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Healthcare burden and factors of type 2 diabetes mellitus with Schizophrenia.

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Title: Healthcare burden and factors of type 2 diabetes mellitus with Schizophrenia.
Authors: Huang, Chun-Jen (AUTHOR), Liu, Tai-Ling (AUTHOR), Huang, Yu-Ting (AUTHOR), Hsieh, Hui-Min (AUTHOR), Chang, Chih-Cheng (AUTHOR), Chu, Chin-Chen (AUTHOR), Wei, Chun-Wang (AUTHOR), Weng, Shih-Feng (AUTHOR)
Source: European Archives of Psychiatry & Clinical Neuroscience. Apr2022, Vol. 272 Issue 3, p519-529. 11p. 4 Charts.
Subjects: Type 2 diabetes, Psychiatric clinics, Prothrombin, Medical care costs, Schizophrenia, Psychiatric hospitals
Abstract: This study investigated healthcare utilization and expenditure for patients with type 2 diabetes mellitus and schizophrenia and associated factors. Healthcare utilization (outpatient visits and hospitalization) and expenditure (outpatient, inpatient, and total medical expenditure) between 2002 and 2013 of patients with T2DM with schizophrenia (case group) and without (control group) were examined using the Taiwan National Health Insurance Research Database. (1) The average total numbers of outpatient visits and hospital admissions of the case group were 35.14 outpatient visits and 1.09 hospital admissions significantly higher than those of the control group in the whole study period (based on every 3-year period). Nonpsychiatric outpatient visits and nonpsychiatric hospital admissions were significantly more numerous for the case group. (2) The total outpatient expenditure, total inpatient expenditure, and total medical expenditure of the case group were NT$65,000, NT$170,000, and NT$235,000 significantly higher than those of the control group, respectively. Nonpsychiatric outpatient expenditure was significantly lower for the case group, but the inpatient and total nonpsychiatric medical expenditure were similar between groups. (3) Patients who were elder of low income, with complications, and high diabetes mellitus complication severity index had higher total numbers of outpatient visits and hospitalizations and medical expenditure. (4) Women had a higher number of outpatient visits but a lower number of hospitalization and medical expenditure. Lower non-psychiatric outpatient expenditure despite more visits indicated non-psychiatrist may not understand schizophrenia patients and cannot communicate well with them, leading to neglect of medical evaluation and treatment that should be carried out. [ABSTRACT FROM AUTHOR]
Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Healthcare burden and factors of type 2 diabetes mellitus with Schizophrenia.
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  Data: <searchLink fieldCode="AR" term="%22Huang%2C+Chun-Jen%22">Huang, Chun-Jen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liu%2C+Tai-Ling%22">Liu, Tai-Ling</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huang%2C+Yu-Ting%22">Huang, Yu-Ting</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hsieh%2C+Hui-Min%22">Hsieh, Hui-Min</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chang%2C+Chih-Cheng%22">Chang, Chih-Cheng</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chu%2C+Chin-Chen%22">Chu, Chin-Chen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wei%2C+Chun-Wang%22">Wei, Chun-Wang</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weng%2C+Shih-Feng%22">Weng, Shih-Feng</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Archives+of+Psychiatry+%26+Clinical+Neuroscience%22">European Archives of Psychiatry & Clinical Neuroscience</searchLink>. Apr2022, Vol. 272 Issue 3, p519-529. 11p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Type+2+diabetes%22">Type 2 diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+clinics%22">Psychiatric clinics</searchLink><br /><searchLink fieldCode="DE" term="%22Prothrombin%22">Prothrombin</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Schizophrenia%22">Schizophrenia</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+hospitals%22">Psychiatric hospitals</searchLink>
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  Label: Abstract
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  Data: This study investigated healthcare utilization and expenditure for patients with type 2 diabetes mellitus and schizophrenia and associated factors. Healthcare utilization (outpatient visits and hospitalization) and expenditure (outpatient, inpatient, and total medical expenditure) between 2002 and 2013 of patients with T2DM with schizophrenia (case group) and without (control group) were examined using the Taiwan National Health Insurance Research Database. (1) The average total numbers of outpatient visits and hospital admissions of the case group were 35.14 outpatient visits and 1.09 hospital admissions significantly higher than those of the control group in the whole study period (based on every 3-year period). Nonpsychiatric outpatient visits and nonpsychiatric hospital admissions were significantly more numerous for the case group. (2) The total outpatient expenditure, total inpatient expenditure, and total medical expenditure of the case group were NT$65,000, NT$170,000, and NT$235,000 significantly higher than those of the control group, respectively. Nonpsychiatric outpatient expenditure was significantly lower for the case group, but the inpatient and total nonpsychiatric medical expenditure were similar between groups. (3) Patients who were elder of low income, with complications, and high diabetes mellitus complication severity index had higher total numbers of outpatient visits and hospitalizations and medical expenditure. (4) Women had a higher number of outpatient visits but a lower number of hospitalization and medical expenditure. Lower non-psychiatric outpatient expenditure despite more visits indicated non-psychiatrist may not understand schizophrenia patients and cannot communicate well with them, leading to neglect of medical evaluation and treatment that should be carried out. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00406-021-01258-8
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        Text: English
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      – SubjectFull: Type 2 diabetes
        Type: general
      – SubjectFull: Psychiatric clinics
        Type: general
      – SubjectFull: Prothrombin
        Type: general
      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: Schizophrenia
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      – SubjectFull: Psychiatric hospitals
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      – TitleFull: Healthcare burden and factors of type 2 diabetes mellitus with Schizophrenia.
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              Text: Apr2022
              Type: published
              Y: 2022
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