TY - JOUR
T1 - Poor self-rated health influences hospital service use in hospitalized inpatients with chronic conditions in Taiwan
AU - Isaac, Vivian
AU - McLachlan, Craig S
AU - Baune, Bernhard T.
AU - Huang, Chun-Ta
AU - Wu, Chia-Yi
PY - 2015/9
Y1 - 2015/9
N2 - Our aim was to investigate the association between self-rated health (SRH) and use of hospital services (ie, medical outpatient department, emergency department, and general ward. admissions). Cross-sectional study data were collected from 230 consecutive patients admitted to medical departments of a 2000-bed academic medical center in Taiwan using standardized operating procedures for data collection of SRH (ie, a single-item question inquiring overall perceived health status), medical disorders, depressive symptoms, and combined service utilization over a 1-year period (ie, number of visits to outpatient department, number of visits to emergency department, and number of hospitalizations). Electronic medical records were retrieved, with self-reported external medical visits added to in-hospital frequencies of service use to provide better estimation of health service utilization. Fifty-two percent of study patients rated their health as poor or very poor. Poor SRH was associated with more visits to medical outpatient department, emergency department, and hospital admission. Multivariate logistic regression demonstrated an independent association between poor SRH and services utilization after adjustment for age, gender, hypertension, diabetes, metastatic cancer, number of chronic illness, life-threatening event, life-time suicidal ideation, and depression. SRH may be a useful research tool to model medical service use for inpatients with chronic conditions.
AB - Our aim was to investigate the association between self-rated health (SRH) and use of hospital services (ie, medical outpatient department, emergency department, and general ward. admissions). Cross-sectional study data were collected from 230 consecutive patients admitted to medical departments of a 2000-bed academic medical center in Taiwan using standardized operating procedures for data collection of SRH (ie, a single-item question inquiring overall perceived health status), medical disorders, depressive symptoms, and combined service utilization over a 1-year period (ie, number of visits to outpatient department, number of visits to emergency department, and number of hospitalizations). Electronic medical records were retrieved, with self-reported external medical visits added to in-hospital frequencies of service use to provide better estimation of health service utilization. Fifty-two percent of study patients rated their health as poor or very poor. Poor SRH was associated with more visits to medical outpatient department, emergency department, and hospital admission. Multivariate logistic regression demonstrated an independent association between poor SRH and services utilization after adjustment for age, gender, hypertension, diabetes, metastatic cancer, number of chronic illness, life-threatening event, life-time suicidal ideation, and depression. SRH may be a useful research tool to model medical service use for inpatients with chronic conditions.
KW - Adult
KW - Aged
KW - Chronic Disease/epidemiology
KW - Cross-Sectional Studies
KW - Diagnostic Self Evaluation
KW - Female
KW - Health Services/statistics & numerical data
KW - Health Services Misuse/prevention & control
KW - Health Status
KW - Hospitalization/statistics & numerical data
KW - Humans
KW - International Classification of Diseases
KW - Karnofsky Performance Status/standards
KW - Male
KW - Middle Aged
KW - Patient Acceptance of Health Care/psychology
KW - Surveys and Questionnaires
KW - Taiwan/epidemiology
U2 - 10.1097/MD.0000000000001477
DO - 10.1097/MD.0000000000001477
M3 - Article
C2 - 26356706
SN - 0025-7974
VL - 94
SP - 1
EP - 8
JO - Medicine
JF - Medicine
IS - 36
M1 - e1477
ER -