IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i10p1214-d114595.html
   My bibliography  Save this article

Trends and Comparisons of Utilization of Emergency Departments Due to Traumatic or Non-Traumatic Causes among the HIV-Positive Population in Taiwan, 2006–2011

Author

Listed:
  • Ching-Heng Lin

    (Community Medicine Research Center, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Department of Medical Research, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Department of Healthcare Management, National Taipei University of Nursing and Health Sciences, Taipei 11219, Taiwan)

  • Ting Lin

    (Community Medicine Research Center, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    These authors contribute equally to this work.)

  • Pesus Chou

    (Community Medicine Research Center, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan)

  • Nan-Ping Yang

    (Community Medicine Research Center, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Department of Emergency Medicine & Orthopedic Surgery, Keelung Hospital, Ministry of Health & Welfare, Keelung 20147, Taiwan)

Abstract

It is important that the utilization of emergency departments (EDs) among people living with the human immunodeficiency virus (HIV) be epidemiologically evaluated in order to assess and improve the HIV care continuum. All participants newly-diagnosed with HIV in Taiwan registered in the National Health Insurance Database from 2000 to 2005 were enrolled in this study and followed-up from 2006 to 2011. In total, 3500 participants newly-diagnosed with HIV in 2000–2005 were selected as a fixed-cohort population and followed-up from 2006 to 2011. Overall, 704, 645, 591, 573, 578, and 568 cases made 1322, 1275, 1050, 1061, 1136, and 992 ED visits in 2006, 2007, 2008, 2009, 2010 and 2011, respectively, with an average number of ED visits ranging from 1.75 to 1.98 per person, accounting for 20.1–22.6% of the whole HIV-positive population. Fewer ED visits were due to traumatic reasons, accounting for 19.6–24.4% of all cases. The incidence of traumatic and non-traumatic ED visits among the HIV-positive participants ranged from 7.2–9.3 and 27.0–33.9 per 100 people, respectively. The average direct medical cost of traumatic and non-traumatic ED visits ranged from $89.3–112.0 and $96.6–120.0, respectively. In conclusion, a lower incidence of ED visits for all reasons and fewer ED visits owing to traumatic causes were observed in the population living with HIV in comparison with the general population; however, the direct medical cost of each ED visit owing to both traumatic and non-traumatic causes was greater among those living with HIV than in the general population.

Suggested Citation

  • Ching-Heng Lin & Ting Lin & Pesus Chou & Nan-Ping Yang, 2017. "Trends and Comparisons of Utilization of Emergency Departments Due to Traumatic or Non-Traumatic Causes among the HIV-Positive Population in Taiwan, 2006–2011," IJERPH, MDPI, vol. 14(10), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1214-:d:114595
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/10/1214/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/14/10/1214/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Aidala, A.A. & Wilson, M.G. & Shubert, V. & Gogolishvili, D. & Globerman, J. & Rueda, S. & Bozack, A.K. & Caban, M. & Rourke, S.B., 2016. "Housing status, medical care, and health outcomes among people living with HIV/AIDS: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(1), pages 1-23.
    2. Chan, Chien-Lung & Lin, Wender & Yang, Nan-Ping & Huang, Hsin-Tsung, 2013. "The association between the availability of ambulatory care and non-emergency treatment in emergency medicine departments: A comprehensive and nationwide validation," Health Policy, Elsevier, vol. 110(2), pages 271-279.
    3. Yang, Nan-Ping & Deng, Chung-Yeh & Chou, Yiing-Jenq & Chen, Po-Quang & Lin, Ching-Heng & Chou, Pesus & Chang, Hong-Jen, 2006. "Estimated prevalence of osteoporosis from a Nationwide Health Insurance database in Taiwan," Health Policy, Elsevier, vol. 75(3), pages 329-337, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Theo Beltran & Amani M. Allen & Jess Lin & Caitlin Turner & Emily J. Ozer & Erin C. Wilson, 2019. "Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area," IJERPH, MDPI, vol. 16(22), pages 1-11, November.
    2. Liang-Chung Huang & Wu-Fu Chung & Shih-Wei Liu & Jau-Ching Wu & Li-Fu Chen & Yu-Chun Chen, 2019. "Characteristics of Non-Emergent Visits in Emergency Departments: Profiles and Longitudinal Pattern Changes in Taiwan, 2000–2010," IJERPH, MDPI, vol. 16(11), pages 1-16, June.
    3. Donatini A. & Fiorentini G. & Lippi Bruni M. & Mammi I. & Ugolini C., 2014. "Dealing with minor illnesses: the link between primary care characteristics and First Aid Clinics attendances," Working Papers wp925, Dipartimento Scienze Economiche, Universita' di Bologna.
    4. Saleem, Haneefa T. & Likindikoki, Samuel & Silberg, Claire & Mbwambo, Jessie & Latkin, Carl, 2021. "Time-space constraints to HIV treatment engagement among women who use heroin in Dar es Salaam, Tanzania: A time geography perspective," Social Science & Medicine, Elsevier, vol. 268(C).
    5. Mostafa Shokoohi & Greta R Bauer & Angela Kaida & Ashley Lacombe-Duncan & Mina Kazemi & Brenda Gagnier & Alexandra de Pokomandy & Mona Loutfy & On Behalf of the CHIWOS Research Team, 2019. "Social determinants of health and self-rated health status: A comparison between women with HIV and women without HIV from the general population in Canada," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-16, March.
    6. Yu Liu & Savanah Russ & Jason Mitchell & Sarahmona Przybyla & Chen Zhang, 2022. "Assessing the Determinants of Quality of Life and the Impact on HIV Prevention Measures among HIV-Negative and Status-Unknown Young Men Who Have Sex with Men: A Study in Two U.S. Metropolitan Areas," IJERPH, MDPI, vol. 19(2), pages 1-15, January.
    7. Galárraga, Omar & Rana, Aadia & Rahman, Momotazur & Cohen, Mardge & Adimora, Adaora A. & Sosanya, Oluwakemi & Holman, Susan & Kassaye, Seble & Milam, Joel & Cohen, Jennifer & Golub, Elizabeth T. & Met, 2018. "The effect of unstable housing on HIV treatment biomarkers: An instrumental variables approach," Social Science & Medicine, Elsevier, vol. 214(C), pages 70-82.
    8. Amy Rosenwohl-Mack & Darin Smith & Meredith Greene & Karyn Skultety & Madeline Deutsch & Leslie Dubbin & Jason D. Flatt, 2022. "Building H.O.U.S.E (Healthy Outcomes Using a Supportive Environment): Exploring the Role of Affordable and Inclusive Housing for LGBTQIA+ Older Adults," IJERPH, MDPI, vol. 19(3), pages 1-15, February.
    9. Dharma N. Bhatta & Jennifer Hecht & Shelley N. Facente, 2021. "Psychosocial Determinants of HIV Stigma among Men Who Have Sex with Men in San Francisco, California," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    10. Guillemette Quatremère & Marguerite Guiguet & Patricia Girardi & Marie-Noëlle Liaud & Coline Mey & Cynthia Benkhoucha & Franck Barbier & Graciela Cattaneo & Anne Simon & Daniela Rojas Castro, 2017. "How are women living with HIV in France coping with their perceived side effects of antiretroviral therapy? Results from the EVE study," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-13, March.
    11. Ting-Ying Chien & Hsien-Wei Ting & Chien-Lung Chan & Nan-Ping Yang & Ren-Hao Pan & K. Robert Lai & Su-In Hung, 2017. "Does the Short-Term Effect of Air Pollution Influence the Incidence of Spontaneous Intracerebral Hemorrhage in Different Patient Groups? Big Data Analysis in Taiwan," IJERPH, MDPI, vol. 14(12), pages 1-10, December.
    12. Florence Huber & Alice Merceron & Yoann Madec & Gueda Gadio & Vincent About & Agathe Pastre & Isabelle Coupez & Antoine Adenis & Leila Adriouch & Mathieu Nacher, 2017. "High mortality among male HIV-infected patients after prison release: ART is not enough after incarceration with HIV," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-15, April.
    13. Pak, Anton & Gannon, Brenda, 2021. "Do access, quality and cost of general practice affect emergency department use?," Health Policy, Elsevier, vol. 125(4), pages 504-511.
    14. Chien-Lung Chan & Wender Lin & Nan-Ping Yang & K Robert Lai & Hsin-Tsung Huang, 2015. "Pre-Emergency-Department Care-Seeking Patterns Are Associated with the Severity of Presenting Condition for Emergency Department Visit and Subsequent Adverse Events: A Timeframe Episode Analysis," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-16, June.
    15. Monica S. Ruiz & Allison Williams & Allison O’Rourke & Elizabeth MacIntosh & Shareese Moné & Cyndee Clay, 2022. "The Impact of Housing Insecurity on Access to Care and Services among People Who Use Drugs in Washington, DC," IJERPH, MDPI, vol. 19(13), pages 1-15, June.
    16. Ching-Ying Wu & Ying-Yi Lu & Chun-Ching Lu & Yu-Feng Su & Tai-Hsin Tsai & Chieh-Hsin Wu, 2017. "Osteoporosis in adult patients with atopic dermatitis: A nationwide population-based study," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-11, February.
    17. Ugolini, Cristina & Lippi Bruni, Matteo & Mammi, Irene & Donatini, Andrea & Fiorentini, Gianluca, 2016. "Dealing with minor illnesses: The link between primary care characteristics and Walk-in Centres’ attendances," Health Policy, Elsevier, vol. 120(1), pages 72-80.
    18. Carter, Jarvis W. & Salabarría-Peña, Yamir & Fields, Errol L. & Robinson, William T., 2022. "Evaluating for health equity among a cluster of health departments implementing PrEP services," Evaluation and Program Planning, Elsevier, vol. 90(C).
    19. Lippi Bruni, Matteo & Mammi, Irene & Ugolini, Cristina, 2016. "Does the extension of primary care practice opening hours reduce the use of emergency services?," Journal of Health Economics, Elsevier, vol. 50(C), pages 144-155.
    20. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1214-:d:114595. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.