국민건강보험 지역가입자 중 뇌졸중 입원환자의 의료이용 양상 및 지역친화도 추이 (1998-2005) (Trends of Health Care Utilization and Relevance Index of Stroke Inpatients among The Self-Employed Insured and Their Dependents of National Health Insurance(1998-2005))

서지정보

· 발행기관 : 한국보건행정학회
· 수록지 정보 : 보건행정학회지 / 18권 / 4호 / 66 ~ 84페이지
· 저자명 : 김지현, 조병만, 황인경, 손민정, 윤태호

초록

Objectives: This study aimed to offer some fundamental evidences for the stroke management policy by investigating the trends of medical care utilization and regionalization in stroke inpatients.
Methods: We used the National Health Insurance claims and registry data for
stroke inpatients from 1998 to 2005. Among all stroke inpatient claims data,
self-employed insured and their dependents were only included in this study. The classification of stroke was based on ICD-10(I60-I69) and its subtype was
divided by hemorrhage(I60-I62) and infarction(I63-I64) type. To evaluate regionalization of medical care utilization, relevance index was calculated by
regions. The regions were classified 8 large catchment areas and 163 self
authorized areas.
Results: The overall medical care utilization rate of stroke inpatient has been
increased, especially infarction subtype. Among medical care institutions, the
utilization of hospital has been the most rapidly increased. Although considered annual rate of interest, total medical cost of stroke inpatients has been increased, Totally, more than 84% of stroke inpatient were admitted to medical care institutions in their own large catchment area during 1998-2005. The relevance indices in their own large catchment area(self efficiency rate) were more than 70% in most areas regardless of stroke subtype except Chungbuk catchment area.
Self sufficiency rates of stroke inpatients among 163 areas in 1998 and 2005
were 84.2% and 83.1% in metropolitan, 46.7% and 45.5% in urban, and 19.5% and 22.6% in rural areas, respectively.
Conclusion: Stroke management policy for improvement of distribution at the
district level, especially in rural areas, may be helpful for reducing regional
inequality in stroke.

영어초록

Objectives: This study aimed to offer some fundamental evidences for the stroke management policy by investigating the trends of medical care utilization and regionalization in stroke inpatients.
Methods: We used the National Health Insurance claims and registry data for
stroke inpatients from 1998 to 2005. Among all stroke inpatient claims data,
self-employed insured and their dependents were only included in this study. The classification of stroke was based on ICD-10(I60-I69) and its subtype was
divided by hemorrhage(I60-I62) and infarction(I63-I64) type. To evaluate regionalization of medical care utilization, relevance index was calculated by
regions. The regions were classified 8 large catchment areas and 163 self
authorized areas.
Results: The overall medical care utilization rate of stroke inpatient has been
increased, especially infarction subtype. Among medical care institutions, the
utilization of hospital has been the most rapidly increased. Although considered annual rate of interest, total medical cost of stroke inpatients has been increased, Totally, more than 84% of stroke inpatient were admitted to medical care institutions in their own large catchment area during 1998-2005. The relevance indices in their own large catchment area(self efficiency rate) were more than 70% in most areas regardless of stroke subtype except Chungbuk catchment area.
Self sufficiency rates of stroke inpatients among 163 areas in 1998 and 2005
were 84.2% and 83.1% in metropolitan, 46.7% and 45.5% in urban, and 19.5% and 22.6% in rural areas, respectively.
Conclusion: Stroke management policy for improvement of distribution at the
district level, especially in rural areas, may be helpful for reducing regional
inequality in stroke.

참고자료

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