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Source: International Journal of Environmental Research and Public Health
Management: Health Insurance

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Total 29 results found since Jan 2013.

IJERPH, Vol. 20, Pages 2488: Association between Prehospital Visits and Poor Health Outcomes in Korean Acute Stroke Patients: A National Health Insurance Claims Data Study
This study aimed to determine whether prehospital visits to other medical institutions before admission are associated with prolonged hospital stay, readmission, or mortality rates in acute stroke patients. Using the claims data from the Korean Health Insurance Service, a cross-sectional study was conducted on 58,418 newly diagnosed stroke patients aged ≥ 20 years from 1 January 2019 to 31 December 2019. Extended hospital stay (≥7 days; median value) following initial admission, readmission within 180 days after discharge, and all-cause mortality within 30 days were measured as health outcomes using m...
Source: International Journal of Environmental Research and Public Health - January 31, 2023 Category: Environmental Health Authors: Jinyoung Shin Hyeongsu Kim Youngtaek Kim Jusun Moon Jeehye Lee Sungwon Jung Rahil Hwang Mi Young Kim Tags: Article Source Type: research

IJERPH, Vol. 20, Pages 1419: Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke
eh-Ting Yeh Few studies have investigated changes in functional outcomes and economic burden in patients in the postacute care cerebrovascular disease (PAC-CVD) program. We, for the first time, retrospectively investigated changes in functional performance and the national health insurance (NHI) cost over 12 PAC-CVD hospitalization weeks and evaluated the therapeutic effects of the PAC-CVD program on the NHI cost. Specifically, the functional outcomes and NHI cost of 263 stroke patients in the PAC-CVD program were analyzed. The repeated measures t test was used to compare functional performance over 0–3 w...
Source: International Journal of Environmental Research and Public Health - January 12, 2023 Category: Environmental Health Authors: Hsiang-Yun Chou Ya-Wen Tsai Shang-Chun Ma Shang-Min Ma Chia-Li Shih Chieh-Ting Yeh Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 3050: Sex and Economic Disparity Related to Reperfusion Therapies for Patients with Acute Ischemic Stroke in South Korea across a 10-Year Period: A Nationwide Population-Based Study Using the National Health Insurance Database
This study included AIS patients aged ≥20 years who were hospitalized in a general hospital or tertiary hospital for ≥4 days and underwent brain imaging during the same period. Study participants were classified by sex, economic status (Medical Aid beneficiaries and National Health Insurance beneficiaries) and age (20–44, 45–64, 65–79, and ≥80 years). Women showed a significantly lower OR (Odds ratio) than men in IVT (OR: 0.75; 95% CI: 0.73–0.77), EVT (OR: 0.96; 95% CI: 0.93–0.99), and any therapy (OR: 0.82; 95% CI: 0.80&...
Source: International Journal of Environmental Research and Public Health - March 5, 2022 Category: Environmental Health Authors: Jusun Moon Jinyoung Shin Jeehye Lee Ho Jin Jeong Hyeongsu Kim Jaehyeong An Sung Hyun Jo Kwang-Pil Ko Jeoungbin Choi Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2615: Reduced Risks of Both Ischemic and Hemorrhagic Strokes in Nurses: A Population-Based Cohort Study in Taiwan
Conclusion: The risks of both stroke types were lower in the nurse group than in the control. For stroke prevention, more frequent physical examinations are needed in order to enhance the health and well-being of people, including the nurses.
Source: International Journal of Environmental Research and Public Health - November 22, 2018 Category: Environmental Health Authors: Hui-Chuan Liao Yi-Hao Peng Yu-Pei Chen Li-Chi Huang Wen-Miin Liang Chung Y. Hsu Chia-Hung Kao Chun-Hung Tseng Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 3925: Hyperhidrosis, Endoscopic Thoracic Sympathectomy, and Cardiovascular Outcomes: A Cohort Study Based on the Korean Health Insurance Review and Assessment Service Database
Lee Lee Sympathetic overactivity is associated with hyperhidrosis and cardiovascular diseases. Endoscopic thoracic sympathectomy (ETS) is a treatment for hyperhidrosis. We aimed to compare the risk for cardiovascular events between individuals with and without hyperhidrosis and investigate the effects of ETS on cardiovascular outcomes. We conducted a nationwide population-based cohort study using data acquired from the Korean Health Insurance Review and Assessment Service. Subjects newly diagnosed with hyperhidrosis in 2010 were identified and divided into two groups according to whether or not they underwent ETS....
Source: International Journal of Environmental Research and Public Health - October 14, 2019 Category: Environmental Health Authors: Park Moon Lee Park Lee Lee Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 8549: Migraine as a Risk Factor for Peripheral Artery Occlusive Disease: A Population-Based Cohort Study
In conclusion, the presence of migraine is a significant risk factor for the development of subsequent PAOD.
Source: International Journal of Environmental Research and Public Health - November 18, 2020 Category: Environmental Health Authors: Fu-Hsuan Kuo Chia-Yi Lee Ju-Pi Li Jui-Fu Chung Yu-Hsun Wang Ming-Ju Hsieh Shun-Fa Yang Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 3044: Burden of Disease in Coastal Areas of South Korea: An Assessment Using Health Insurance Claim Data
Conclusion: In this study, the coastal areas of South Korea carry a higher burden than the national population. Additionally, chronic diseases compose the majority of the health burden in coastal areas. Despite the limitation of data, YLD was the best tool available for evaluating the health outcomes in specific areas, and has the advantage of simplicity and timely analysis.
Source: International Journal of Environmental Research and Public Health - August 21, 2019 Category: Environmental Health Authors: Munkhzul Radnaabaatar Young-Eun Kim Dun-Sol Go Yunsun Jung Seok-Jun Yoon Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 3831: Incidence of Cellulitis Following Acupuncture Treatments in Taiwan
Conclusions: A variety of chronic diseases may increase the risk of cellulitis after acupuncture. Physicians asked about past medical history before acupuncture might help to reduce cellulitis.
Source: International Journal of Environmental Research and Public Health - October 10, 2019 Category: Environmental Health Authors: Shun-Ku Lin Jui-Ming Liu Pin-Hsuan Wang Sheng-Ping Hung Ren-Jun Hsu Heng-Chang Chuang Po-Hung Lin Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 4432: Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries
In conclusion, preoperative use of mammography was strongly associated with fewer perioperative complications and less in-hospital mortality after major surgeries. The evidence provided by this study justifies the implementation of preoperative health checks in clinical practice.
Source: International Journal of Environmental Research and Public Health - November 11, 2019 Category: Environmental Health Authors: Ying-Hsuan Tai Ta-Liang Chen Yih-Giun Cherng Chun-Chieh Yeh Chuen-Chau Chang Chien-Chang Liao Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 8900: Multimorbidity Patterns of Chronic Diseases among Indonesians: Insights from Indonesian National Health Insurance (INHI) Sample Data
a-Yu Su Given the increasing burden of chronic diseases in Indonesia, characteristics of chronic multimorbidities have not been comprehensively explored. Therefore, this research evaluated chronic multimorbidity patterns among Indonesians using Indonesian National Health Insurance (INHI) sample data. We included 46 chronic diseases and analyzed their distributions using population-weighted variables provided in the datasets. Results showed that chronic disease patients accounted for 39.7% of total patients who attended secondary health care in 2015–2016. In addition, 43.1% of those were identified as havi...
Source: International Journal of Environmental Research and Public Health - November 30, 2020 Category: Environmental Health Authors: Atina Husnayain Nopryan Ekadinata Dedik Sulistiawan Emily Chia-Yu Su Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 7879: Deep Venous Thrombosis and Risk of Consequent Sepsis Event: A Retrospective Nationwide Population-Based Cohort Study
In conclusion, this population-based cohort study demonstrated an increased risk of sepsis in DVT patients compared with non-DVT patients. Thus, early prevention and adequate treatment of DVT is necessary in clinical practice.
Source: International Journal of Environmental Research and Public Health - July 25, 2021 Category: Environmental Health Authors: Ying-Tung Yeh Sheng-En Tsai Ying-Cheng Chen Shun-Fa Yang Han-Wei Yeh Bo-Yuan Wang Liang-Tsai Yeh Nai-Chen Shih Yu-Hsun Wang Yin-Yang Chen Chao-Bin Yeh Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 5118: Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study
Conclusion: PPD was associated with a significantly higher rate of suicide and a shorter time to suicide after childbirth. Younger age, winter, and subclinical depression and anxiety positively predicted suicide in the study cohort. To prevent maternal suicide, clinicians should be observant of subclinical depression and anxiety symptoms among patients.
Source: International Journal of Environmental Research and Public Health - April 23, 2022 Category: Environmental Health Authors: Yi-Liang Lee Yun Tien Yin-Shiuan Bai Chi-Kang Lin Chang-Sheng Yin Chi-Hsiang Chung Chien-An Sun Shi-Hao Huang Yao-Ching Huang Wu-Chien Chien Chieh-Yi Kang Gwo-Jang Wu Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 12916: Impact of Integrating Machine Learning in Comparative Effectiveness Research of Oral Anticoagulants in Patients with Atrial Fibrillation
Suh We aimed to compare the ability to balance baseline covariates and explore the impact of residual confounding between conventional and machine learning approaches to derive propensity scores (PS). The Health Insurance Review and Assessment Service database (January 2012–September 2019) was used. Patients with atrial fibrillation (AF) who initiated oral anticoagulants during July 2015–September 2018 were included. The outcome of interest was stroke/systemic embolism. To estimate PS, we used a logistic regression model (i.e., a conventional approach) and a generalized boosted model (GBM) w...
Source: International Journal of Environmental Research and Public Health - October 9, 2022 Category: Environmental Health Authors: Sola Han Hae Sun Suh Tags: Article Source Type: research

IJERPH, Vol. 20, Pages 3065: Developmental Trajectories and Predictors of Incident Dementia among Elderly Taiwanese People: A 14-Year Longitudinal Study
uey Bai The aim of this study was to identify dementia trajectories and their associated predictors among elderly Taiwanese people over a 14-year period using a nationwide representative longitudinal study. This retrospective cohort study was performed using the National Health Insurance Research Database. Group-based trajectory modeling (GBTM) was used to distinguish the specific trajectory groups of incident dementia during 2000–2013. All 42,407 patients were classified by GBTM to identify the trajectory of incident dementia, which included high- (n = 11,637, 29.0%), moderate- (n = 19,036, 44.9%), and l...
Source: International Journal of Environmental Research and Public Health - February 9, 2023 Category: Environmental Health Authors: Yen-Chun Fan Sheng-Feng Lin Chia-Chi Chou Chyi-Huey Bai Tags: Article Source Type: research