A tale of two systems: practice patterns of a single group of emergency medical physicians in Taiwan and China

Table 6 Comparative Data between China with Insurance or not in Quality Indicators

Asthma, 1-18y, total n (%)	China no insurance N = 1384	China with insurance N = 1071	Unadjusted Odds Ratio (95% CI) With vs No insurance	P value	Adjusted^a Odds Ratio (95% CI) With vs No insurance	P value
Radiographs	81 (6.0%)	56 (5.2%)	0.86 (0.61-1.23)	0.410	0.86 (0.60-1.23)	0.410
Antibiotics	80 (5.9%)	64 (6.0%)	1.01 (0.72-1.41)	0.966	1.05 (0.74-1.48)	0.795
Steroids and discharged home^b	24 (1.8%)	23 (2.2%)	1.21 (0.68-2.16)	0.516	1.25 (0.69-2.25)	0.465
Admitted with steroid in the ED^c	17 (47.2%)	14 (60.9%)	1.04 (0.51-2.11)	0.920	1.90 (0.58-6.17)	0.288
Unplanned return visit within 24 h	15 (1.1%)	15 (1.4%)	1.26 (0.61-2.59)	0.525	1.25 (0.60-2.60)	0.554
Unplanned return visit between 24 and 72 h	23 (1.7%)	25 (2.3%)	1.38 (0.78-2.44)	0.271	1.34 (0.75-2.39)	0.331
Bronchiolitis, 3 m-2y, total n (%)	No insurance N = 1708	With insurance N = 418
Radiographs	245 (14.3%)	59 (14.1%)	0.98 (0.72-1.33)	0.904	1.11 (0.81-1.53)	0.514
Antibiotics	189 (11.1%)	34 (8.1%)	0.71 (0.49-1.04)	0.080	0.71 (0.48-1.05)	0.089
Croup, 3 m-3y, total n (%)	No insurance N = 405	With insurance N = 131
Radiographs	68 (16.8%)	17 (13.0%)	0.74 (0.42-1.31)	0.299	0.75 (0.42-1.33)	0.317
Steroids	222 (54.8%)	60 (45.8%)	0.70 (0.47-1.03)	0.073	0.73 (0.48-1.09)	0.123
Admitted without steroids in ED^c	12 (40.0%)	2 (40.0%)	0.51 (0.05-2.33)	0.534	1.04 (0.10-10.43)	0.974
Unplanned return visit within 24 h	13 (3.2%)	4 (3.1%)	0.95 (0.30-2.96)	1	0.93 (0.30-2.92)	0.900

No insurance in China serves as the reference group
^aAdjust for age, gender(reference = female), triage(reference = triage level 4-5), season(reference = spring & summer) and time of visit(reference = night) in Asthma & Bronchiolitis
^aAdjust for gender(reference = female), triage(reference = triage level 4-5), season(reference = spring & summer) and time of visit(reference = night) in Croup
^bPercentage with the discharge as the denominator
^cPercentage with the admitted as the denominator

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