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01.12.2012 | Research article | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

Utilization of rehabilitation services for inpatient with cancer in Taiwan: a descriptive analysis from national health insurance database

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2012
Autoren:
Heui-Fen Lin, Ying-Tai Wu, Jau-Yih Tsauo
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-255) contains supplementary material, which is available to authorized users.

Competing interests

All authors declare no competing interests.

Authors’ contributions

HFL designed and conducted the study, obtained, analysed and interpreted data, and drafted the manuscript. JYT assisted in study design, data analysis, and data interpretation, and provided critical revision of the manuscript for important intellectual concepts. YTW assisted in study design, data interpretation, and manuscript writing. All authors have approved the final submitted manuscript.

Abstract

Background

Cancer is a major cause of global morbidity and mortality. Since a high prevalence of functional impairments has been observed among cancer patients, rehabilitation has been proposed as a strategy to restore patients’ functional independence. The increasing number of cancer patients combined with a growing need for rehabilitation may result in increased utilization of rehabilitation services. This study aimed to investigate the utilization of rehabilitation services among hospitalized cancer patients in Taiwan between 2004 and 2008.

Methods

Annual admissions and total inpatient expenditures for admissions with a cancer diagnosis were calculated from the National Health Insurance Research Database (NHIRD). Rehabilitation services used by cancer and non-cancer patients, as well as the distributions of rehabilitation service type among the different hospital departments were also analyzed.

Results

The percentages of inpatient admissions with a cancer diagnosis increased from 14.01% to 17.1% between 2004 and 2008. During 2004, 5.25% of all inpatient admissions received rehabilitation services; this percentage increased to 5.62% by 2008. Among cancer admissions, 2.26% to 2.62% received rehabilitation services from 2004 to 2008. By comparison, 5.68% to 6.24% of non-cancer admissions received rehabilitation services during this period. Of the admissions who received rehabilitation services, only 6.44% and 7.96% had a cancer diagnosis in 2004 and 2008, respectively. Sixty-one percent of rehabilitation services were delivered in the departments of orthopedics (25.6%), neurology (14.4%), rehabilitation (11.9%), and neurosurgery (9.2%).

Conclusions

In Taiwan, the utilization of rehabilitation services during hospitalization increased from 2004 to 2008. Although this trend was noted for cancer and non-cancer admissions, the utilization of rehabilitation services was generally greater by non-cancer admissions. Despite the benefits of rehabilitation, the actual rehabilitation needs of cancer patients remain unmet.
Zusatzmaterial
Additional file 1 : The department-specific components of rehabilitative services in 2008. (XLS 32 KB)
12913_2012_2128_MOESM1_ESM.xls
Authors’ original file for figure 1
12913_2012_2128_MOESM2_ESM.jpeg
Literatur
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