The Impact of the SARS Epidemic on the Utilization of Medical Services: SARS and the Fear of SARS
Identifieur interne : 000723 ( Ncbi/Curation ); précédent : 000722; suivant : 000724The Impact of the SARS Epidemic on the Utilization of Medical Services: SARS and the Fear of SARS
Auteurs : Hong-Jen Chang [Taïwan] ; Nicole Huang [Taïwan] ; Cheng-Hua Lee [Taïwan] ; Yea-Jen Hsu [Taïwan] ; Chi-Jeng Hsieh [Taïwan] ; Yiing-Jenq Chou [Taïwan]Source :
- American Journal of Public Health [ 0090-0036 ] ; 2004.
Abstract
Using interrupted time-series analysis and National Health Insurance data between January 2000 and August 2003, this study assessed the impacts of the severe acute respiratory syndrome (SARS) epidemic on medical service utilization in Taiwan. At the peak of the SARS epidemic, significant reductions in ambulatory care (23.9%), inpatient care (35.2%), and dental care (16.7%) were observed. People’s fears of SARS appear to have had strong impacts on access to care. Adverse health outcomes resulting from accessibility barriers posed by the fear of SARS should not be overlooked.
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PubMed: 15054005
PubMed Central: 1448298
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Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Huang, Nicole" sort="Huang, Nicole" uniqKey="Huang N" first="Nicole" last="Huang">Nicole Huang</name><affiliation wicri:level="1"><nlm:aff id="aff1">Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Cheng Hua" sort="Lee, Cheng Hua" uniqKey="Lee C" first="Cheng-Hua" last="Lee">Cheng-Hua Lee</name><affiliation wicri:level="1"><nlm:aff id="aff1">Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Hsu, Yea Jen" sort="Hsu, Yea Jen" uniqKey="Hsu Y" first="Yea-Jen" last="Hsu">Yea-Jen Hsu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Hsieh, Chi Jeng" sort="Hsieh, Chi Jeng" uniqKey="Hsieh C" first="Chi-Jeng" last="Hsieh">Chi-Jeng Hsieh</name><affiliation wicri:level="1"><nlm:aff id="aff1">Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chou, Yiing Jenq" sort="Chou, Yiing Jenq" uniqKey="Chou Y" first="Yiing-Jenq" last="Chou">Yiing-Jenq Chou</name><affiliation wicri:level="1"><nlm:aff id="aff1">Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Using interrupted time-series analysis and National Health Insurance data between January 2000 and August 2003, this study assessed the impacts of the severe acute respiratory syndrome (SARS) epidemic on medical service utilization in Taiwan. At the peak of the SARS epidemic, significant reductions in ambulatory care (23.9%), inpatient care (35.2%), and dental care (16.7%) were observed. People’s fears of SARS appear to have had strong impacts on access to care. Adverse health outcomes resulting from accessibility barriers posed by the fear of SARS should not be overlooked.</p></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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