Abstract：
BACKGROUND:Hospital admission and emergency department(ED) visits are a massive burden in medical expenditures. In 2003, the Taiwanese government developed Family Physician Integrated Care Program (FPIC) to increase the quality of primary care and decrease medical expenditures. This study's goals were to determine whether FPIC decreased hospital admissions and ED visits and identify the factors influencing the outcomes. METHODS:This nationwide retrospective cohort study was conducted for the period between 2006 and 2013 by using data obtained from the Taiwan National Health Insurance Research Database. A total of 68,218 individuals were divided into those who joined FPIC and those who did not. We used propensity score matching at a ratio of 1:1 and logistic regression with the generalized estimating equation (GEE) model having a difference-in-difference design to investigate the effects of the FPIC policy on hospital admissions and ED visits in 7 years. RESULTS:Using logistic regression with the GEE model with the difference-in-difference design, we found no reduction in ED visits and hospital admissions between the two groups. The participants' risk of hospital admissions increased in the first year after joining FPIC (OR: 1.11, 95% CI: 1.03-1.20, P < .05). However, participants who joined FPIC showed an 8% lower risk of hospital admissions in the sixth and seventh years after joining FPIC, compared with those who did not join FPIC (OR: 0.92, 95% CI: 0.85-1.00, P < .05). CONCLUSIONS:FPIC in Taiwan could not decrease medical utilization initially but might reduce hospital admissions in the long term.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Huang PT,Kung PT,Kuo WY,Tsai WCdoi
10.1186/s12913-020-05347-7subject
Has Abstractpub_date
2020-05-26 00:00:00pages
470issue
1issn
1472-6963pii
10.1186/s12913-020-05347-7journal_volume
20pub_type
杂志文章abstract：BACKGROUND:Hospital treatment for hip fracture is complex, often involving sequential episodes for acute orthopaedics, rehabilitation and care of contingent conditions. Most reports of hospital length of stay (LOS) address only the acute phase of care. This study identifies the frequency and mean duration of the compon...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-0697-3
更新日期：2015-01-22 00:00:00
abstract：BACKGROUND:Neonatal male circumcision (NMC) is an alternative approach to adult male circumcision for HIV prevention. Recent studies found that NMC was rarely performed in Thailand and that most Thai health professionals did not recognize that NMC could reduce the risk of HIV infection and would not want NMC services i...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-018-3093-y
更新日期：2018-04-11 00:00:00
abstract：BACKGROUND:Older care home residents frequently attend emergency departments with a high conversion to admissions. For this purpose, a novel Care Home Innovation Programme (CHIP) was introduced with the aim of reducing potentially avoidable hospital admissions by 30%. The aim of this study is to evaluate the implementa...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-4945-9
更新日期：2020-02-06 00:00:00
abstract：BACKGROUND:Across low-income settings, community volunteers and health committee members support the formal health system - both routinely and amid emergencies - by engaging in health services such as referrals and health education. During the 2014-2015 Ebola epidemic, emerging reports suggest that community engagement...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2414-x
更新日期：2017-07-18 00:00:00
abstract：BACKGROUND:To examine key factors influencing chronic kidney disease (CKD) patients' total expenditure and offer recommendations on how to reduce total cost of CKD care without compromising quality. METHODS:Using the 2002-2011 Medical Expenditure Panel Survey (MEPS) data, our cross-sectional study analyzed 197 patient...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1922-4
更新日期：2016-12-28 00:00:00
abstract：BACKGROUND:Organizational readiness is a factor known to influence the predisposition of individuals within an organization to change. Based on Weiner's organizational theory, the "Organizational Readiness for Implementing Change" (ORIC) questionnaire was developed and validated to measure organizational readiness in h...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4361-1
更新日期：2019-07-31 00:00:00
abstract：BACKGROUND:Poorer cancer outcomes of Indigenous Australians in Australia's Northern Territory (NT) compared with their non-Indigenous counterparts are partially due to diminished access to cancer treatment services (CTS). Accessibility of health care is a multidimensional construct, including physical, logistical, psyc...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-021-06066-3
更新日期：2021-01-28 00:00:00
abstract：BACKGROUND:This is the sixth in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE program was established to investigate a systematic, integrated, evidence-based approach to disinvestment within a large Australian health servi...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2269-1
更新日期：2017-05-25 00:00:00
abstract：BACKGROUND:Ischemic stroke is a risk associated with atrial fibrillation (AF) and is estimated to occur five times more often in afflicted patients than in those without AF. Anti-thrombotic therapy is recommended for the prevention of ischemic stroke. Risk stratification tools, such as the CHADS2, and more recently the...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2025-6
更新日期：2017-02-11 00:00:00
abstract：BACKGROUND:Nursing care plays a prominent role in determining the overall satisfaction of patients' hospitalization experience. Studies have shown that satisfaction with nursing care is the best indicator of patients' satisfaction with healthcare facilities. The aim of the current study was intended to determine the le...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-3898-3
更新日期：2019-01-21 00:00:00
abstract：BACKGROUND:In contrast to the acute hospital sector, there have been relatively few implementations of integrated electronic health record (EHR) systems into specialist mental health settings. The National Programme for Information Technology (NPfIT) in England was the most expensive IT-based transformation of public s...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-484
更新日期：2012-12-31 00:00:00
abstract：BACKGROUND:Patients may decide to undertake shared care with a general practitioner (GP) during follow-up after treatment for localised melanoma. Routine imaging tests for surveillance may be commonly used despite no evidence of clinical utility. This study describes the frequency of shared care and routine tests durin...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3291-7
更新日期：2018-06-20 00:00:00
abstract：BACKGROUND:Population aging increases the number of glaucoma patients which leads to higher workloads of glaucoma specialists. If stable glaucoma patients were monitored by optometrists and ophthalmic technicians in a glaucoma follow-up unit (GFU) rather than by glaucoma specialists, the specialists' workload and waiti...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/1472-6963-10-312
更新日期：2010-11-17 00:00:00
abstract：BACKGROUND:Several Western and Arab countries, as well as over 30 States in the US are using the "All-Patient Refined Diagnosis-Related Groups" (APR-DRGs) with four severity-of-illness (SOI) subcategories as a model for hospital funding. The aim of this study is to verify whether this is an adequate model for funding s...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3134-6
更新日期：2018-05-11 00:00:00
abstract：BACKGROUND:Bladder cancer (BC) has the highest lifetime treatment costs per patient of all cancers. The objective of this study was to characterize the use of health-care services and costs associated with BC among patients who underwent radical cystectomy (RC) in the province of Quebec. METHODS:We conducted a descrip...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-0972-3
更新日期：2015-08-05 00:00:00
abstract：BACKGROUND:The NHS Diabetes Prevention Programme (NHS-DPP) is a nine-month, group-based behavioural intervention for adults in England at risk of developing Type 2 diabetes. Four independent providers were commissioned to deliver versions of the NHS-DPP, in line with NHS England specifications. This observational study...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05951-7
更新日期：2020-11-27 00:00:00
abstract：BACKGROUND:Widespread literature on inequity in healthcare access and utilization has been published, but research on socioeconomic differences in waiting times is sparse and the evidence is fragmentary and controversial. The objective of the present study is the analysis of the relationship between individual socioeco...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-268
更新日期：2012-08-21 00:00:00
abstract：BACKGROUND:Numerous drugs used in the treatment of psychiatric disorders are substrates of cytochrome P450 enzymes and are potential candidates for drug-drug interactions (DDIs). METHODS:Claims data of a German statutory health insurance company from severely mentally ill patients who registered in an integrated care ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1724-8
更新日期：2016-09-08 00:00:00
abstract：BACKGROUND:As a result of the previous part of this trial, many patients with cardiovascular disease were expected to receive a statin for the first time. In order to provide these patients with comprehensive information on statins, as recommended by professional guidance, education at first and second dispensing of st...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/1472-6963-11-313
更新日期：2011-11-16 00:00:00
abstract：BACKGROUND:Previous healthy lifestyle interventions based on the Salud para Su Corazón curriculum for Latinos in the United States, and a pilot study in Guatemala, demonstrated improvements in patient knowledge, behavior, and clinical outcomes for adults with hypertension. This article describes the implementation of a...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-1248-7
更新日期：2015-12-28 00:00:00
abstract：BACKGROUND:Physiotherapy services are an important part of the primary health care services for children, serving a broad spectrum of children referred from different sources and for a variety of reasons. There is limited knowledge about their characteristics and outcome. The aim of this study was to describe the profi...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05988-8
更新日期：2021-01-06 00:00:00
abstract：BACKGROUND:Potentially inappropriate prescribing (PIP) in older people is common in primary care and can result in increased morbidity, adverse drug events, hospitalizations and mortality. The prevalence of PIP in Ireland is estimated at 36% with an associated expenditure of over €45 million in 2007. The aim of this pa...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/1472-6963-13-307
更新日期：2013-08-14 00:00:00
abstract：BACKGROUND:Hypertensive disorders in pregnancy are the second most common cause of maternal mortality in the Democratic Republic of Congo (DRC), accounting for 23% of maternal deaths. This study aimed to assess facility readiness, and providers' knowledge to prevent, diagnose, and treat pre-eclampsia. METHODS:A facili...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05795-1
更新日期：2020-10-07 00:00:00
abstract：BACKGROUND:Research showed that promising approaches such as benchmarking, operations research, lean management and six sigma, could be adopted to improve patient logistics in healthcare. To our knowledge, little research has been conducted to obtain an overview on the use, combination and effects of approaches to impr...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-232
更新日期：2012-08-01 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:Systems for monitoring effectiveness and quality of rehabilitation services across health care levels are needed. The purpose of this study was to develop and pilot test a quality indicator set for rehabilitation of rheumatic and musculoskeletal diseases. METHODS:The set was developed according to the Rand/...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4091-4
更新日期：2019-04-29 00:00:00
abstract：BACKGROUND:Health systems evidence can enhance policymaking and strengthen national health systems. In the Middle East, limited research exists on the use of evidence in the policymaking process. This multi-country study explored policymakers' views and practices regarding the use of health systems evidence in health p...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-200
更新日期：2012-07-16 00:00:00
abstract：BACKGROUND:The philosophy of evidence-based medicine (EBM) was introduced in the early 90s as a new approach to the practice of medicine, using the best available evidence to make decisions about health care. Despite ongoing controversy, EBM has developed enormously and physicians' attitude towards it is generally posi...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-80
更新日期：2009-05-15 00:00:00
abstract：BACKGROUND:Patients across North America are using complementary and alternative medicine (CAM) with increasing frequency as part of their management of many different health conditions. The objective of this study was to develop a guide for academic health sciences centers that may wish to consider starting an integra...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-5-78
更新日期：2005-12-20 00:00:00
abstract：BACKGROUND:Rural hospitals face unique challenges to adopting Enhanced Recovery protocols after colorectal surgical procedures. There are few examples of successful implementation in the United States, and fewer yet of prospective, outcomes-based trials. METHODS:This study drew data from elective bowel resection prosp...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05971-3
更新日期：2020-12-03 00:00:00
