Increasing age- and gender-specific burden and complexity of multimorbidity in Taiwan, 2003-2013: a cross-sectional study based on nationwide claims data.

摘要: Objective Although there is accumulating evidence regarding multimorbidity in Western countries, this information very limited Asian countries. This study aimed to estimate population-based, age-specific and gender-specific prevalence trends of the Taiwanese population. Design was a cross-sectional based on claims data (National Health Insurance Research Database, Taiwan). Participants The participants included subset National which contains for two million randomly selected beneficiaries (~10% total population) under Taiwan’s mandatory system. Outcome measurements different age groups both sexes 2003 2013 reported. We analysed 20 common diseases each group sexes. To investigate clustering effect, we used graphical displays analyse likelihood co-occurrence with one, two, three, four or more other disease 2013. Results (two diseases) 20.07% 30.44% In 2013, varied between 5.21% patients aged 20–29 years 80.96% those 80–89 years. 50–79 years, higher women than men. men, chronic pulmonary cardiovascular-related predominant, while osteoporosis, arthritis, cancer psychosomatic disorders predominant. Co-occurring across gender groups. Conclusions burden increasing becoming complex Taiwan, it found vary Fulfilling needs individuals requires collaborative work healthcare providers take disparities into account.