Impact of a home health care program for disabled patients in Taiwan: A nationwide population-based cohort study
The aim of this study was to evaluate the impact of home health care (HHC) for disabled patients.
We conducted a nationwide population-based retrospective cohort study. A total of 5838 disabled patients with HHC were identified to match by propensity score with 15,829 disabled patients without HHC receiving tube or catheter care (tracheostomy tube, nasogastric tube, urinary catheter, cystostomy tube, nephrostomy tube) or stage 3 or 4 pressure sore care from the Taiwanese National Health Insurance Research Database between 2005 and 2009. After 1:1 matching, 2901 subjects in the HHC group and 2901 subjects in the non-HHC group were selected and analyzed. Generalized estimating equations (GEEs) were used to compare the risk of health outcomes (rate of hospitalization and emergency services use) and the healthcare expenditure between the 2 groups.
Compared to those in the non-HHC group, the patients in the HHC group had significantly higher risk for hospitalization (odds ratio [OR]ā=ā18.43, 95% confidence interval [CI]: 15.62ā21.75, Pā
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
More News: Databases & Libraries | Disability | Emergency Medicine | Expenditures | Health Insurance | Health Management | Insurance | Internal Medicine | Nasogastric Intubation | Pressure Sores | Study | Taiwan Health | Tracheostomy