Hospitalization for ambulatory-care-sensitive conditions in Taiwan following the SARS outbreak: a population-based interrupted time series study.
Hospitalization for ambulatory-care-sensitive conditions in Taiwan following the SARS outbreak: a population-based interrupted time series study.
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DOI：
10.1016/s0929-6646(09)60082-6
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发表时间：
2009-05
期刊：
影响因子：
--
通讯作者：
Hsiao CJ
中科院分区：
文献类型：
--
作者：
Huang YT;Lee YC;Hsiao CJ
2003年，严重急性呼吸系统综合症（SARS）在26个国家爆发，造成8096例疑似病例和774人死亡。摘要本研究旨在探讨SARS疫情对台湾慢性门诊敏感症患者住院治疗的影响。我们采用了基于人群的中断时间序列研究设计，并使用时间序列自回归综合移动平均模型来比较7个选定的慢性acsc的实际和预测入院率。该分析基于1997年至2003年国民健康保险医院住院病人索赔数据。SARS爆发后对acsc的影响在七种选定的慢性疾病中有所不同。因呼吸系统疾病住院的人数明显低于预测值，而因糖尿病住院的人数明显高于疫情爆发后的预测值。除糖尿病患者外，大多数ACSCs的入院率在sars后没有变化。SARS爆发期间门诊使用率的减少似乎并未对大多数acsc的入院产生不利影响。
In 2003, the severe acute respiratory syndrome (SARS) outbreak resulted in 8096 probable cases and 774 deaths in 26 countries. The purpose of this study was to explore the effect of the SARS outbreak on hospitalization for chronic ambulatory-care-sensitive conditions (ACSCs) in Taiwan. We applied a population-based interrupted time series study design and used the time series auto-regressive integrated moving-average model to compare the actual and predicted admission rates of seven selected chronic ACSCs. The analyses were based on National Health Insurance hospital inpatient claims data from 1997 to 2003. The impact of SARS on ACSCs after the outbreak varied among seven selected chronic conditions. Hospitalization for respiratory conditions was significantly lower than the predicted values, whereas hospitalization for diabetes was significantly higher than the predicted values after the outbreak. Admission rates for most ACSCs, except for diabetes, did not change in the post-SARS period. The reductions in outpatient utilization during the SARS outbreak did not appear to affect adversely admissions for most ACSCs.