Ambulatory Care Visits to Pediatricians in Taiwan: A Nationwide Analysis
Abstract
:1. Introduction
2. Methods
2.1. Database
2.2. Study Population
2.3. Statistical Analysis
3. Results
Specialty | Number of Visits (%) | Cost Claimed (%) | Average Cost Claimed per Visit |
---|---|---|---|
Family medicine | 116,551 (18.8) | 51,157,561 (8.3) | 439 |
Internal medicine | 70,615 (11.4) | 42,547,879 (6.9) | 602 |
Otorhinolaryngology | 67,881 (11.0) | 29,718,395 (4.8) | 438 |
Pediatrics | 60,717 (9.8) | 31,574,986 (5.1) | 520 |
Ophthalmology | 37,692 (6.1) | 25,422,291 (4.1) | 674 |
Obstetrics& Gynecology | 35,697 (5.8) | 19,674,700 (3.2) | 551 |
Others | 230,607 (37.2) | 418,023,780 (67.6) | 1813 |
Total | 619,760 (100.0) * | 618,119,592 (100.0) | 997 |
Facility Level | 20–29 Years | 30–39 Years | 40–49 Years | 50–59 Years | 60–69 Years | 70–79 Years | 80–89 Years | Total |
---|---|---|---|---|---|---|---|---|
Physician clinics | 20 | 9538 | 24,559 | 13,758 | 2307 | 251 | 12 | 50,448 * |
Local community hospital | 3 | 827 | 1223 | 578 | 167 | 25 | 2 | 2825 |
Metropolitan hospital | 7 | 1525 | 1755 | 734 | 171 | 0 | 2 | 4194 |
Academic medical center | 21 | 545 | 1321 | 1104 | 240 | 19 | 0 | 3250 |
Total | 51 | 12,435 | 28,858 | 16,174 | 2885 | 295 | 16 | 60,717 |
ICD9CM * | Diagnosis Group | Total N = 60,717 | Academic Medical Center N = 3250 | Metropolitan Hospital N = 4194 | Local Community Hospital N = 2825 | Physicians Clinics N = 50,448 |
---|---|---|---|---|---|---|
465 | Acute upper respiratory infections | 13,461 (22.2) | 104 (0.2) | 287 (0.5) | 271 (0.5) | 12,799 (21.0) |
466 | Acute bronchitis & bronchiolitis | 7041 (11.6) | 121 (0.2) | 469 (0.8) | 348 (0.6) | 6103 (10.1) |
461 | Acute sinusitis | 3072 (5.1) | 58 (0.1) | 120 (0.2) | 86 (0.1) | 2808 (4.6) |
463 | Acute tonsilitis | 3030 (5.0) | 37 (0.1) | 163 (0.3) | 112 (0.2) | 2718 (4.5) |
460 | Acute nasopharyngitis | 2597 (4.3) | 13 (0.0) ** | 34 (0.1) | 33 (0.1) | 2517 (4.1) |
462 | Acute pharyngitis | 2580 (4.2) | 52 (0.1) | 118 (0.2) | 146 (0.2) | 2264 (3.7) |
558 | Other noninfectious gastroenteritis and colitis | 2032 (3.3) | 58 (0.1) | 120 (0.2) | 61 (0.1) | 1793 (2.9) |
464 | Acute laryngitis & tracheitis | 1688 (2.8) | 9 (0.0) ** | 20 (0.0) ** | 17 (0.0) ** | 1642 (2.7) |
V20 | Health supervision of infant or child | 1644 (2.7) | 121 (0.2) | 239 (0.4) | 301 (0.5) | 983 (1.6) |
780 | Non-specific symptoms | 1544 (2.5) | 68 (0.1) | 170 (0.3) | 94 (0.2) | 1212 (2.0) |
NHI Code * | Procedure | No. of Visits | % |
---|---|---|---|
32001C | Chest view (including each view of chest film) | 425 | 0.7% |
08001C | Complete blood count | 404 | 0.7% |
57021C | Humidity or aerosol therapy- time | 383 | 0.6% |
08013C | White blood cell differential count | 374 | 0.6% |
06012C | General urine examination | 304 | 0.5% |
09026C | S-GPT/ALT | 225 | 0.4% |
09005C | Blood glucose | 212 | 0.3% |
57110C | Blood sampling | 208 | 0.3% |
18007B | Doppler color flow mapping | 178 | 0.3% |
09015C | Serum creatinine | 176 | 0.3% |
ATC Code * | Drug Classification | No. of Visits | % |
---|---|---|---|
R06A | Antihistamines for systemic use | 29,608 | 48.8 |
R05C | Expectorants | 19,457 | 32.0 |
R05D | Cough suppressants | 16,091 | 26.5 |
M01A | Anti-inflammatory, non-steroids | 15,003 | 24.7 |
R03C | Adrenergics for systemic use | 14,865 | 24.5 |
N02B | Other analgesics and antipyretics | 14,021 | 23.1 |
R01B | Nasal decongestants for systemic use | 11,451 | 18.9 |
R05F | Cough suppressants & expectorants combinations | 9142 | 15.1 |
A03A | Drugs for functional bowel disorders | 7640 | 12.6 |
R03D | Other systemic drugs for obstructive airway diseases | 6463 | 10.6 |
4. Discussion
5. Conclusions
Acknowledgments
Author Contributions
Conflicts of Interest
References
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Yang, L.-Y.; Lynn, A.-M.; Chen, T.-J. Ambulatory Care Visits to Pediatricians in Taiwan: A Nationwide Analysis. Int. J. Environ. Res. Public Health 2015, 12, 14043-14054. https://doi.org/10.3390/ijerph121114043
Yang L-Y, Lynn A-M, Chen T-J. Ambulatory Care Visits to Pediatricians in Taiwan: A Nationwide Analysis. International Journal of Environmental Research and Public Health. 2015; 12(11):14043-14054. https://doi.org/10.3390/ijerph121114043
Chicago/Turabian StyleYang, Ling-Yu, An-Min Lynn, and Tzeng-Ji Chen. 2015. "Ambulatory Care Visits to Pediatricians in Taiwan: A Nationwide Analysis" International Journal of Environmental Research and Public Health 12, no. 11: 14043-14054. https://doi.org/10.3390/ijerph121114043