Utilization of Health Care Resources and Costs of Stroke Patients: Patients' Perspective

J Korean Neurol Assoc > Volume 22(6); 2004 > Article

Journal of the Korean Neurological Association 2004;22(6): 583-589.

뇌졸중 환자의 의료 자원 이용과 비용 지출: 환자의 관점에서

이건세, 배희준 김형수

건국대학교 의과대학 예방의학교실, 을지의과대학교 신경과학교실*

Utilization of Health Care Resources and Costs of Stroke Patients: Patients' Perspective

Kun-Sei Lee

Department of Preventive Medicine, Kon-Kuk University College of Medicine, Chungju; Department of Neurology, Eulji University School of Medicine*, Seoul, Korea

Abstract

Background: Policy-makers are required to know the current patterns of resource use and the costs of stroke. However, the scientific evidence, on which health policy-making can be based, is not sufficient. Our study aimed to investigate resource utilization and costs during the one year after stroke.
Methods: Among patients with acute ischemic stroke (7 days from onset) who were admitted from July of 2001 to July of 2002, 223 were interviewed one year after the onset of stroke through a home visit by an experienced research nurse. Resource utilization and related costs were investigated.
Results: The average length of stay was 25 days. The average first inpatients costs was ￦2,230,000. After discharge, the average outpatient visit was 22 days. The average expenditure per patient during the one year from onset of stroke was ￦5,235,000. The hospital charge was 59% of the total cost, the cost for hiring a care-giver was 14%, and the fee for the outpatient clinic was 13%. Thirty-nine percent (￦2,051,000) of the total expenditure was consumed in the first month, 12% was in the second, 8% was in the third, and around 5% monthly was after 3 months.
Conclusions: Our study is the first one to investigate the resource utilization and the related costs in stroke patients in Korea. The results of this study should not be generalized to all Korean stroke patients, but this study may serve as a reference for inferring the real status in Korea and may be a starting point for further nationwide resource utilization and costs studies. Key Words: Health care resource, Utilization, Costs, Patients' perspective, Stroke