The relationship between depressive symptoms and health service utilization for elderly people in Taiwan

doi:10.1016/j.healthpol.2012.10.005

淡江大學機構典藏 > 商管學院 > 風險管理與保險學系 > 期刊論文 > Item 987654321/80600

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題名:	The relationship between depressive symptoms and health service utilization for elderly people in Taiwan
作者:	Tian, Wei-Hua;Liu, Tsai-Ching;Chen, Chin-Shyan;Liu, Li-Fan;Tien, Joseph J.
貢獻者:	淡江大學保險學系
關鍵詞:	Depressive symptoms;Health service utilization;The elderly;Taiwan
日期:	2012-12
上傳時間:	2013-02-19 17:34:49 (UTC+8)
出版者:	Shannon: Elsevier Ireland Ltd
摘要:	Objective This study analyzes the relationship between depressive symptoms and the utilization of medical services for elderly people in Taiwan. Methods Because depressive symptoms and physical health may have a reciprocal relationship, a simultaneous equations model was used by performing a 3-stage least squares (3SLS) regression. The data in this study were obtained from the 2003 Survey of Health and Living Status of the Elderly in Taiwan (SHLSE). Results The findings show that depressive symptoms have a significantly negative effect on the utilization of outpatient, inpatient, and emergency services. Furthermore, the magnitude of the 3SLS estimates of physical health status in relation to health service utilization is substantially greater than that in the OLS estimates. The results may reveal that people with depressive symptoms may seek healthcare services because of physical discomfort. Conclusions Those with depressive symptoms may not seek specialty mental treatments, suggesting that policy interventions to monitor the need to care for elderly people with depressive symptoms through primary care services are important in screening and maintaining the mental health of elderly people.
關聯:	Health Policy 108(2-3), pp.256-267
DOI:	10.1016/j.healthpol.2012.10.005
顯示於類別:	[風險管理與保險學系] 期刊論文

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