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Int. J. Environ. Res. Public Health 2016, 13(10), 955; doi:10.3390/ijerph13100955

Patterns of Psychiatric Outpatient Practice in Taiwan: A Nationwide Survey

1
Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shi-Pai Road, Taipei 112, Taiwan
2
School of Medicine, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 112, Taiwan
3
Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Sec. 2, Shi-Pai Road, Taipei 112, Taiwan
*
Author to whom correspondence should be addressed.
Academic Editor: Icro Maremmani
Received: 10 July 2016 / Revised: 18 September 2016 / Accepted: 23 September 2016 / Published: 28 September 2016
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Abstract

(1) Background: Limited studies have utilized nationwide data to assess the patterns of psychiatric practice in other countries. In this study, data from the National Health Insurance Research Database in Taiwan (NHIRD-TW) for 2012 was analyzed to determine the patterns of psychiatric outpatient practice in Taiwan; (2) Methods: To determine the patterns of psychiatric outpatient practice in Taiwan, the data were drawn from the datasets of Taiwan’s National Health Insurance Research Database for 2012, with 619,760 records of outpatient visits representing 1/500 of all the claims in Taiwan for that year. The analysis of psychiatric outpatient visits included patient demographics, diagnoses, and prescribed medications; (3) Results: Neurotic disorders were the most prevalent diagnoses (43.1%, n = 5714). Hypnotics-sedatives and anxiolytics were prescribed in 51.7% (n = 6850) and 39.1% (n = 5181) of psychiatric visits, respectively, with zolpidem being the most commonly prescribed drug (22.6%, n = 2998); and (4) Conclusion: Hypnotics and sedatives were widely prescribed for the outpatient population, and zolpidem had the highest annual prevalence of use. These findings deserve the attention of clinicians and policy makers for monitoring the abuse and dependence of these agents and subsequent adverse events. View Full-Text
Keywords: national health programs; physician’s practice patterns; psychiatry; Taiwan national health programs; physician’s practice patterns; psychiatry; Taiwan
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MDPI and ACS Style

Dai, Y.-X.; Chen, M.-H.; Chen, T.-J.; Lin, M.-H. Patterns of Psychiatric Outpatient Practice in Taiwan: A Nationwide Survey. Int. J. Environ. Res. Public Health 2016, 13, 955.

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