Next Article in Journal
Study of the In Vitro Antagonistic Activity of Various Single-Strain and Multi-Strain Probiotics against Escherichia coli
Previous Article in Journal
Effectiveness of Prevailing Flush Guidelines to Prevent Exposure to Lead in Tap Water
Open AccessArticle

Visits to Pediatric Clinics by Adult Patients: A Nationwide Survey in Taiwan

1
Department of Radiology, 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
Master of Public Health Degree Program, College of Public Health, National Taiwan University, No. 17, Xuzhou Road, Taipei 100, Taiwan
4
Department of Family Medicine, Chang Gung Memorial Hospital, No. 5, Fuxing Street., Guishan District, Taoyuan City 33305, Taiwan
5
Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shi-Pai Road, Taipei 112, Taiwan
6
Institute of Hospital and Health Care Administration, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 112, Taiwan
7
Department of Medical Education, Taipei Veterans General Hospital, No. 201, Sec. 2, Shi-Pai Road, Taipei 112, Taiwan
8
Department of Pediatrics, Taipei Veterans General Hospital, No. 201, Sec. 2, Shi-Pai Road, Taipei 112, Taiwan
9
Department of Financial Engineering and Actuarial Mathematics, Soochow University, Taipei 100, Taiwan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(7), 1538; https://doi.org/10.3390/ijerph15071538
Received: 10 June 2018 / Revised: 6 July 2018 / Accepted: 17 July 2018 / Published: 20 July 2018
(This article belongs to the Section Health Economics)
Pediatricians are trained to provide non-surgical medical care to children. Improvements in medical treatments and surgical techniques have extended the survival of children with congenital diseases and chronic illnesses. Consequently, pediatricians may provide continuous medical service to their patients into adulthood. Meanwhile, as Taiwan’s birth rate has fallen to one of the lowest in the world, pediatricians are encountering growing competition. As a source of continued revenue, pediatricians could also provide medical care to adults with common diseases and patients with adult-onset chronic diseases. The aim of this study was to investigate the pattern of adult ambulatory visits to pediatric clinics recorded by Taiwan’s National Health Insurance (NHI) system during 2000 to 2011. From 1/500 sampling datasets, we found that adult ambulatory visits to pediatric clinics rose steadily and statistically significantly from 16% of total visits to pediatric clinics in 2000 to 32% in 2011. Analysis of the diagnoses associated with adult ambulatory visits to pediatric clinics indicated that the most common diagnoses for such patients at academic medical centers were chronic illnesses, including epilepsy, cardiac and circulatory congenital anomalies, and diabetes. Meanwhile, at physician clinics, airway infections/diseases and gastroenteritis were the most common diagnoses. In an era of low birth rates, our findings contribute to an evidence-based discussion and provide new information that may assist in healthcare policymaking. View Full-Text
Keywords: pediatrics; national health insurance; ambulatory visits; adults pediatrics; national health insurance; ambulatory visits; adults
Show Figures

Figure 1

MDPI and ACS Style

Lee, K.-L.; Lynn, A.-M.; Chen, T.-J.; Yang, L.-Y.; Chiang, S.-C. Visits to Pediatric Clinics by Adult Patients: A Nationwide Survey in Taiwan. Int. J. Environ. Res. Public Health 2018, 15, 1538.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop