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Int. J. Environ. Res. Public Health 2017, 14(10), 1214; doi:10.3390/ijerph14101214

Trends and Comparisons of Utilization of Emergency Departments Due to Traumatic or Non-Traumatic Causes among the HIV-Positive Population in Taiwan, 2006–2011

1,2,3,4,†
,
1,2,†
,
1,2
and
1,2,5,*
1
Community Medicine Research Center, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
2
Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
3
Department of Medical Research, Taichung Veterans General Hospital, Taichung 40705, Taiwan
4
Department of Healthcare Management, National Taipei University of Nursing and Health Sciences, Taipei 11219, Taiwan
5
Department of Emergency Medicine & Orthopedic Surgery, Keelung Hospital, Ministry of Health & Welfare, Keelung 20147, Taiwan
These authors contribute equally to this work.
*
Author to whom correspondence should be addressed.
Received: 14 August 2017 / Revised: 2 October 2017 / Accepted: 9 October 2017 / Published: 11 October 2017
(This article belongs to the Special Issue Insurance and Health)
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Abstract

It is important that the utilization of emergency departments (EDs) among people living with the human immunodeficiency virus (HIV) be epidemiologically evaluated in order to assess and improve the HIV care continuum. All participants newly-diagnosed with HIV in Taiwan registered in the National Health Insurance Database from 2000 to 2005 were enrolled in this study and followed-up from 2006 to 2011. In total, 3500 participants newly-diagnosed with HIV in 2000–2005 were selected as a fixed-cohort population and followed-up from 2006 to 2011. Overall, 704, 645, 591, 573, 578, and 568 cases made 1322, 1275, 1050, 1061, 1136, and 992 ED visits in 2006, 2007, 2008, 2009, 2010 and 2011, respectively, with an average number of ED visits ranging from 1.75 to 1.98 per person, accounting for 20.1–22.6% of the whole HIV-positive population. Fewer ED visits were due to traumatic reasons, accounting for 19.6–24.4% of all cases. The incidence of traumatic and non-traumatic ED visits among the HIV-positive participants ranged from 7.2–9.3 and 27.0–33.9 per 100 people, respectively. The average direct medical cost of traumatic and non-traumatic ED visits ranged from $89.3–112.0 and $96.6–120.0, respectively. In conclusion, a lower incidence of ED visits for all reasons and fewer ED visits owing to traumatic causes were observed in the population living with HIV in comparison with the general population; however, the direct medical cost of each ED visit owing to both traumatic and non-traumatic causes was greater among those living with HIV than in the general population. View Full-Text
Keywords: health; insurance; utilization; emergency department; HIV health; insurance; utilization; emergency department; HIV
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MDPI and ACS Style

Lin, C.-H.; Lin, T.; Chou, P.; Yang, N.-P. Trends and Comparisons of Utilization of Emergency Departments Due to Traumatic or Non-Traumatic Causes among the HIV-Positive Population in Taiwan, 2006–2011. Int. J. Environ. Res. Public Health 2017, 14, 1214.

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