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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Hospitalization for Ambulatory-care-sensitive Conditions in Taiwan Following the SARS Outbreak: A Population-based Interrupted Time Series Study</title>
<author><name sortKey="Huang, Yu Tung" sort="Huang, Yu Tung" uniqKey="Huang Y" first="Yu-Tung" last="Huang">Yu-Tung Huang</name>
<affiliation><nlm:aff id="aff1">Department of Public Health, College of Medicine, National Cheng-Kung University, Tainan</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2">Institute of Health and Welfare Policy, College of Medicine, National Yang-Ming University, Taipei, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Yue Chune" sort="Lee, Yue Chune" uniqKey="Lee Y" first="Yue-Chune" last="Lee">Yue-Chune Lee</name>
<affiliation><nlm:aff id="aff2">Institute of Health and Welfare Policy, College of Medicine, National Yang-Ming University, Taipei, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hsiao, Chun Ju" sort="Hsiao, Chun Ju" uniqKey="Hsiao C" first="Chun-Ju" last="Hsiao">Chun-Ju Hsiao</name>
<affiliation><nlm:aff id="aff3">Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">19443292</idno>
<idno type="pmc">7135451</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135451</idno>
<idno type="RBID">PMC:7135451</idno>
<idno type="doi">10.1016/S0929-6646(09)60082-6</idno>
<date when="2009">2009</date>
<idno type="wicri:Area/Pmc/Corpus">001139</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001139</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Hospitalization for Ambulatory-care-sensitive Conditions in Taiwan Following the SARS Outbreak: A Population-based Interrupted Time Series Study</title>
<author><name sortKey="Huang, Yu Tung" sort="Huang, Yu Tung" uniqKey="Huang Y" first="Yu-Tung" last="Huang">Yu-Tung Huang</name>
<affiliation><nlm:aff id="aff1">Department of Public Health, College of Medicine, National Cheng-Kung University, Tainan</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2">Institute of Health and Welfare Policy, College of Medicine, National Yang-Ming University, Taipei, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Yue Chune" sort="Lee, Yue Chune" uniqKey="Lee Y" first="Yue-Chune" last="Lee">Yue-Chune Lee</name>
<affiliation><nlm:aff id="aff2">Institute of Health and Welfare Policy, College of Medicine, National Yang-Ming University, Taipei, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hsiao, Chun Ju" sort="Hsiao, Chun Ju" uniqKey="Hsiao C" first="Chun-Ju" last="Hsiao">Chun-Ju Hsiao</name>
<affiliation><nlm:aff id="aff3">Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of the Formosan Medical Association</title>
<idno type="ISSN">0929-6646</idno>
<idno type="eISSN">0929-6646</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><title>Background/Purpose</title>
<sec><p>In 2003, the severe acute respiratory syndrome (SARS) outbreak resulted in 8096 probable cases and 774 deaths in 26 countries. The purpose of this study was to explore the effect of the SARS outbreak on hospitalization for chronic ambulatory-care-sensitive conditions (ACSCs) in Taiwan.</p>
</sec>
<sec><title>Methods</title>
<p>We applied a population-based interrupted time series study design and used the time series auto-regressive integrated moving-average model to compare the actual and predicted admission rates of seven selected chronic ACSCs. The analyses were based on National Health Insurance hospital inpatient claims data from 1997 to 2003.</p>
</sec>
<sec><title>Results</title>
<p>The impact of SARS on ACSCs after the outbreak varied among seven selected chronic conditions. Hospitalization for respiratory conditions was significantly lower than the predicted values, whereas hospitalization for diabetes was significantly higher than the predicted values after the outbreak.</p>
</sec>
<sec><title>Conclusion</title>
<p>Admission rates for most ACSCs, except for diabetes, did not change in the post-SARS period. The reductions in outpatient utilization during the SARS outbreak did not appear to affect adversely admissions for most ACSCs.</p>
</sec>
</div>
</front>
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</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Formos Med Assoc</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Formos. Med. Assoc</journal-id>
<journal-title-group><journal-title>Journal of the Formosan Medical Association</journal-title>
</journal-title-group>
<issn pub-type="ppub">0929-6646</issn>
<issn pub-type="epub">0929-6646</issn>
<publisher><publisher-name>Formosan Medical Association & Elsevier. Published by Elsevier (Singapore) Pte Ltd</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">19443292</article-id>
<article-id pub-id-type="pmc">7135451</article-id>
<article-id pub-id-type="publisher-id">S0929-6646(09)60082-6</article-id>
<article-id pub-id-type="doi">10.1016/S0929-6646(09)60082-6</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Hospitalization for Ambulatory-care-sensitive Conditions in Taiwan Following the SARS Outbreak: A Population-based Interrupted Time Series Study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Huang</surname>
<given-names>Yu-Tung</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>Yue-Chune</given-names>
</name>
<email>yclee@ym.edu.tw</email>
<xref rid="aff2" ref-type="aff">b</xref>
<xref rid="cor1" ref-type="corresp">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hsiao</surname>
<given-names>Chun-Ju</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>a</label>
Department of Public Health, College of Medicine, National Cheng-Kung University, Tainan</aff>
<aff id="aff2"><label>b</label>
Institute of Health and Welfare Policy, College of Medicine, National Yang-Ming University, Taipei, Taiwan</aff>
<aff id="aff3"><label>c</label>
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</aff>
<author-notes><corresp id="cor1"><label>*</label>
<bold>Correspondence to:</bold>
 Professor Yue-Chune Lee, Institute of Health and Welfare Policy, College of Medicine, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 112, Taiwan <email>yclee@ym.edu.tw</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>10</day>
<month>6</month>
<year>2009</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
      <pub-date pub-type="ppub"><month>5</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub"><day>10</day>
<month>6</month>
<year>2009</year>
</pub-date>
<volume>108</volume>
<issue>5</issue>
<fpage>386</fpage>
<lpage>394</lpage>
<history><date date-type="received"><day>27</day>
<month>4</month>
<year>2008</year>
</date>
<date date-type="rev-recd"><day>23</day>
<month>9</month>
<year>2008</year>
</date>
<date date-type="accepted"><day>2</day>
<month>12</month>
<year>2008</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2009 Formosan Medical Association & Elsevier. Published by Elsevier (Singapore) Pte Ltd.</copyright-statement>
<copyright-year>2009</copyright-year>
<copyright-holder>Formosan Medical Association & Elsevier</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract><title>Background/Purpose</title>
<sec><p>In 2003, the severe acute respiratory syndrome (SARS) outbreak resulted in 8096 probable cases and 774 deaths in 26 countries. The purpose of this study was to explore the effect of the SARS outbreak on hospitalization for chronic ambulatory-care-sensitive conditions (ACSCs) in Taiwan.</p>
</sec>
<sec><title>Methods</title>
<p>We applied a population-based interrupted time series study design and used the time series auto-regressive integrated moving-average model to compare the actual and predicted admission rates of seven selected chronic ACSCs. The analyses were based on National Health Insurance hospital inpatient claims data from 1997 to 2003.</p>
</sec>
<sec><title>Results</title>
<p>The impact of SARS on ACSCs after the outbreak varied among seven selected chronic conditions. Hospitalization for respiratory conditions was significantly lower than the predicted values, whereas hospitalization for diabetes was significantly higher than the predicted values after the outbreak.</p>
</sec>
<sec><title>Conclusion</title>
<p>Admission rates for most ACSCs, except for diabetes, did not change in the post-SARS period. The reductions in outpatient utilization during the SARS outbreak did not appear to affect adversely admissions for most ACSCs.</p>
</sec>
</abstract>
<kwd-group><title>Key Words</title>
<kwd>ambulatory care</kwd>
<kwd>civil defense</kwd>
<kwd>health services accessibility</kwd>
<kwd>national health programs</kwd>
<kwd>severe acute respiratory syndrome</kwd>
</kwd-group>
</article-meta>
</front>
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