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conferenceseries.com
Volume 6, Issue 3 (Suppl) J Nurs Care
ISSN: 2167-1168 JNC, an open access journal Nursing Edu 2017
May 22- 24, 2017
May 22- 24, 2017 Osaka, Japan
20th World Nursing
Education Conference
Related factors of medical cost among the hospitalized patients survey hemorrhoid surgery: 2000-2013 in
Taiwan
Ying-Ching Huang1, Wu-Chien Chien2, Chi-Hsiang Chung 2 and Kwua-Yun Wang3
1National Yang-Ming University, Taiwan
2National Defense Medical Center, Taiwan
3Taipei Veterans General Hospital, Taiwan
Objectives: Inpatient care is a major part of medical expense in the National Health Insurance. However, few studies explored the
nature of medical costs empirically in our setting. Hemorrhoids are the most frequent anal pathology. The objective of the study is to
investigate the related factors of medical cost among the hospitalized patients survey hemorrhoids surgery.
Methods: Patients who were hospitalized for hemorrhoid surgery (ICD-9-CM; code: 455) were selected from the 2000-2013 Taiwan
National Health Insurance Research Database. Data were analyzed using SPSS 22.0 software.
Results: 464,722 patients were hospitalized for hemorrhoid surgery in 2000-2013; There are 77,855 patients (16.75%) of the medical
costs higher than the average (NT$24,650). High medical expenses, the male accounted for 59.42%, mean age was 56.19 years, low-
income household accounted for 1.89%, catastrophic illness accounted for 21.57%, Charlson Comorbidity Index (CCI) was 1.42,
in Medical Center and Regional Hospital accounted for 82.59%, General Hemorrhoids surgery accounted for 34.02%, 12.51% were
recurrent inpatients. The factors related with medical costs caused by hemorrhoid surgery were gender, age, low-income household,
Catastrophic illness, Charlson Comorbidity Index (CCI), level of care, type of operation, length of hospitalization and recurrence. The
characteristics and factors of medical cost of hemorrhoids inpatient in are tabulated in Table 1.
Conclusion: Among the related factors, many factors had dominant impact on increase of medical cost. Therefore, providing adequate
quality of care for hemorrhoid surgery patients can help post-surgery recovery and reduce the length of hospitalization, which then
reduces the use of medical resources.
Biography
Ying-Ching Huang is a first year Doctoral student at the National Yang-Ming University in Taiwan. She has 10 years of Clinical Nursing experience in Surgical and
Critical department.
Ying-Ching Huang et al., J Nurs Care 2017, 6:3 (Suppl)