Brand name or generic? What are the health professionals prescribed for treating diabetes? A longitudinal analysis of the National Health Insurance reimbursement database

2013 ◽  
Vol 22 (7) ◽  
pp. 752-759 ◽  
Author(s):  
Wen-Shyong Liou ◽  
Shu-Ching Hsieh ◽  
Wai-Yuan Chang ◽  
Grace Hui-Min Wu ◽  
Hsu-Shan Huang ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Longitudinal Analysis ◽  
Health Professionals ◽  
Brand Name ◽  
Health Insurance Reimbursement ◽  
Insurance Reimbursement ◽  
Reimbursement Database

Poor longitudinal continuity of care is associated with an increased mortality rate among patients with mental disorders: Results from the French National Health Insurance Reimbursement Database

2014 ◽  
Vol 29 (6) ◽  
pp. 358-364 ◽  
Author(s):  
N. Hoertel ◽  
F. Limosin ◽  
H. Leleu
Keyword(s):  
Health Insurance ◽  
Mental Disorders ◽  
Social Status ◽  
Continuity Of Care ◽  
National Health Insurance ◽  
National Health ◽  
Major Depressive ◽  
Insurance Reimbursement ◽  
Reimbursement Database ◽  
The Impact

AbstractBackgroundResearch on the impact of the continuity of care (COC) on health outcomes in patients with mental illness is limited. This observational study examined whether the longitudinal COC is associated with a decreased likelihood of death among patients with mental disorders in the French general population.MethodData were derived from the French National Health Insurance (NHI) reimbursement database. Patients with any mental disorder who visited a psychiatrist at least twice within 6 months were included. The primary endpoint was death by all causes. We measured longitudinal COC with a psychiatrist twice a year between 2007 and 2010, using the COC index developed by Bice and Boxerman. The COC index was analysed as a time-dependent variable in a survival analysis after adjustments for age, gender and stratifying on comorbidities and social status.ResultsAmong 14,515 patients visiting a psychiatrist at least twice in 6 months and tracked over 3 years, likelihood of death was significantly lower in patients with higher continuity of care (hazard ratio for an increase in 0.1 of continuity, adjusted for age, sex, and stratified on comorbidities and social status: 0.83 [0.83–0.83]), particularly in those with bipolar disorder, major depressive disorder and schizophrenia.ConclusionImproving longitudinal continuity of care in mental health care may contribute to substantially decrease mortality.

scholarly journals 365Disease burden of mumps in Japan: descriptive epidemiology based on the health insurance reimbursement database

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Satoko Ohfuji ◽  
Akira Takagi ◽  
Takashi Nakano ◽  
Hideaki Kumihashi ◽  
Munehide Kano ◽  
...  
Keyword(s):  
Health Insurance ◽  
Vaccination Coverage ◽  
Disease Burden ◽  
Descriptive Epidemiology ◽  
Immunization Program ◽  
Health Insurance Reimbursement ◽  
Insurance Reimbursement ◽  
National Immunization ◽  
Icd 10 ◽  
Reimbursement Database

Abstract Background In Japan, mumps vaccination coverage is low, since it is a voluntary vaccination. In this situation, the number of mumps cases as reported by pediatric sentinel hospitals suggests the occurrence of periodical mumps outbreaks. Methods To examine the annual incidences of mumps and mumps-related complications, we analyzed data from the health insurance reimbursement database for subscribers aged 0-64 years between 2005 and 2017. Cases with mumps and mumps-related complications including meningitis, orchitis, deafness, were extracted according to ICD-10 codes entered into the disease section for health insurance reimbursement. Results During the 13 year period, 68,307 of 5,209,660 subjects were reimbursed for mumps, with an incidence of 325 per 100,000 person-years (95% confidence interval (CI): 323-328). Among the 68,307 mumps cases, 787 were reimbursed for mumps-related complications, with an incidence of 11.5 per 1,000 mumps cases (95% CI: 10.7-12.4). Incidence of mumps-related complications (per 1,000 mumps cases) was highest for orchitis (6.6), followed by meningitis (5.8), deafness (1.3), pancreatitis (0.5), and encephalitis (0.3). Mumps incidence was highest among children aged 0-5 years, while incidence of mumps-related complications was highest among adults aged 26-35 years. Conclusions In Japan, the disease burden of mumps remains high among adults, as well as children. Key messages To reduce the disease burden of mumps among all ages in Japan, immunization in childhood is required. A national immunization program for children would result in high vaccination coverage and lower disease burden.

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