Journal of Preventive Medicine and Public Health

  • 제41권5호
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  • Pages.295-299
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  • 2008
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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6세미만 입원 법정본인부담금 면제정책이 의료이용에 미치는 영향

The Effect of the Cost Exemption Policy for Hospitalized Children under 6 Years Old on the Medical Utilization in Korea

  • 전경수 (고려대학교 보건대학원) ;
  • 윤석준 (고려대학교 보건대학원) ;
  • 안형식 (고려대학교 보건대학원) ;
  • 신현웅 (한국보건사회연구원 건강보험팀) ;
  • 윤영혜 (안산시 단원구 보건소) ;
  • 황세민 (고려대학교 보건대학원) ;
  • 경민호 (고려대학교 보건대학원)
  • Jeon, Kyeong-Su (Graduate School of Public Health, College of Medicine, Korea University) ;
  • Yoon, Seok-Jun (Graduate School of Public Health, College of Medicine, Korea University) ;
  • Ahn, Hyeong-Sik (Graduate School of Public Health, College of Medicine, Korea University) ;
  • Shin, Hyun-Woong (Korea Institute for Health and Social Affairs) ;
  • Yoon, Young-Hye (Danwon Public Health Center Ansan-Si) ;
  • Hwang, Se-Min (Graduate School of Public Health, College of Medicine, Korea University) ;
  • Kyung, Min-Ho (Graduate School of Public Health, College of Medicine, Korea University)
  • 발행 : 2008.09.30
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초록

Objectives : The Korean government in January 2006 instigated an exemption policy for hospitalized children under the age of six years old. This study examines how this policy affected the utilization of medical care in Korea. Methods : A total of 1,513,797 claim records from the Health Insurance Review Agency were analyzed by complete enumeration methods. The changes of medical utilization were compared from 2005 to 2006. In addition, the changes of medical utilization between 2004 and 2005 were compared as a pseudo-control group. Results : The admission rate increased 1.14-fold from 15.20% in 2004 to 17.32% in 2005, and this further increased 1.08-fold to 18.65% in 2006. The increase of patients with a common cold (1.2-fold) was higher than that of both the general patients (1.08-fold) and the patients, with the top 10 fatal diseases (0.91-fold). The average length of stay per case for clinics showed the highest increase rates (1.06-fold). The rates of patients with the common cold showed a higher increase (1.05-fold) than that of the general patients. The average medical expense per case was increased by 1.10-fold from 2005 to 2006, which was higher than that from 2004 to 2005 (1.04-fold). The increase rate for patients with the common cold was higher at 1.18-fold than that of the general patients. Conclusions : The cost exemption policy has especially led to an increase in the utilization of clinics and the utilization by patients with a common cold.

키워드

참고문헌

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  1. 희귀난치성질환자에서 사회경제적 수준이 의료이용에 미치는 영향 vol.19, pp.4, 2008, https://doi.org/10.4332/kjhpa.2009.19.4.066
  2. Effects of a Dementia Screening Program on Healthcare Utilization in South Korea: A Difference-In-Difference Analysis vol.16, pp.20, 2008, https://doi.org/10.3390/ijerph16203837
  3. Incidence and prevalence of immune thrombocytopenia under the copayment waiver policy for pediatric patients in Korea: Data from the National Health Claims Database vol.30, pp.4, 2008, https://doi.org/10.1177/0961203321995247