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Table 2 Outpatient visits for common diseases across provider levels, 2000–2017

From: Do patients bypass primary care for common health problems under a free-access system? Experience of Taiwan

 

All visits

 

Visits with single diagnosis

 

2000

2005

2010

2015

2017

Difference (2017 vs. 2000)

2000

2005

2010

2015

2017

Difference (2017 vs. 2000)

%

%

%

%

%

 

%

%

%

%

%

 

Diabetes

 Academic medical centers

23.2

19.3

20.2

19.4

19.0

−4.2

16.7

12.2

12.3

11.3

11.9

−4.8

 Regional hospitals

20.9

24.3

26.6

27.6

28.0

7.1

16.1

16.1

15.7

19.1

20.1

4.0

 Community hospitals

23.2

19.4

15.8

14.9

14.7

−8.5

20.1

14.0

9.2

8.8

9.1

−11.0

 Clinics

32.7

36.9

37.4

38.2

38.3

5.6

47.0

57.6

62.9

60.9

58.9

11.9

 Bypass ratea

44.1

43.6

46.8

47.0

47.0

2.9

32.8

28.4

28.0

30.3

32.0

−0.8

Hypertension

 Academic medical centers

16.2

13.1

13.5

13.4

10.9

−5.3

12.5

7.6

5.4

5.0

5.0

−7.5

 Regional hospitals

17.7

17.0

18.0

18.9

18.7

1.0

10.9

8.2

7.6

8.0

9.0

−1.9

 Community hospitals

23.1

17.1

12.7

12.1

12.4

−10.7

15.5

9.5

6.5

6.0

6.4

−9.1

 Clinics

43.0

52.7

55.9

55.6

58.1

15.1

61.1

74.7

80.5

81.0

79.6

18.5

 Bypass rate

33.9

30.2

31.4

32.3

29.5

−4.4

23.4

15.8

13.0

13.1

14.0

−9.4

Common cold

 Academic medical centers

0.5

0.4

0.3

0.3

0.3

−0.2

0.2

0.2

0.2

0.2

0.1

−0.1

 Regional hospitals

1.0

0.8

0.9

0.9

1.0

0.0

0.5

0.4

0.5

0.5

0.5

0.0

 Community hospitals

4.5

2.9

2.3

1.9

1.8

−2.7

2.3

1.4

1.1

1.1

1.1

−1.2

 Clinics

94.1

95.9

96.5

96.9

97.0

2.9

97.0

98.0

98.2

98.3

98.3

1.3

 Bypass rate

1.4

1.1

1.2

1.2

1.3

−0.1

0.7

0.6

0.6

0.6

0.7

0.0

  1. aBypass rate was calculated as the proportion of self-referred visits to academic medical centers and regional hospitals among all visits to all providers. The sample size (number of visits) varied across diseases and over time. For visits without secondary diagnoses, the sample size for diabetes, hypertension and common cold was 4527 – 6068, 12,578 – 21,327, and 149,468 – 341,825, respectively. For visits with secondary diagnoses, the sample size for diabetes, hypertension and common cold was 20,404 – 45,294, 41,919 – 73,816, and 205,269 – 388,925, respectively