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건강보험과 의료급여 암 환자의 의료이용 행태와 치료결과 비교

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Author(s)
윤경일
Alternative Author(s)
Yoon, Kyung Il
Issued Date
2014
Keyword
CancerTreatment outcomeMedical aid programHealthcare utilizationSocioeconomic factors
Abstract
Objectives: To investigate the differences in heath care utilization and treatment outcome between National Health Insurance and Medical Aid Program cancer patients. Methods: From National Patient Survey database prepared by Korean Institute for Health and Social Affair 183,796 cancer patients discharge summary data are extracted and analyzed. Two Logistic regression models, one with health insurance status as dependent variable and the other with treatment outcome as dependant variable, were used to determine the differences in outcome and utilization between health insurance types. Results: A Chi-Square test results showed that Medical Aid Program cancer patients used less tertiary care hospitals, more emergency services, and had higher severity level and longer length of stay. However, the logistic regression analysis results showed no significant association between treatment outcome and health insurance status. Conclusions: When the severity related factors such as Charlson Comorbidity Index, length of stay, emergency admission were controled, there were no significant differences in treatment outcome between National Health Insurance and Medical Aid Program cancer patients. However, Medical Aid Program cancer patients were disadvantaged in access to tertiary care hospitals which produced better outcome for cancer patients. Therefore, current policy that requires two stage verifications to access to tertiary care should be reconsidered.
Alternative Title
Comparisons of Health Care Utilization Patterns and Outcome for National Health Insurance and Medical Aid Program Cancer Patients
Department
Dept. of Medical Humanities (의료인문학)
Publisher
School of Medicine
Citation
Journal of Health Informatics and Statistics, Vol.39(1) : 42-59, 2014
Type
Article
ISSN
2465-8014
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/36361
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Medical Humanities (의료인문학)
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