Evidence map›Paper›PMID 34299787›Full record

ArticleInternational journal of environmental research and public health2021

The Impact of Pharmaceutical Home Care on Medical Utilization for Frequent Users of Outpatient Services in Taiwan.

Chien-Ying Lee, Heng-Hsuan Su, Yu-Chia Chang, Tung-Han Tsai, Yung-Rung Lai, Kuang-Hua Huang

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chien-Ying LeeDepartment of Pharmacy, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Heng-Hsuan SuNational Health Insurance Administration, Ministry of Health and Welfare, Taipei 106211, Taiwan.
Yu-Chia ChangDepartment of Healthcare Administration, Asia University, Taichung 41354, Taiwan.
Tung-Han TsaiDepartment of Health Services Administration, China Medical University, Taichung 40402, Taiwan.
Yung-Rung LaiDepartment of Pharmacy, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Kuang-Hua HuangDepartment of Health Services Administration, China Medical University, Taichung 40402, Taiwan.ORCID 0000-0003-4351-6202

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the high-accessibility and low-copayment of healthcare system in Taiwan, the clinical visit frequency of people is relatively high, which often leads to an excessively high healthcare expenditure. The aim of this research was to explore the effectiveness of pharmaceutical home care for frequent users of outpatient service and to analyze the impact of pharmaceutical home care on medical utilization. The study was based on the Taiwan National Health Insurance Research Database. Patients with over 100 clinical visits during 2010 to 2012 were selected as subjects. Whether these patients participate the experimental plan of pharmaceutical home care in the following year and the medical utilization of the research subjects were analyzed to compare the difference between participating group and non-participating group in this plan. The generalized estimating equation was employed to examine the difference of medical utilization. A total of 3943 subjects were included in this study, including 591 patients (14.99%) participating in the experimental plan. The average number of physician visits during the following year of the participating group was higher than that of the non-participating group by 0.12 visits, and the outpatient medical expense was lower than the non-participating group by 18,302 points (1 point = 0.03 US dollars). After participating in the plan, the average number of clinical visits of frequent users of outpatient services was significantly reduced by 6.63 visits, and the outpatient expense was significantly decreased by 9871 points. After joining the experimental plan of pharmaceutical home care, the average number of outpatient visits decreased significantly and the medical expense was lower when compared with those who did not participate in the plan.

Indexed as

Home Care ServicesPharmaceutical PreparationsAmbulatory CareHealth ExpendituresHumansTaiwanPharmaceutical Preparationsambulatory carepharmaceutical careprimary healthcareutilization review

Identifiers

PMID34299787
PMCPMC8303173

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.