| 급성 뇌경색으로 입원한 환자의 의료보장 유형이
의료서비스 이용에 미치는 영향 |
| 장혜정, 권영대
a
윤성상
b |
| 경희대학교 경영대학 의료경영학교실, 가톨릭대학교 의과대학 인문사회의학교실
, 경희대학교 의과대학 부속병원 신경과학교실 |
| Impact of Health Insurance Type on Health Care Utilization in
Patients with Acute Cerebral Infarction |
| Hyejung Chang |
| Department of Health Services Administration, Kyung Hee University School of Management, Seoul, Korea
Department of Medical Humanities and Social Sciences
a
, The Catholic University of Korea College of Medicine, Seoul, Korea,
Department of Neurology
b
, Kyung Hee University College of Medicine, Seoul, Korea |
|
|
|
|
| Abstract |
Background: Previous research has revealed that the type of health insurance significant impacts health-care utilization
and patient health. The aim of this study was to describe and compare hospital service utilization and charges of
inpatients with acute cerebral infarction among patients using two types of health insurance: National Health Insurance
(NHI) and Medical Aid (MA).
Methods: The demographic, clinical, health-service utilization, and payment data of 1600 patients were analyzed. The
patients were admitted within 7 days after the onset of stroke symptoms. Two insurance groups were compared in terms
of patient characteristics and hospital charges using the chi-square test or the t-test. The significance of the impact of the
health-insurance type on health-care utilization was tested after controlling for other related factors, using regression models.
Results: At the time of admission, the patients’ gender, age, and stroke subtype differed significantly between the two
insurance groups, whereas there were no differences in risk factors, admission route, referral status, or severity. There
were no significant differences in treatments, length of stay, and referral status during their hospital stay. The total hospital
charges and daily charges were significantly higher for patients with NHI than for patients with MA. In particular,
significant differences were found in the categories of room and board, injection, laboratory tests, and imaging studies.
Conclusions: There were significant differences between NHI and MA in terms of patient demographic characteristics,
health-care utilization, and inpatient charges. Patients with NHI had higher hospital charges, especially in the categories
of room and board and imaging tests. Key Words: Cerebrovascular accident, Medical insurance, Health resources utilization, Length of stay, Hospital
charges |
|
PDF Links
Full text via DOI
Download Citation
