医疗保健利用及其对应物在并发性2型糖尿病和泛性焦虑症中
Chun-Jen Huang1,2,3, Ching-Hua Lin3,4,5, Tai-Ling Liu1,6
1Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
The Psychiatric quarterly
|April 19, 2024
概括
患有2型糖尿病和泛性焦虑症的患者使用更多的医疗保健服务. 性,年龄和并发症等因素影响了他们的医疗保健使用和成本,突出了需要改进管理的领域.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 2型糖尿病 (T2DM) 是一种普遍的慢性疾病.
- 一般性焦虑障碍 (GAD) 经常与T2DM同时发生.
- 伴随性疾病影响患者管理和医疗保健资源利用.
研究的目的:
- 调查T2DM患者的医疗保健利用率和医疗支出.
- 确定与这一群体的医疗保健利用和支出相关的因素.
主要方法:
- 利用台湾国家健康保险研究数据库 (2002-2013).
- 将T2DM患者的GAD (病例组) 与没有GAD (对照组) 的患者进行比较.
- 分析了门诊访问,住院和总医疗支出 (区分精神病学和非精神病学成本).
主要成果:
- 与对照组相比,患有GAD的T2DM患者的整体医疗保健利用率 (门诊访问和住院治疗) 显著提高.
- 各组之间的支出差异 (门诊,住院,总体) 是不一致的.
- 性别,年龄,收入,并发症和糖尿病并发症严重程度指数是影响T2DM与GAD组医疗保健使用和成本的重要因素.
结论:
- 在T2DM患者中,GAD的同时发生与医疗保健利用率的增加有关.
- 确定相关因素对于有针对性的干预至关重要.
- 了解这些因素可以帮助优化患者管理,并可能减少未来的医疗负担.
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