...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5072-3
更新日期:2020-03-12 00:00:00
abstract:BACKGROUND:In response to persistently poor levels of maternal, newborn and child health (MNCH) in rural India, the National Rural Health Mission (NRHM) was launched to support the provision of accessible, affordable and quality health care in deprived and underserved communities. The Accredited Social Health Activists...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-15-S1-S5
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Exploring barriers to the uptake of research based recommendations into practice is an important part of the development of implementation programmes. Techniques to identify barriers can include use of theory-informed questionnaires and qualitative interviews. Conceptualising and measuring theory-informed fa...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-422
更新日期:2012-11-23 00:00:00
abstract:BACKGROUND:The national strategy for treatment of chronic diseases - including MS - and changes in the Swedish welfare system, call for analyses of the use of, and patient satisfaction with, care in a long-term perspective. The aim was therefore to explore the use of care and the predictive value of personal factors, d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1144-1
更新日期:2015-10-24 00:00:00
abstract:BACKGROUND:Analyzing social differences in the health of adolescents is a challenge. The accuracy of adolescent's report on familial socio-economic position is unknown. The aims of the study were to examine the validity of measuring occupational social class and family level of education reported by adolescents aged 12...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-151
更新日期:2007-09-24 00:00:00
abstract:BACKGROUND:Pay for performance schemes are increasingly being implemented in low income countries to improve health service coverage and quality. This paper describes the context within which a pay for performance programme was introduced in Tanzania and discusses the potential for pay for performance to address health...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-392
更新日期:2014-09-16 00:00:00
abstract:BACKGROUND:Currently there is no standard algorithm to identify whether a subject is residing in a nursing home from administrative claims. Our objective was to develop and validate an algorithm that identifies nursing home admissions at the resident-month level using the MarketScan Medicare Supplemental and Coordinati...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-202
更新日期:2007-12-10 00:00:00
abstract:BACKGROUND:Measuring patient safety culture can provide insight into areas for improvement and help monitor changes over time. This study details the findings of a re-assessment of patient safety culture in a multi-site Medical City in Riyadh, Kingdom of Saudi Arabia (KSA). Results were compared to an earlier assessmen...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2461-3
更新日期:2017-08-02 00:00:00
abstract:BACKGROUND:Even if a large proportion of physiotherapists work in the private sector worldwide, very little is known of the organizations within which they practice. Such knowledge is important to help understand contexts of practice and how they influence the quality of services and patient outcomes. The purpose of th...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-362
更新日期:2014-08-29 00:00:00
abstract:BACKGROUND:Pathologists face major challenges in breast cancer diagnostics in sub-Saharan Africa (SSA). The major problems identified as impairing the quality of pathology reports are shortcomings of equipment, organization and insufficiently qualified personnel. In addition, in the context of breast cancer, immunohist...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05752-y
更新日期:2020-10-02 00:00:00
abstract:BACKGROUND:Ethiopia has been deploying specially trained new cadres of community based health workers in urban areas of the country known as urban health extension professionals since 2009. At present, relatively little work has focused on understanding to what extent this new program is accepted and used by the commun...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2129-z
更新日期:2017-03-14 00:00:00