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Continuity of Care Is Associated with Medical Costs and Inpatient Days in Children with Cerebral Palsy

Author

Listed:
  • Kuang-Tsu Yang

    (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan)

  • Chun-Hao Yin

    (Research Center of Medical Informatics, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan)

  • Yao-Min Hung

    (Department of Internal Medicine, Kaohsiung Municipal United Hospital, Kaohsiung 80457, Taiwan
    School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Yuh-Ing Junior College of Health Care and Management, Kaohsiung 80776, Taiwan)

  • Shih-Ju Huang

    (Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan)

  • Ching-Chih Lee

    (Department of Otolaryngology, Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan
    Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei 11221, Taiwan)

  • Tsu-Jen Kuo

    (Department of Stomatology, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan
    Department of Marine Biotechnology and Resources, National Sun Yat-sen University, Kaohsiung 80424, Taiwan
    Department of Dental Technology, Shu-Zen Junior College of Medicine and Management, Kaohsiung 82144, Taiwan)

Abstract

Background : Children with cerebral palsy (CP) place a considerable burden on medical costs and add to an increased number of inpatient days in Taiwan. Continuity of care (COC) has not been investigated in this population thus far. Materials and Methods : We designed a retrospective population-based cohort study using Taiwan’s National Health Insurance Research Database. Patients aged 0 to 18 years with CP catastrophic illness certificates were enrolled. We investigated the association of COC index (COCI) with medical costs and inpatient days. We also investigated the possible clinical characteristics affecting the outcome. Results : Over five years, children with CP with low COCI levels had higher medical costs and more inpatient days than did those with high COCI levels. Younger age at CP diagnosis, more inpatient visits one year before obtaining a catastrophic illness certificate, pneumonia, and nasogastric tube use increased medical expenses and length of hospital stay. Conclusions : Improving COC reduces medical costs and the number of inpatient days in children with CP. Certain characteristics also influence these outcomes.

Suggested Citation

  • Kuang-Tsu Yang & Chun-Hao Yin & Yao-Min Hung & Shih-Ju Huang & Ching-Chih Lee & Tsu-Jen Kuo, 2020. "Continuity of Care Is Associated with Medical Costs and Inpatient Days in Children with Cerebral Palsy," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2913-:d:349208
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    References listed on IDEAS

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