| Summary: | 碩士 === 中國醫藥大學 === 醫務管理學系碩士在職專班 === 100 === There is 4.68% disabled population of Taiwanese . The incidence and prevalence of end-stage renal disease (ESRD) in Taiwan have been putting themselves in the first place in the world. When the disabled suffer from the ESRD and undergo the dialysis which will obviously become heavy burden for their families and medical care spending. Hence, the objective of study is to explore the risk of suffering from ESRD and undergoing dialysis among the Disabilities.
The study data were derived from Register File of the Disabled in Ministry of the Interior in 2008 and linked up with medical claims data from the National Health Insurance from 2006 to 2008. The study subjects were the disabled aged 20 years old and older. There were 987,771 individuals included in the study. Statistical analyses were performed with SAS 9.1. Logistic regression analysis was employed to investigate the factors associated with dialysis for end-stage renal disease among the disabled.
The results revealed that the prevalence of dialysis among the disabled was 5.25%. Besides a significant female predominance, the prevalence of dialysis among the disabled increased with age and the degree of education. Fifteen chronic diseases were found to have significant association with dialysis (p<0.05). Among the categories of disability, the risk of dialysis was highest among metabolic anomalies (1.47%), followed by congenital defects (1.41%) and visual impairments (0.91%). The risk of dialysis also increased with the severity of disability. Logistic regression analysis showed that the risk of dialysis among the disabled was significantly higher in female, the older people, those with bachelor degree and higher, those with lower premium-based salary, those with chronic diseases, those with visual impairments, and those with the more severe disabilities.
Demographic characteristics, economic factors, health status, categories of disability were the major factors found to associate with the risk of dialysis. The authorities were suggested to screen the population under higher risk for early diagnosis, timely education and timely referral. Proper interventions could lower the risk of dialysis due to end-stage renal disease.
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