EXPLORING MEDICAL UTILIZATION BY PATIENTS WITH AUTISM IN TAIWAN

王莉

doi:10.6831/TMU.2012.00008

54.85.57.0，Hello！

Close
Search Quick Search Advanced Search Publication Search	Personal Service Member Login Searching History Use Bonus Card SYMSKAN
Browse Browse by University of Graduate Thesis Browse by Pinyin of Graduate Thesis Browse by Conference Proceedings Topic Browse by Conference Proceedings Publisher Browse by Pinyin of Conference Proceedings Browse by eBook Category Browse by eBook Topic Browse by eBook Publisher
Customer Services Authorize Airiti Recommend a Journal

Search Symbol (Half-width)	Description of Search Symbols
Space	"AND" indicates the intertwining of key terms used in a search
Double Quotation Marks ("") ( " " )	Double quotation marks indicate the beginning and end of a phrase, and the search will only include terms that appear in the same order of those within the quotations. Example: "image process" ： " image process "
?	Indicates a variable letter. Entering two ? will indicate two variable letters, and so on. Example: "Appl?", search results will yield apple, apply… e , appl y … ( (often used to English word searches) )
*	Indicates an unlimited number of variable letters to follow, from 1~n. Example: Enter "appl*", search results will yield apple, apples, apply, applied, application…(often used in English word searches) e , appl es , appl y , appl ied , appl ication … ( (often used to English word searches) )
AND、OR、NOT	Boolean logic combinations of key words is a skill used to expand or refine search parameters. (1) AND (1) AND: Refines search parameters (2) OR (2) OR: Expands search parameters (3) NOT: Excludes irrelevant parameters

DOI stands for Digital Object Identifier （ D igital O bject I dentifier ） ,
and is the unique identifier for objects on the internet. It can be used to create persistent link and to cite articles.

Using DOI as a persistent link

To create a persistent link, add「http://dx.doi.org/」「 http://dx.doi.org/ 」 before a DOI.
For instance, if the DOI of an article is 10.5297/ser.1201.002 , you can link persistently to the article by entering the following link in your browser: http://dx.doi.org/ 10.5297/ser.1201.002 。
The DOI link will always direct you to the most updated article page no matter how the publisher changes the document's position, avoiding errors when engaging in important research.

Cite a document with DOI

When citing references, you should also cite the DOI if the article has one. If your citation guideline does not include DOIs, you may cite the DOI link.

DOIs allow accurate citations, improve academic contents connections, and allow users to gain better experience across different platforms. Currently, there are more than 70 million DOIs registered for academic contents. If you want to understand more about DOI, please visit airiti DOI Registration （ doi.airiti.com ）。

Data Source

Health & Medical Care > Hospital Administration & Medical Affair Management
College of Public Health > School of Health Care Administration
Social Sciences > Management

Bibliography Management Tool

Related Links

Report an Issue

Purchase Single Articles

Download PDF

EXPLORING MEDICAL UTILIZATION BY PATIENTS WITH AUTISM IN TAIWAN

王莉 , Masters　　Advisor：林恆慶　　

英文 DOI： 10.6831/TMU.2012.00008

Autism ； medical utilization ； ambulatory care ； hospitalization ； expenditure ； Autism ； medical utilization ； ambulatory care ； hospitalization ； expenditure

Abstract │ Reference (109) │ Altmetrics

Parallel Abstract 〈TOP〉

BACKGROUND: Autism is a complex developmental disability that typically appears during the first three years of life and is the result of a neurological disorder that affects the normal functioning of the brain, impacting development in the areas of social interaction and communication skills. The growing prevalence and incidence rate reported for autism spectrum disorders increases medical health care costs in many countries, and has become a global concern regarding health care service provision. In terms of policy decisions, it must be acknowledged that the families of autism patients have unmet service needs and are often forced to finance much of this care out of pocket. This present study aims to identify medical utilization by patients with autism in Taiwan and compare medical utilization between patients with and without autism in the 7-12 group age in 2007 and follow up to 2009.
METHODS: The study used data from the Taiwan National Health Research Institute (NHRI), from 2007 and a follow-up in 2009. Target populations were selected, with 176 cases of autistic disorders and 880 non-autism cases in the 7-12 age group, for a ratio of 1:5. Statistical analysis was carried out using SAS version 9.2 to analyze the data.
RESULTS: This study found that patients with autism were significantly more likely to utilize both ambulatory care and hospitalization. Those of younger age were less likely to utilize ambulatory care (p<.0001). For the number of hospitalizations, males were significantly less likely to be hospitalized compared to females (p<.008).  In term of expenditure on ambulatory visits, patients with autism were more likely incur greater expenditure on these services with a strongly significant (p<.0001). Also, adjusting for age – younger ages of autism are likely to spend less on ambulatory visits. For expenditure on hospitalizations, age was significant, which means those of younger age with autism are likely spend more on these services. With regard to different geographical areas, Central Taiwan shows a particularly strong tendency to  spend less on hospitalizations (p<.002). Lastly, comparing medical utilization, autistic patients were much more like to use ambulatory care services, with a remarkable mean (56.35 ± 38.64), than non-autistic patients (26.01±20.60), which is related to the higher mean for expenditure on ambulatory care for patients with autism (65873.90 ± 62887.43) compared to those without autism (13401.26±11329.58).
CONCLUSION: The present study confirms that patients with autism had higher utilization of ambulatory care and also that there are many factors associated with autism patients, who are more likely to use the medical utilization by related to its greater cost. As medical utilizations and cost are still the main issue for both families with autism and the country, then, from the macro view, policy makers would need to pay more attention on the findings from such an inquiry. The data provide a guide to the principal implications to consider when devising appropriate prevention and intervention approaches that take these children’s unique needs into account.

Reference ( 109 ) 〈TOP〉

Psychoactive Medicines Among Individuals with Autism in the Autism Society of Ohio.
連結：
Journal of Autism and Developmental Disorders, 33, 527–534.
連結：
American Psychiatric Association (1994), Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV),Washington, DC: American Psychiatric Association.
連結：
American Psychiatric Association [APA](2000). Diagnostic and statistical manual of Mental Disorders (4th ed.),Washington , DC.
連結：
April Young, Lisa Ruble & John McGrew, (2009). Public vs. Private Insurance: Cost, Use, Accessibility, and Outcomes of Services for Children with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 3,1023–1033.
連結：

Altmetrics

〈TOP〉

E-mail ：

When an article is available to download, a notice will be sent to your mailbox address.

E-mail ：