Health care service utilization among patients with bladder pain syndrome/interstitial cystitis in a single payer healthcare system - Abstract

BACKGROUND: This study aims to investigate the differences in the utilization of healthcare services between patients with bladder pain syndrome/interstitial cystitis (BPS/IC) and patients without using a population-based database in Taiwan.

METHODS: This study comprised of 350 patients with BPS/IC and 1,750 age-matched controls. Healthcare resource utilization was evaluated in the one-year follow-up period as follows: number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatment. A multivariate regression analysis was used to evaluate the relationship between BPS/IC and total costs of health care services.

RESULTS: For urological services, patients with BPS/IC had a significantly higher number of outpatient visits (2.5 vs. 0.2, p< 0.001) as well as significantly higher outpatient costs ($US166 vs. $US6.8, p< 0.001) than the controls. For non-urologic services, patients with BPS/IC had a significantly high number of outpatient visits (35.0 vs. 21.3, p< 0.001) as well as significantly higher outpatient cots ($US912 vs. $US675, p< 0.001) as compared to the controls. Overall, patients with BPS/IC had 174% more outpatient visits and 150% higher total costs than the controls. Multiple-regression-analyses also showed that the patients with BPS/IC had significantly higher total costs for all healthcare services than the controls.

CONCLUSIONS: This study found that patients with BPS/IC have a significantly higher number of healthcare related visits, and have significantly higher healthcare related costs than age-matched controls. The high level of healthcare services utilization accrued with BPS/IC was not necessarily exclusive for BPS/IC, but may have also been associated with medical co-morbidities.

Written by:
Chung SD, Liu SP, Li HC, Lin HC.   Are you the author?
Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei, Taiwan; Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan; Department of Urology, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan; School of Health Care Administration, Taipei Medical University, Taipei, Taiwan.

Reference: PLoS One. 2014 Jan 29;9(1):e87522.
doi: 10.1371/journal.pone.0087522

 
PubMed Abstract
PMID: 24489932

UroToday.com Interstitial Cystitis/Painful Bladder Section