Dementia and Neurocognitive Disorders (대한치매학회지)

Korean Dementia Association (대한치매학회)
권호 표지

Trend in Treatment of Dementia by Benefit Cost Status based on Health Insurance Review & Assessment Service (HIRA)'s Data from 2003 to 2007

건강보험심사평가원 자료를 이용한 5년 5간(2003-2007년) 치매 환자치료 추세동향

  • Heo, Jae-Hyeok (Department of Neurology, Seoul Medical Center) ;
  • Kim, Hyeong-Su (Department of Preventive Medicine, Konkuk University) ;
  • Bae, Hee-Joon (Department of Neurology, Seoul National University Bundang Hospital, College of Medicine, Seoul National University) ;
  • Lee, Kun-Sei (Department of Preventive Medicine, Konkuk University) ;
  • Bae, Myung-Hoon (Department of Neurology, Seoul Medical Center) ;
  • Lee, Jung-Bin (Department of Neurology, Seoul Medical Center)
  • Published : 2010.03.31
⟨ Previous Next ⟩

Abstract

Background: In Korea, the elderly population and the prevalence of dementia has increased rapidly. The aim of this study is to describe and analyze the status in treatment of dementia for recent 5 yr in Korea. Methods: The Health Insurance Review & Assessment Service (HIRA)'s data which had various variables during 5 yr from 2003 to 2007 was used. Dementia was analyzed by the visit days, benefit amounts, and real patients in Out Patient Department (OPD) and admission. In addition, the distributions of the clinical department for dementia were presented. Results: The days of OPD visit and admission for dementia increased from 328,967 (2003, OPD) and 1,821,825 (2003, admission) to 765,599 (2007, OPD) and 7,433,913 (2007, admission). The benefit amounts of OPD and admission increased from 11,884,657,000 won (2003, OPD) and 64,742,232,000 won (2003, admission) to 40,849,297,000 won (2007, OPD) and 366,694,852,000 won (2007, admission). The real patients of OPD and admission increased from 59,861 (2003, OPD) and 18,515 (2003, admission) to 132,869 (2007, OPD) and 63,141 (2007, admission). Among the clinical departments, in 2007, department of neurology had the greatest percentage in visit days (OPD). Conclusions: This study clarifies the magnitude of the dementia treatment in the viewpoint of visit days, benefit amounts, real patients, and the distribution of the clinical department treated at. Department of Neurology had a major role in dementia care, which had been increasing during 5 yr.

Keywords

References

  1. Korea National Statistical Office. Population Projections for Korea. Seoul: Korean National Statistical Office, 2006; 1-56.
  2. Seoul National University Hospital. Nationwide Study on the Prevalence of Dementia in Korean Elders. Seoul: Ministry of Welfare and Family Affairs, 2009; 122-38.
  3. Wimo A, Jonsson L, Winblad B. An estimate of the worldwide prevalence and direct costs of dementia in 2003. Dement Geriatr Cogn Disord 2006; 21: 175-81. https://doi.org/10.1159/000090733
  4. Wimo A, Winblad B, Jonsson L. An estimate of the total worldwide societal costs of dementia in 2005. Alzheimers Dement 2007; 3: 81-91. https://doi.org/10.1016/j.jalz.2007.02.001
  5. Korean Neurological Association. Role and future of neurology in geriatric medicine. Seoul: Korean Neurological Association, 2009: 9-26.
  6. Petersen RC. Early diagnosis of Alzheimer's disease: is MCI too late? Curr Alzheimer Res 2009; 6: 324-30. https://doi.org/10.2174/156720509788929237
  7. Doody RS, Ferris SH, Salloway S, Sun Y, Goldman R, Watkins WE, et al. Donepezil treatment of patients with MCI:a 48-week randomized, placebo-controlled trial. Neurology 2009; 71: 1555-61.
  8. Larner AJ. Neurologists still have a role in the dementia care pathway. Clin Med 2007; 7: 528-9. https://doi.org/10.7861/clinmedicine.7-5-528
  9. Chow TW, Binder C, Smyth S, Cohen S, Robillard A. 100 years after Alzheimer: contemporary neurology practice assessment of referrals for dementia. Am J Alzheimers Dis Other Demen 2008; 23: 516-27. https://doi.org/10.1177/1533317508328194