Abstract Background Travel burden is a key element in conceptualizing geographic access to health care. Prior research has shown that both rural and minority populations bear disproportionate travel burdens. However, many studies are limited specific types of patient or locales. The purpose our study was quantify race-based differences distance traveled time spent for medical/dental care using representative national data. Methods Data were drawn from 2001 National Household Survey (NHTS),...

OBJECTIVES We sought to understand disparities in dental insurance coverage and care among US children by race/ethnicity, urban/rural residence, socioeconomic status. METHODS Linked data from the National Survey of Children's Health Area Resource File were analyzed (N = 89 071). Multiple logistic regression analysis was used adjust for confounders. RESULTS A total 22.1% lacked parentally reported preceding year, 26.9% did not have a routine preventive visit, 5.1% had perceived unmet need...

Background: Access to health care is often contingent upon an individual's ability travel for services. Certain groups, such as those with physical limitations and rural residents, have more barriers than other reducing their access The use of the Internet may be a way these groups seek or information support needs. Objective: purpose this study was examine among whose are, medical reasons, limited in travel. We also examined disparities by race/ethnicity residence, particularly persons...

Patients with rheumatoid arthritis (RA) exhibit an increased risk of dementia. Disease-modifying antirheumatic drugs (DMARDs) are commonly used to slow RA progression, but studies investigating the relationship between DMARDs and dementia in patients lacking. We investigated RA. Using National Health Insurance Research Database, aged ≥ 20 years, who were newly diagnosed 2000 2011 identified. had comprised group, did not have control group. The groups matched at a 1:1 ratio by propensity...

This study aims to investigate spousal concordance in dietary behaviors, metabolic components (MCs), and their association. A cross-sectional survey was conducted Taiwan from November 2014 May 2015. Matched-pair analysis, McNemar's test, logistic regression stratified analysis were performed. total of 901 pairs spouses (1802 participants) analyzed. Husbands less likely report intakes high-fiber food (ORMP(matched odds ratio) = 0.30, p < 0.0001), fish (ORMP 0.74, 0.0128), biscuits or cakes...

Rhabdomyolysis is caused by rapid muscle breakdown. Although patients with mental disorders are more susceptible to rhabdomyolysis, its incidence in this group poorly established. Therefore, we conducted a population-based cohort study investigate and risk group. We retrospective of 120,094 control from the Taiwan National Health Insurance Research Database. excluded rhabdomyolysis diagnosed before index date, which was defined as date first diagnosis disorder beginning antipsychotic...

The annual increase in emergency department (ED) visits Taiwan has led to overcrowding major hospitals and extended patient stays the ED. International studies suggest that prolonged ED may influence healthcare costs clinical outcomes for hospitalized patients. However, such investigations are scarce Taiwan. This study aims explore effects of stay duration on inpatient medical utilization mortality risk. analyzed data from 42,139 patients at a central center, using generalized estimating...

The prevalence of mental illness in Taiwan increased. Identifying and mitigating risk factors for is essential. Inflammation may be a factor illness; however, the predictive power inflammation test values unclear. Artificial intelligence can predict disease. This study was first to conduct prediction based on combination individual values. A retrospective longitudinal design adopted analyze data obtained from medical center. Patients were enrolled if they had received blood tests...

In this era of ubiquitous information, patient record exchange among hospitals still has technological and individual barriers including resistance to information sharing. Most research on user attitudes been limited one type or aspect. Because few analyses toward electronic records (EPRs) have conducted, understanding the different users in multiple aspects is crucial acceptance. This proof-of-concept study investigated inter-hospital EPR system implemented nationwide focused discrepant...

We assessed the measurement equivalence and feasibility of paper-and-pencil touch-screen modes administration Taiwan Chinese version EORTC QLQ-PR25, a commonly used questionnaire to evaluate health-related quality life (HRQOL) in patients with prostate cancer Taiwan.A cross-over design study was conducted 99 at an urology outpatient clinic. Descriptive exact global agreement percentages, intraclass correlation, test based on minimal clinically important difference (MCID) approach were...

Abstract Background A population-based follow-up study assessing the risk of developing hypertension and diabetes associated with alcohol use disorder (AUD) is crucial. We investigated this relationship by using insurance claims data from Taiwan. Methods From data, an AUD cohort ( N = 60,590) diagnosed between 2000 2006 a non-AUD comparison without diagnosis or at baseline were established matched propensity scores estimated demographic status Charlson comorbidity index (CCI). assessed...

Policemen and firefighters encounter numerous emergency events that frequently lead to high burnout low job support, resulting in adverse health effects. A number of studies reported the correlation between characteristics risk peptic ulcer diseases (PUD) across various industries. However, there is very little research on evaluating interaction effects support prevalence PUD among policemen. The objective this study was assess interactional This a cross-sectional quantitative study....

Objective Spousal clustering of diabetes merits attention. Whether old-age vulnerability or a shared family environment determines the concordance is also uncertain. This study investigated spousal and compared risk between couples noncouples by using nationally representative data. Methods A total 22,572 individuals identified from 2002–2013 National Health Insurance Research Database Taiwan constituted 5,643 through 1:1 dual propensity score matching (PSM). Factors associated with in both...

Objective: To test the performance tilting hypothesis using information asymmetry (IA) within community oriented activities of prospective payment system (PPS) hospitals. Data sources: American Hospital Association (AHA) Annual Survey Database and Medicare Cost Report from Centers for Medicaid Services both in fiscal year 2000; Health maintenance organization (HMO) penetration Area Resource File. Study design: A cross-sectional analysis was performed, a national sample 3162 PPS hospitals...

Background The aggregation of mental disorders in couples, as reported by prior research, indicates the effect familial environments and warrants attention. However, concordant categories couples remain unclear. This study investigated spousal concordance for category among throughout Taiwan using factors associated with such disorders. Methods 5643 2002–2013 National Health Insurance Research Database were analysed compared propensity-matched non-couples. Twelve independent variables,...

Insufficient sleep is a common health and safety risk factor in high-impact workplaces where workers are required to take rotating shifts. However, studies on sleepiness-related risks incidents, particularly among emergency medical services (EMS) limited.This study sought investigate the prevalence of sleepiness related workplace incidents EMS workers.This utilized cross-sectional survey design convenient sample 500 from 41 squads across Taiwan. Data were collected using structured online...

Pharmacists hold to their promise foster, implement and promote the health of population prevent disease, given knowledge, skills, proximity locals. The objective this study was foster equality cost-effectiveness in distribution sale masks all Taiwanese citizens, response COVID-19 pandemic.All 6336 special community pharmacies participating NHI (National Health Insurance) served as mask-selling sites. Access by citizens determined controlled, based on weekly rationing number purchasable per...

In Brief Background The current study examines the relationship between having a personal healthcare provider (PHP) and child's receipt of dental visits during preceding year. Whether PHP ameliorates rural/urban differences among US children was also examined. Methods We conducted cross-sectional analysis data from 2003 National Survey Children's Health augmented with county-level ecological Area Resource File. Independent variables were preventive any visits. Control demographic variables,...

Differences in child abuse perpetration between individuals with and without mental disorders remain obscure. This study compared the risk difference further investigated association category of perpetration. A total 681,970 adults from 2002 to 2013 Taiwan National Health Insurance Research Database were analyzed, including 340,985 patients psychiatric (International Classification Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] codes 290.x–319.x) sex- age-matched disorders. Child...

Dysmenorrhea is among the most common type of gynecological problem, affecting young women across globe. This study assessed comparative risk stroke associated with use nonsteroidal anti-inflammatory drugs (NSAIDs) and non-NSAIDs in dysmenorrhea while taking into account following factors such as age, history pregnancy, NSAIDs uses its duration use, selected comorbidities.We used a quantitative research approach based on case-control design. The data was from Longitudinal Health Insurance...