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Preventing Chronic Disease | Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study - CDC

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Preventing Chronic Disease | Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study - CDC



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Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study

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Serena Fu, MPH; Nicole Huang, PhD; Yiing-Jenq Chou, MD, PhD

Suggested citation for this article: Fu S, Huang N, Chou Y. Trends in the Prevalence of Multiple Chronic Conditions in Taiwan From 2000 to 2010: A Population-Based Study. Prev Chronic Dis 2014;11:140205. DOI: http://dx.doi.org/10.5888/pcd11.140205External Web Site Icon.
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Abstract

Introduction
Chronic conditions are the leading causes of death and disability worldwide. Providing care to people diagnosed with a chronic disease is challenging, and controlling multiple chronic conditions (MCCs) can be overwhelming, particularly in rapidly aging societies. The objective of this study was to examine the prevalence of MCCs from 2000 to 2010 in Taiwan.
Methods
A random sample of 1 million representative National Health Insurance beneficiaries in 3 years (2000, 2005, and 2010) was obtained from the Taiwan National Health Insurance Research Database to examine the prevalence of MCCs. Chronic Condition Indicator and Clinical Classifications Software were used to determine and classify codes from the International Classification of Diseases, Ninth Revision. People who had 2 or more conditions among the 15 categories of conditions were defined as having MCCs.
Results
The prevalence of MCCs increased from 9.6% in 2000 to 17.1% in 2010. The highest prevalence of MCCs was found among people aged 65 years or older (42.3% in 2000 and 64.5% in 2010, a relative increase of 52.5%). However, the highest rate of increase was found among people younger than 18 years (0.5% in 2000 and 1.6% in 2010, a relative increase of 220.0%).
Conclusion
MCCs are increasingly prevalent among the older (≥65 y) population and among children and adolescents. Prevention and early intervention programs targeted to certain age groups may be required. If the increase in MCCs continues rapidly, the management of people diagnosed with MCCs would challenge the capacity of the health care system in Taiwan.

Acknowledgments

We acknowledge the assistance and logistical support provided by Institute of Public Health, School of Medicine, National Yang Ming University. This study is financially supported by the National Science Council in Taiwan.
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Author Information

Corresponding Author: Yiing-Jenq Chou, MD, PhD, Institute of Public Health, School of Medicine, National Yang Ming University, No. 155, Section 2, Li-Nong St, Taipei 112, Taiwan. Telephone: 886-2-28267017. E-mail: yjchou@ym.edu.tw.
Author Affiliations: Serena Fu, Institute of Public Health, School of Medicine, National Yang Ming University, Taipei, Taiwan; Nicole Huang, Institute of Public Health, School of Medicine, National Yang Ming University, and Taipei City Hospital, Taipei, Taiwan.
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References

  1. Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev 2011;10(4):430–9. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  2. Robert Wood Johnson Foundation. Chronic conditions: making the case for ongoing care: Partnership for Solutions, Johns Hopkins University; 2010. http://www.rwjf.org/content/dam/farm/reports/reports/2010/rwjf54583. Accessed December 1, 2012.
  3. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med 2002;162(20):2269–76. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  4. Gijsen R, Hoeymans N, Schellevis FG, Ruwaard D, Satariano WA, van den Bos GA. Causes and consequences of comorbidity: a review. J Clin Epidemiol 2001;54(7):661–74. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  5. Multiple chronic conditions — a strategic framework: optimum health and quality of life for individuals with multiple chronic conditions. US Department of Health and Human Services; 2010. http://www.hhs.gov/ash/initiatives/mcc/mcc_framework.pdf. Accessed August 27, 2014.
  6. Anderson GF. Physician, public, and policymaker perspectives on chronic conditions. Arch Intern Med 2003;163(4):437–42. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  7. Norris SL, High K, Gill TM, Hennessy S, Kutner JS, Reuben DB, et al. Health care for older Americans with multiple chronic conditions: a research agenda. J Am Geriatr Soc 2008;56(1):149–59. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  8. Parekh AK, Goodman RA, Gordon C, Koh HK. Managing multiple chronic conditions: a strategic framework for improving health outcomes and quality of life. Public Health Rep 2011;126(4):460–71. PubMedExternal Web Site Icon
  9. Cynthia M, Boyd MF. Future of multimorbidity research: how should understanding of multimorbidity inform health system design? Public Health Rev 2010;32(2):451–74.
  10. van Oostrom SH, Picavet HS, van Gelder BM, Lemmens LC, Hoeymans N, van Dijk CE, et al. Multimorbidity and comorbidity in the Dutch population — data from general practices. BMC Public Health 2012;12:715. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  11. Britt HC, Harrison CM, Miller GC, Knox SA. Prevalence and patterns of multimorbidity in Australia. Med J Aust 2008;189(2):72–7. PubMedExternal Web Site Icon
  12. Taylor AW, Price K, Gill TK, Adams R, Pilkington R, Carrangis N, et al. Multimorbidity — not just an older person’s issue. Results from an Australian biomedical study. BMC Public Health 2010;10:718. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  13. Fortin M, Hudon C, Haggerty J, Akker M, Almirall J. Prevalence estimates of multimorbidity: a comparative study of two sources. BMC Health Serv Res 2010;10:111. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  14. Ward BW, Schiller JS. Prevalence of multiple chronic conditions among US adults: estimates from the National Health Interview Survey, 2010. Prev Chronic Dis 2013;10:E65.
  15. Hwang W, Weller W, Ireys H, Anderson G. Out-of-pocket medical spending for care of chronic conditions. Health Aff (Millwood) 2001;20(6):267–78. PubMedExternal Web Site Icon
  16. Hoffman C, Rice D, Sung HY. Persons with chronic conditions. Their prevalence and costs. JAMA 1996;276(18):1473–9. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  17. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 2012;380(9836):37–43. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  18. Fortin M, Stewart M, Poitras ME, Almirall J, Maddocks H. A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology. Ann Fam Med 2012;10(2):142–51. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  19. Diederichs C, Berger K, Bartels DB. The measurement of multiple chronic diseases — a systematic review on existing multimorbidity indices. J Gerontol A Biol Sci Med Sci 2011;66(3):301–11. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  20. Talk of the day — Taiwan’s population aging too fast. Central News Agency; 2012. http://www.taiwannews.com.tw/etn/news_content.php?id=1978948. Accessed June 1, 2013.
  21. Taiwan aging society will be place world no. 1 in 22 years. Taiwan News; 2011. http://www.taiwannews.com.tw/etn/news_content.php?id=1717778. Accessed June 1, 2013.
  22. National Health Insurance Research Database. Taiwan National Health Research Institutes. http://nhird.nhri.org.tw/en/Data_Subsets.html#S3. Accessed June 1, 2013.
  23. Chronic Condition Indicator (CCI). Healthcare Cost and Utilization Project. Agency for Healthcare Research and Quality. http://www.hcup-us.ahrq.gov/toolssoftware/chronic/chronic.jsp. Accessed December 1, 2012.
  24. Chronic Condition Software (CCS). Healthcare Cost and Utilization Project. Agency for Healthcare Research and Quality. http://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp. Accessed December 1, 2012.
  25. van den Bussche H, Koller D, Kolonko T, Hansen H, Wegscheider K, Glaeske G, et al. Which chronic diseases and disease combinations are specific to multimorbidity in the elderly? Results of a claims data based cross-sectional study in Germany. BMC Public Health 2011;11(1):101. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  26. Huntley AL, Johnson R, Purdy S, Valderas JM, Salisbury C. Measures of multimorbidity and morbidity burden for use in primary care and community settings: a systematic review and guide. Ann Fam Med 2012;10(2):134–41. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  27. Chi MJ, Lee CY, Wu SC. The prevalence of chronic conditions and medical expenditures of the elderly by chronic condition indicator (CCI). Arch Gerontol Geriatr 2011;52(3):284–9. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  28. Chi MJ, Lee CY, Wu SC. Multiple morbidity combinations impact on medical expenditures among older adults. Arch Gerontol Geriatr 2011;52(3):e210–4.CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  29. Balluz LS, Okoro CA, Mokdad A. Association between selected unhealthy lifestyle factors, body mass index, and chronic health conditions among individuals 50 years of age or older, by race/ethnicity. Ethn Dis 2008;18(4):450–7. PubMedExternal Web Site Icon
  30. Khanam MA, Streatfield PK, Kabir ZN, Qiu C, Cornelius C, Wahlin A. Prevalence and patterns of multimorbidity among elderly people in rural Bangladesh: a cross-sectional study. J Health Popul Nutr 2011;29(4):406–14. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
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