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Quantifying the potential effects of air pollution reduction on population health and health expenditure in Taiwan
Environ Pollut. 2023 Aug 17:122405. doi: 10.1016/j.envpol.2023.122405. Online ahead of print.ABSTRACTAir pollution, particularly ambient fine particulate matter (PM2.5) pollution, poses a significant risk to public health, underscoring the importance of comprehending the long-term impact on health burden and expenditure at national and subnational levels. Therefore, this study aims to quantify the disease burden and healthcare expenditure associated with PM2.5 exposure in Taiwan and assess the potential benefits of reducing pollution levels. Using a comparative risk assessment framework that integrates an auto-aggressive i...
Source: Environmental Pollution - August 19, 2023 Category: Environmental Health Authors: Yi-Hsuan Roger Chen Wan-Chen Lee Bo-Chen Liu Po-Chieh Yang Chi-Chang Ho Jing-Shiang Hwang Tzu-Hsuan Huang Hsien-Ho Lin Wei-Cheng Lo Source Type: research

A Population-Based Cohort Study on Chronic Comorbidity Risk Factors for Adverse Dengue Outcomes
Am J Trop Med Hyg. 2021 Sep 27:tpmd210716. doi: 10.4269/ajtmh.21-0716. Online ahead of print.ABSTRACTThe global burden of dengue is increasing against a background of rising global prevalence of chronic noncommunicable diseases (NCDs) and an epidemiological shift of dengue toward older age groups. The contribution of NCDs toward risk for adverse clinical and healthcare utilization outcomes was assessed in a national linked-database study. About 51,433 adult dengue cases between 2014 and 2015 were assessed for outpatient and inpatient claims data in Taiwan's National Health Insurance Research Database for the 30 days after ...
Source: Am J Trop Med Hyg - September 28, 2021 Category: Infectious Diseases Authors: Chia-En Lien Yiing-Jenq Chou Yi-Jung Shen Theodore Tsai Nicole Huang Source Type: research

IJERPH, Vol. 18, Pages 4129: Comparison of Cost-Effectiveness between Inpatient and Home-Based Post-Acute Care Models for Stroke Rehabilitation in Taiwan
Willy Chou Stroke rehabilitation focuses on alleviating post-stroke disability. Post-acute care (PAC) offers an intensive rehabilitative program as transitional care following acute stroke. A novel home-based PAC program has been initiated in Taiwan since 2019. Our study aimed to compare the current inpatient PAC model with a novel home-based PAC model in cost-effectiveness and functional recovery for stroke patients in Taiwan. One hundred ninety-seven stroke patients eligible for the PAC program were divided into two different health interventional groups. One received rehabilitation during hospitalization, and the o...
Source: International Journal of Environmental Research and Public Health - April 14, 2021 Category: Environmental Health Authors: Yu-Ju Tung Wen-Chih Lin Lin-Fu Lee Hong-Min Lin Chung-Han Ho Willy Chou Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 3472: Exploration of Medical Trajectories of Stroke Patients Based on Group-Based Trajectory Modeling
In this study, we used group-based trajectory modeling (GBTM) to study the characteristics of various groups of patients hospitalized with ACVD. In this research, the patient data were derived from the 1 million sampled cases in the National Health Insurance Research Database (NHIRD) in Taiwan. Cases who had been admitted to hospitals fewer than four times or more than eight times were excluded. Characteristics of the ACVD patients were collected, including age, mortality rate, medical expenditure, and length of hospital stay for each admission. We then performed GBTM to examine hospitalization patterns in patients who had...
Source: International Journal of Environmental Research and Public Health - September 17, 2019 Category: Environmental Health Authors: Ting-Ying Chien Mei-Lien Lee Wan-Ling Wu Hsien-Wei Ting Tags: Article Source Type: research

A long-term quality-of-care score for predicting the occurrence of macrovascular diseases in patients with type 2 diabetes mellitus
Diabetes mellitus (DM) is prevalent worldwide, and the number of patients was estimated to be 382 million in 2013 and expected to rise to 592 million by 2035 [1]. In Taiwan, around 7% of the total population (about 1.6 million) had DM in 2012, 90% of whom had type 2 diabetes mellitus. DM has been among the top five leading causes of death in Taiwan for more than three decades and took up about 11.5% of the total healthcare expenditures in the recent years [2]. In addition, DM is associated with a 2-4 times higher risk of cardiovascular disease (CVD) and stroke, which are the leading causes of death and disability among peo...
Source: Diabetes Research and Clinical Practice - February 23, 2018 Category: Endocrinology Authors: Pi-I Li, Jian-Nan Wang, How-Ran Guo Source Type: research

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