Comparison of outpatient services between elderly people with intellectual disabilities and the general elderly population in Taiwan

Research in Developmental Disabilities

Volumn 33, Issue 5, 2012, Pages 1429-1436

  Hsu, Shang Wei ^a,b   Lin, Jin Ding ^c   Chiang, Po Huang ^d   Chang, Yu Chia ^a   Tung, Ho Jui ^a  

^a ASIA UNIVERSITY   (Taiwan)

^b CHINA MEDICAL UNIVERSITY   (Taiwan)

^c NATIONAL DEFENSE MEDICAL CENTER   (Taiwan)

^d NATIONAL HEALTH RESEARCH INSTITUTES   (Taiwan)

Author keywords

Ambulatory health care; Intellectual disability; Medical costs; Outpatient care

Indexed keywords

AGED; AMBULATORY CARE; ARTICLE; CARDIOVASCULAR DISEASE; COMPARATIVE STUDY; CONNECTIVE TISSUE DISEASE; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DEMENTIA; DIABETES MELLITUS; DIGESTIVE SYSTEM DISEASE; DIGESTIVE SYSTEM FUNCTION DISORDER; ESSENTIAL HYPERTENSION; FEMALE; FINANCIAL MANAGEMENT; GENDER; GROUPS BY AGE; HEALTH CARE COST; HEALTH CARE NEED; HEALTH CARE UTILIZATION; HEALTH EDUCATION; HUMAN; HYPERTENSION; INTELLECTUAL IMPAIRMENT; MAJOR CLINICAL STUDY; MALE; MEDICAL EXPENDITURE; MUSCULOSKELETAL DISEASE; NATIONAL HEALTH INSURANCE; OSTEOARTHRITIS; OUTPATIENT CARE; PREVENTIVE HEALTH SERVICE; TAIWAN; UPPER RESPIRATORY TRACT INFECTION; URBANIZATION;

AGED; AGED, 80 AND OVER; AMBULATORY CARE; FEMALE; HEALTH CARE COSTS; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES FOR THE AGED; HUMANS; INTELLECTUAL DISABILITY; LOGISTIC MODELS; MALE; NATIONAL HEALTH PROGRAMS; TAIWAN;

EID: 84859882107     PISSN: 08914222     EISSN: 18733379     Source Type: Journal    
DOI: 10.1016/j.ridd.2012.03.014     Document Type: Article

References (50)

1. Beange H., Lennox N. Physical aspects of health in the learning disabled. Current Opinion in Psychiatry 1998, 11:531-534.
2. Beange H., McElduff A., Baker W. Medical disorders of adults with mental retardation: A population study. American Journal of Mental Retardation 1995, 99:595-604.
3. Böhmer C.J., Klinkenberg-Knol E.C., Kuipers E.J., Niezen-de Boer M.C., Schreuder H., Schuckink-Kool F., et al. The prevalence of Helicobacter pylori infection among inhabitants and healthy employees of institutes for the intellectually disabled. American Journal of Gastroenterology 1997, 92:1000-1004.
4. Bertakis K.D., Azari R., Helms J., Callahan E.J., Robbins J.A. Gender differences in the utilization of health care services. Journal of Family Practice 2000, 49:147-152.
5. Bureau of National Health Insurance National health insurance in Taiwan (accessed 12.15.11). http://www.nhi.gov.tw/English/webdata/webdata.aspx?menu=11&menu_id=290&webdata_id=2974&WD_ID=290.
6. Bureau of National Health Insurance Statistical annual reports (accessed 12.15.11). http://www.nhi.gov.tw/English/webdata/webdata.aspx?menu=11&menu_id=296&webdata_id=1942&WD_ID=296.
7. Center J., Beange H., McEjduff A. People with mental retardation have an increased prevalence of osteoporosis: A population study. American Journal of Mental Retardation 1998, 103:19-28.
8. Chen T.J., Chou L.F., Hwang S.J. Patterns of ambulatory care utilization in Taiwan. BMC Health Services Research 2006, 6:54.
9. Chen Y.C., Chou Y.C., Lin L.P., Wu C.L., Lin J.D. Long term trend analysis of geographical disparity in aging and disability: Taiwanese population approach. Research in Developmental Disabilities 2012, 32:350-356.
10. Chung K.H., Lee H.C., Kao S., Lin H.C. Urbanicity and methods of suicide: A nationwide population-based study. Journal of Urban Health 2008, 85:136-145.
11. DeRigne, L. (2011). The employment and financial effects on families raising children with special health care needs: An examination of the evidence. Journal of Pediatric Health Care, in press.
12. Hsu S.W., Lin Y.W., Chwo M.J., Huang H.C., Yen C.F., et al. Emergency department utilization and determinants of use by 0- to 6-year-old children with disabilities in Taipei. Research in Developmental Disabilities 2009, 30:774-781.
13. Hsu S.W., Yen C.F., Hung W.J., Lin L.P., Wu C.L., Lin J.D. The risk of metabolic syndrome among institutionalized adults with intellectual disabilities. Research in Developmental Disabilities 2012, 33:615-620.
14. Janicki M.P., Dalton A.J., Henderson C., Davidson P. Mortality and morbidity among older adults with intellectual disability: Health services considerations. Disability and Rehabilitation 1999, 21:284-294.
15. Jörgensen T., Johansson S., Kennerfalk A., Wallander M.A., Svärdsudd K. Prescription drug use, diagnoses, and healthcare utilization among the elderly. Annals of Pharmacotherapy 2001, 35:1004-1009.
16. Kennerfalk A., Ruigómez A., Wallander M.A., Wilhelmsen L., Johansson S. Geriatric drug therapy and healthcare utilization in the United Kingdom. Annals of Pharmacotherapy 2002, 36:797-803.
17. Lai C.I., Hung W.J., Lin L.P., Chien W.C., Lin J.D. A retrospective population-based data analyses of inpatient care use and medical expenditure in people with intellectual disability co-occurring schizophrenia. Research in Developmental Disabilities 2011, 32:1226-1231.
18. Lin L.P., Lee J.T., Lin F.G., Lin P.Y., Tang C.C., Chu C., et al. Disability and hospital care expenses among national health insurance beneficiaries: Analyses of population-based data in Taiwan. Research in Developmental Disabilities 2011, 32:1589-1595.
19. Lin L.P., Lin J.D. Perspective on intellectual disability in Taiwan: Epidemiology, policy and services for children and adults. Current Opinion in Psychiatry 2011, 24:413-418.
20. Lin J.D., Lin L.P., Hsieh M., Lin P.Y. Preliminary findings of serum creatinine and estimated glomerular filtration rate (eGFR) in adolescents with intellectual disabilities. Research in Developmental Disabilities 2010, 31:1390-1397.
21. Lin J.D., Lin P.Y., Lin L.P. Universal hepatitis B vaccination coverage in children and adolescents with intellectual disabilities. Research in Developmental Disabilities 2010, 31:338-344.
22. Lin J.D., Lin P.Y., Lin L.P., Chang Y.Y., Wu S.R., Wu J.L. Physical activity and its determinants among adolescents with intellectual disabilities. Research in Developmental Disabilities 2010, 31:263-269.
23. Lin J.D., Lin P.Y., Lin L.P., Hsu S.W., Loh C.H., Yen C.F., et al. Prevalence and associated risk factors of anemia in children and adolescents with intellectual disabilities. Research in Developmental Disabilities 2010, 31:25-32.
24. Lin J.D., Lin P.Y., Lin L.P., Hsu S.W., Yen C.F., Fang W.H., et al. Serum uric acid, hyperuricemia and body mass index in children and adolescents with intellectual disabilities. Research in Developmental Disabilities 2009, 30:1481-1489.
25. Lin J.D., Lin P.Y., Lin L.P., Lai C.I., Leu Y.R., Yen C.F., et al. Spinal and limb abnormalities in adolescents with intellectual disabilities. Research in Developmental Disabilities 2010, 31:686-691.
26. Lin J.D., Lin Y.W., Yen C.F., Loh C.H., Chwo M.J. Received, understanding and satisfaction of National Health Insurance premium subsidy scheme by families of children with disabilities: A census study in Taipei City. Research in Developmental Disabilities 2009, 30:275-283.
27. Lin J.D., Loh C.H., Choi I.C., Yen C.F., Hsu S.W., Wu J.L., et al. High outpatient visits among people with intellectual disabilities caring in a disability institution in Taipei: A 4-year survey. Research in Developmental Disabilities 2007, 28:84-93.
28. Lin J.D., Wu C.L., Lin P.Y., Lin L.P., Chu C. Early onset ageing and service preparation in people with intellectual disabilities: Institutional managers' perspective. Research in Developmental Disabilities 2011, 32:183-193.
29. Lin J.D., Yen C.F., Li C.W., Wu J.L. Health, healthcare utilization and psychiatric disorder in people with intellectual disability in Taiwan. Journal of Intellectual Disability Research 2005, 49:86-94.
30. Lin P.Y., Lin L.P., Lin J.D. Hypertension, hyperglycemia, and hyperlipemia among adolescents with intellectual disabilities. Research in Developmental Disabilities 2010, 31:545-550.
31. Lin Y.T., Hwang S.J., Chen L.K., Chen T.J., Hwang I.H. Ambulatory health care utilization of the older people under the National Health Insurance in Taiwan. Journal of Clinical Gerontology & Geriatrics 2011, 2:53-57.
32. Liu C.Y., Hung Y.T., Chuang Y.L., Chen Y.J., Weng W.S., Liu J.S., et al. Incorporating development stratification of Taiwan townships into sampling design of large scale health interview survey. Journal of Health Management 2006, 4:1-22.
33. National Center for Health Statistics Health, United States, 2006 with chart book on trends in the health of Americans 2006, National Center for Health Statistics, Washington, DC, pp. 110-111.
34. National Health Research Institutes. (2011). Data protection. Available from: (accessed 12.15.11). http://nhird.nhri.org.tw/en/Data_Protection.html.
35. Nie J.X., Wang L., Shawn C., Moineddin R., Upshur R.E. Health care service utilization among the elderly: Findings from the Study to Understand the Chronic Condition Experience of the Elderly and the Disabled (SUCCEED project). Journal Evaluation in Clinical Practice 2008, 14:1044-1049.
36. Nie J.X., Wang L., Shawn C., Moineddin R., Upshur R.E. A population-based cohort study of ambulatory care service utilization among older adults. Journal Evaluation in Clinical Practice 2010, 16:825L 31.
37. Owens G.M. Gender difference in health care expenditures, resource utilization and quality of life. Journal of Managed Care Pharmacy 2008, 14:S2-S6.
38. Patja K., Iivanainen M., Vesala H., Oksanen Ruoppila I. Life expectancy of people with intellectual disability: A 35-year follow-up study. Journal of Intellectual Disability Research 2000, 44:591-599.
39. Pomona. (2008). POMONA II. Health indicators for people with intellectual disabilities: Using an indicator set (Final report). Available from: (accessed 01.09.12). http://www.pomonaproject.org/.
40. Schappert S.M., Burt C.W. Ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments: United States, 2001-02. National Center for Health Statistics. Vital Health Statistics 2006, 13:1-66.
41. Sung W.C., Hung C.T., Chen W.Y. Medical utilization and comorbidity among aging population in Taiwan. Taiwan Journal of Gerontological Health Research 2008, 4:75-87.
42. Sutherland G., Couch M.A., Iacono T. Health issues for adults with developmental disability. Research in Developmental Disabilities 2002, 23:422-445.
43. Turk V., Kerry S., Corney R., Rowlands G., Khattran S. Why some adults with intellectual disability consult their general practitioner more than others. Journal of Intellectual Disability Research 2010, 54:833-842.
44. US Census Bureau Statistical abstract of the United States: 2012. Washington, DC: US Census Bureau. Available from: http://www.census.gov/compendia/statab/2012/tables/12s0168.pdf (accessed 01.03.12).
45. US Department of Health and Human Services. (2002). Closing the gap: A national blueprint to improve the health of persons with mental retardation. Report of the Surgeon General's conference on health disparities and mental retardation. Washington, DC: US Department of Health and Human Services.
46. van Schrojenstein Lantman-De Valk M.J.H., Metsemakers F.M.J., Haveman M.J., Crebolder F.J.M.H. Health problems in people with intellectual disability in general practice: A comparative study. Family Practice 2000, 17:405-407.
47. Woolhandler S., Himmelstein D.U. Consumer directed healthcare: Except for the healthy and wealthy it's unwise. Journal of General Internal Medicine 2007, 22:879-881.
48. Yen C.F., Hsu S.W., Loh C.H., Fang W.H., Wu C.L., Chu C., et al. Analyses on seasonal influenza vaccine uptake among children and adolescents with an intellectual disability. Research in Developmental Disabilities 2012, 33:704-710.
49. Yen C.F., Lin J.D. Factors for healthy food or less-healthy food intake among Taiwanese adolescents with intellectual disabilities. Research in Developmental Disabilities 2010, 31:203-211.
50. Yen C.F., Lin J.D., Loh C.H., Shi L., Hsu S.W. Determinants of prescription drug use by adolescents with intellectual disabilities in Taiwan. Research in Developmental Disabilities 2009, 30:1354-1366.