國家衛生研究院 NHRI:Item 3990099045/8476
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/8476


    Title: Addressing health disparities in chronic kidney disease
    Authors: Chan, TC;Fan, IC;Liu, MSY;Su, MD;Chiang, PH
    Contributors: Division of Health Services and Preventive Medicine
    Abstract: According to the official health statistics, Taiwan has the highest prevalence of end stage renal disease (ESRD) in the world. Each year, around 60,000 ESRD patients in Taiwan consume 6% of the national insurance budget for dialysis treatment. The prevalence of chronic kidney disease (CKD) has been climbing during 2008–2012. However, the spatial disparities and clustering of CKD at the public health level have rarely been discussed. The aims of this study are to explore the possible population level risk factors and identify any clusters of CKD, using the national health insurance database. The results show that the ESRD prevalence in females is higher than that in males. ESRD medical expenditure constitutes 87% of total CKD medical expenditure. Pre-CKD and pre-ESRD disease management might slow the progression from CKD to ESRD. After applying ordinary least-squares regression, the percentages of high education status and the elderly in the townships are positively correlated with CKD prevalence. Geographically weighted regression and Local Moran’s I are used for identifying the clusters in southern Taiwan. The findings can be important evidence for earlier and targeted community interventions and reducing the health disparities of CKD.
    Date: 2014-12-11
    Relation: International Journal of Environmental Research and Public Health. 2014 Dec 11;11(12):12848-12865.
    Link to: http://dx.doi.org/10.3390/ijerph111212848
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000346797100049
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84917691281
    Appears in Collections:[Po-Huang Chiang] Periodical Articles

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