Healthcare Service Utilization by Patients with Obstructive Sleep Apnea: A Population-Based Study.

Although obstructive sleep apnea (OSA) is not a life-threatening disease, very few studies have compared differences in healthcare service utilization between patients with and those without OSA in an Asian population according to different age groups. This study attempted to investigate differences...

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Main Authors: Li-Ting Kao, Hsin-Chien Lee, Herng-Ching Lin, Ming-Chieh Tsai, Shiu-Dong Chung
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4560397?pdf=render
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author Li-Ting Kao
Hsin-Chien Lee
Herng-Ching Lin
Ming-Chieh Tsai
Shiu-Dong Chung
author_facet Li-Ting Kao
Hsin-Chien Lee
Herng-Ching Lin
Ming-Chieh Tsai
Shiu-Dong Chung
author_sort Li-Ting Kao
collection DOAJ
description Although obstructive sleep apnea (OSA) is not a life-threatening disease, very few studies have compared differences in healthcare service utilization between patients with and those without OSA in an Asian population according to different age groups. This study attempted to investigate differences in healthcare service utilization between patients with and those without OSA in different age groups in Taiwan.Sampled subjects and data on their health service utilization were retrieved from the Taiwan Longitudinal Health Insurance Database 2005. We included 568 patients with OSA and 2840 subjects without OSA. Each subject was followed for a 1-year period to evaluate their healthcare resource utilization. Wilcoxon-Mann-Whitney tests were performed to compare differences in healthcare utilization between patients with and those without OSA during the 1-year follow-up period.As to all healthcare service utilization, patients with OSA had significantly more outpatient visits (30.3 vs. 18.6), outpatient costs (US$1231.2 vs. US$764.8), inpatient days (1.8 vs. 1.2), inpatient costs (US$563.6 vs. US$276.7), and total costs (US$1794.8 vs. US$1041.5) than comparison subjects during the 1-year follow-up period. Moreover, patients with OSA aged 40~49 and 50~59 years respectively incurred 2.11- and 2.02-fold higher total costs compared to patients without OSA. However, patients with OSA aged over 70 years did not have higher total costs compared to those without OSA.This study found that patients with OSA had greater healthcare service utilization than those without OSA. Additionally, patients with OSA in the 40~49- and 50~59-year age groups had about 2-fold higher total costs of healthcare services than those without OSA.
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spelling doaj.art-dafccd8f7c2f4fe5b34072209ea334ac2022-12-21T20:33:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01109e013745910.1371/journal.pone.0137459Healthcare Service Utilization by Patients with Obstructive Sleep Apnea: A Population-Based Study.Li-Ting KaoHsin-Chien LeeHerng-Ching LinMing-Chieh TsaiShiu-Dong ChungAlthough obstructive sleep apnea (OSA) is not a life-threatening disease, very few studies have compared differences in healthcare service utilization between patients with and those without OSA in an Asian population according to different age groups. This study attempted to investigate differences in healthcare service utilization between patients with and those without OSA in different age groups in Taiwan.Sampled subjects and data on their health service utilization were retrieved from the Taiwan Longitudinal Health Insurance Database 2005. We included 568 patients with OSA and 2840 subjects without OSA. Each subject was followed for a 1-year period to evaluate their healthcare resource utilization. Wilcoxon-Mann-Whitney tests were performed to compare differences in healthcare utilization between patients with and those without OSA during the 1-year follow-up period.As to all healthcare service utilization, patients with OSA had significantly more outpatient visits (30.3 vs. 18.6), outpatient costs (US$1231.2 vs. US$764.8), inpatient days (1.8 vs. 1.2), inpatient costs (US$563.6 vs. US$276.7), and total costs (US$1794.8 vs. US$1041.5) than comparison subjects during the 1-year follow-up period. Moreover, patients with OSA aged 40~49 and 50~59 years respectively incurred 2.11- and 2.02-fold higher total costs compared to patients without OSA. However, patients with OSA aged over 70 years did not have higher total costs compared to those without OSA.This study found that patients with OSA had greater healthcare service utilization than those without OSA. Additionally, patients with OSA in the 40~49- and 50~59-year age groups had about 2-fold higher total costs of healthcare services than those without OSA.http://europepmc.org/articles/PMC4560397?pdf=render
spellingShingle Li-Ting Kao
Hsin-Chien Lee
Herng-Ching Lin
Ming-Chieh Tsai
Shiu-Dong Chung
Healthcare Service Utilization by Patients with Obstructive Sleep Apnea: A Population-Based Study.
PLoS ONE
title Healthcare Service Utilization by Patients with Obstructive Sleep Apnea: A Population-Based Study.
title_full Healthcare Service Utilization by Patients with Obstructive Sleep Apnea: A Population-Based Study.
title_fullStr Healthcare Service Utilization by Patients with Obstructive Sleep Apnea: A Population-Based Study.
title_full_unstemmed Healthcare Service Utilization by Patients with Obstructive Sleep Apnea: A Population-Based Study.
title_short Healthcare Service Utilization by Patients with Obstructive Sleep Apnea: A Population-Based Study.
title_sort healthcare service utilization by patients with obstructive sleep apnea a population based study
url http://europepmc.org/articles/PMC4560397?pdf=render
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