Next Article in Journal
Measurement Methods Used to Assess the School Food Environment: A Systematic Review
Next Article in Special Issue
Stroke to Dementia Associated with Environmental Risks—A Semi-Markov Model
Previous Article in Journal
Does the Association between Guardians’ Sense of Coherence and their Children’s Untreated Caries Differ According to Socioeconomic Status?
Previous Article in Special Issue
Hyperlipidemia and Statins Use for the Risk of New Diagnosed Sarcopenia in Patients with Chronic Kidney: A Population-Based Study
 
Search for Articles:
Title / Keyword
Author / Affiliation
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
Journals
IJERPH
Volume 17
Issue 5
10.3390/ijerph17051622
ijerph-logo
Submit to this Journal Review for this Journal Edit a Special Issue
► Article Menu

Article Menu

share announcement question_answer thumb_up
...
textsms
...
Article

A Population-Based Study of Healthcare Resource Utilization in Patients with Mitral Valve Prolapse

by
Sin-Cih Chen
1,
Sudha Xirasagar
2,
Ju-Chi Liu
3,
Yi-Wei Kao
4,5,
Ben-Chang Shia
4,
Tzong-Hann Yang
6,7,8,† and
Herng-Ching Lin
1,9,*,†
1
School of Health Care Administration, College of Management, Taipei Medical University, Taipei 110, Taiwan
2
Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
3
Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
4
Research Center of Big Data, College of management, Taipei Medical University, Taipei 110, Taiwan
5
Graduate Institute of Business Administration, College of Management, Fu Jen Catholic University, New Taipei City 242, Taiwan
6
Department of Otorhinolaryngology, Taipei City Hospital, Taipei 110, Taiwan
7
Department of Speech, Language and Audiology, National Taipei University of Nursing and Health, Taipei 110, Taiwan
8
Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
9
Sleep Research Center, Taipei Medical University Hospital, Taipei 110, Taiwan
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2020, 17(5), 1622; https://doi.org/10.3390/ijerph17051622
Received: 27 December 2019 / Revised: 25 February 2020 / Accepted: 28 February 2020 / Published: 3 March 2020
(This article belongs to the Special Issue Big Data, Decision Models, and Public Health)
View Full-Text Download PDF

Abstract

This study investigated differences in the utilization of healthcare services between subjects with mitral valve prolapse (MVP) and comparison subjects using data from Taiwan’s National Health Insurance population-based database, 138,493 patients with MVP (study group) and 138,493 matched patients without MVP (comparison group). We calculated the utilization of healthcare services in the year 2016 for each study sample. Patients with MVP had more outpatient cardiological services during the year (5.3 vs. 0.7, p < 0.001) and higher outpatient cardiology costs (US$226.0 vs. US$30.8, p < 0.001) than patients without MVP. As expected, patients with MVP had a longer inpatient stay (0.5 vs. 0.1, p < 0.001) and higher inpatients costs (US$158.0 vs. US$22.9, p < 0.001) than patients without MVP for cardiology services. Furthermore, patients with MVP also had more outpatient non-cardiology services (20.8 vs. 16.5, p < 0.001) and associated costs (US$708.3 vs. US$518.7, p < 0.001) than patients without MVP in the year 2016. Multiple regression analysis indicated that patients with MVP had higher total costs for all healthcare services than patients without MVP after adjusting for the urbanization level, monthly income, and geographic region. This study demonstrated that healthcare utilization by patients with MVP is substantially higher than comparison patients. Future studies are encouraged to explore MVP treatment with less expensive modalities while maintaining care quality and without jeopardizing patient outcomes. View Full-Text
Keywords: mitral valve prolapse; utilization; epidemiology; big data mitral valve prolapse; utilization; epidemiology; big data
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
SciFeed

Share and Cite

MDPI and ACS Style

Chen, S.-C.; Xirasagar, S.; Liu, J.-C.; Kao, Y.-W.; Shia, B.-C.; Yang, T.-H.; Lin, H.-C. A Population-Based Study of Healthcare Resource Utilization in Patients with Mitral Valve Prolapse. Int. J. Environ. Res. Public Health 2020, 17, 1622. https://doi.org/10.3390/ijerph17051622

AMA Style

Chen S-C, Xirasagar S, Liu J-C, Kao Y-W, Shia B-C, Yang T-H, Lin H-C. A Population-Based Study of Healthcare Resource Utilization in Patients with Mitral Valve Prolapse. International Journal of Environmental Research and Public Health. 2020; 17(5):1622. https://doi.org/10.3390/ijerph17051622

Chicago/Turabian Style

Chen, Sin-Cih, Sudha Xirasagar, Ju-Chi Liu, Yi-Wei Kao, Ben-Chang Shia, Tzong-Hann Yang, and Herng-Ching Lin. 2020. "A Population-Based Study of Healthcare Resource Utilization in Patients with Mitral Valve Prolapse" International Journal of Environmental Research and Public Health 17, no. 5: 1622. https://doi.org/10.3390/ijerph17051622

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Article Access Map by Country/Region

1
Back to TopTop