The protective effect of statin on Alzheimer disease (AD) is still controversial, probably due to the debate about when start use and lack any large-scale randomized evidence that actually supports hypothesis. purpose this study was examine early mild-to-moderate AD in total Taiwanese population. This a population-based case-control study, using population citizens seen general medical practice; therefore, findings can be applied patients were those with newly diagnosed dementia (ICD-9...

Background: Hospitals have confronted a difficult financial environment given many factors, including expansion of managed care, changes in public policy, growing market competition for certain services, and growth the number uninsured. Policy makers expressed concern that hospitals may forgo providing care to indigent as means reduce costs become more efficient when faced with pressures. Purpose: This article examined effects environmental pressures on two dimensions hospital performance:...

Objective To examine the effects of safety net hospital ( SNH ) closure and for‐profit conversion on uninsured, Medicaid , racial/ethnic minorities. Data Sources/Extraction Methods Hospital discharge data for selected states merged with other sources. Study Design We examined travel distance patients treated in urban hospitals five diagnosis categories: ambulatory care sensitive conditions, referral marker births, mental health substance abuse. assess how was affected after events. Our...

Information about environmental exposure to melamine and renal injury in adults is lacking. We investigated this relationship 44 workers at two tableware manufacturing factories Taiwan (16 manufacturers, eight grinders, ten packers, administrators) 105 nonexposed (controls) one shipbuilding company who were enrolled August-December of 2012. For workers, personal area air samples obtained the worksite over 1 workweek (Monday-Friday). In same week, pre- post-shift one-spot urine collected each...

Melamine and phthalate, mainly di-(2-ethylhexyl) phthalate (DEHP), are ubiquitously present in the general environment. We investigated whether urine melamine levels can modify relationship between DEHP exposure markers of early renal damage children. A nationwide health survey for Children aged ≤12 years possibly exposed to phthalates were enrolled August 2012 January 2013. They administered questionnaires collect details regarding past phthalate-tainted foodstuffs. Urine samples measured...

Inadequate care of chronic kidney disease (CKD) is common and may be associated with adverse outcomes after dialysis. The nationwide pre-end-stage renal pay for performance program (P4P) has been implemented in Taiwan to improve quality CKD care. However, the effectiveness P4P improving pre-dialysis dialysis uncertain. We conducted a longitudinal cohort study. Patients who newly underwent long-term (≥3 mo) between 2007 2009 were identified from National Health Insurance Research Database....

Background: The National Health Insurance Administration in Taiwan initiated a nationwide pre-end-stage renal disease (ESRD) pay-for-performance (P4P) programme at the end of 2006 to improve quality care for chronic kidney (CKD) patients. This study aimed examine this programme's effect on patients' clinical outcomes and its cost-effectiveness among advanced CKD Methods: We conducted longitudinal observational matched cohort using two population-based datasets. major interests were incidence...

In 2011, phthalates, mainly di-(2-ethylhexyl) phthalate (DEHP), were found to have been added a variety of foods in Taiwan, increasing the risk microalbuminuria children. Exposure melamine perhaps modifies that risk. This prospective cohort study investigates whether renal injury resulting from exposure DEHP-tainted 2011 Taiwan Food Scandal is reversed over time. The temporal and interactive effects past daily DEHP intake, current urinary levels on oxidative stress also examined. Two hundred...

Objectives To assess the impact of minor, major and individual complications on prolonged length hospital stay in patients with colorectal cancer (CRC) after surgery using multivariate models. Methods This was a retrospective review data from who underwent for stage I-III CRC at two medical centres southern Taiwan between 2005-2010. Information derived four databases. Multivariate logistic regression methods were used to (PLOS) postoperative (PPOLOS). Results Of 1658 study patients, 251...

Pay for performance (P4P) has been used as a strategy to improve quality patients with chronic illness. Little was known whether care provided individuals multiple conditions in P4P program were cost-effective. This study investigated cost effectiveness of diabetes caring alone (DM alone) and comorbid hypertension hyperlipidemia (DMHH) from single payer perspective Taiwan. Analyzing data using population-based longitudinal databases, we compared costs between non-P4P patient groups two...

Background: Taiwan's National Health Insurance (NHI) Program implemented a diabetes pay-for-performance program (P4P) based on process-of-care measures in 2001. In late 2006, that P4P was revised to also include achievement of intermediate health outcomes. Objectives: This study examined what extent these 2 incentive designs have been cost-effective and the difference effect may been. Research Design Method: Analyzing data using 3 population-based longitudinal databases (NHI's dataset, NHI's...

ABSTRACT Aim Self‐care represents the ‘action’ element of self‐management. This study aimed to use chronic kidney disease self‐care (CKDSC) scale examine factors associated with and aspects deficits among CKD patients in Taiwan. Methods A cross‐sectional investigation was conducted using CKDSC 449 The is a 16‐item questionnaire five subscales, including medication adherence, diet control, exercise, smoking behaviours blood pressure monitoring. Patient demographic clinical taht may affect...

Objective: This study investigated the prevalence of generalized anxiety disorder (GAD) in Taiwanese patients with type 2 diabetes mellitus (T2DM). Methods: retrospective observational was conducted a random sample from entire population National Health Insurance enrollees during 2000-2010 and used ICD-9-CM diagnostic codes to identify T2DM GAD. The GAD compared between general population. Results: Between 2000 2010, significantly greater than population, while increase higher (from 0.25...

Exposure to either melamine or phthalate, two common toxicants, during pregnancy may cause adverse health effects, including kidney damage.We investigated the independent and interactive effect of exposure phthalates, particularly di-(2-ethylhexyl) phthalate (DEHP), on markers early renal injury in women their third trimester one nationwide birth cohort, Taiwan Maternal Infant Cohort Study (TMICS).Between October, 2012 May, 2015, participants were administered questionnaires, physical...

Abstract We aim to investigate the role of medication adherence history in treatment needed diabetic retinopathy (TNDR). conducted a retrospective nested case–control study using 3 population-based databases Taiwan. The major one was 2-million-sample longitudinal health and welfare database from 1997 2017, nationally representative random sample National Health Insurance Administration enrolled beneficiaries 2010 (LHID2010). national death registry cancer were also checked verify...

The COVID-19 pandemic has rapidly become a major challenge for global health care systems and affected other priorities such as the utilization of population-based cancer screening services. We sought to examine what extent in Taiwan, even use inreach outreach services different types regions.Using nationwide cervical, breast, colorectal oral data, percentage changes participants at were calculated compared between January April 2020 (COVID-19 pandemic) 2019.The average change declined from...

Taiwan implemented global hospital budgeting with a floating-point value, which created prisoner's dilemma. As result, hospitals increased service volume, caused the value to drop less than one New Dollar (NTD). The recent increase in number of beds and call enhance NTD raise concerns about potential for financial burden without adding patient care if expand their bed capacity volume-based competition. present study aimed examine relationship between supply hospitalizations following an...

ABSTRACT Lugol chromoendoscopy is widely used for screening esophageal squamous cell neoplasms (ESCNs) and evaluating dissection margins during endoscopic submucosal (ESD). However, morphological variations may arise following treatment synchronous cancers. This study aimed to assess the impact of chemotherapy on findings both ESD. From August 2009 March 2024, ESCN patients undergoing ESD were enrolled. analyzed based four criteria: iodine staining, lesion size, margin assessment, pink‐color...

ABSTRACT Objective This study examined the population‐based epidemiological prevalence of early‐ and late‐onset dementia in individuals with type 2 diabetes mellitus (T2DM) compared general population Taiwan from 2009 to 2022. Methods A 14‐year nationwide epidemiology 2022 using National Health Insurance Research Database was conducted examine crude age‐standardized aged <65 ≥65. Multivariable logistic regression used assess factors associated T2DM population. Results Among ≥65 T2DM,...

Critically ill patients require individualized nutrition support, with assessment tools like Nutrition Risk Screening 2002 and in the Ill scores. Challenges continu-ous care prompt need for innovative solutions. This study develops an artificial intelligence assisted risk evaluation model using explainable machine learning to support intensive unit dietitians. Ethical approval was obtained a retrospective analysis of 2,122 pa-tients. involved six dietitians, 1,994 assessed comprehensively....

The definition of hospital community benefits has been intensely debated for many years. Recently, consensus developed about one group activities being central to because its focus on care the poor and needed services which any payments received are low relative costs. Disagreements continue, however, treatment bad debt expense Medicare shortfalls. A recent revision Internal Revenue Service's Form 990 Schedule H, is required all nonprofit hospitals, highlights agreed-on set but does not...