Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Utilization of Hospitals Located Outside Patients' Residential Areas among Those with Acute Cerebral Infarction

급성뇌경색증 환자의 타지역 의료기관 이용현황 및 관련 특성 연구

  • Lee, Sae Young (School of Public Health, The Catholic University of Korea) ;
  • Kim, Stella Jung-Hyun (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Park, Keun Young (National Evidence-based Healthcare Collaborating Agency) ;
  • Kim, Ji Man (Graduate School of Public Health, Yonsei University) ;
  • Kim, Han-Joon (Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Changwoo (School of Public Health, The Catholic University of Korea) ;
  • Shin, Euichul (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea)
  • 이세영 (가톨릭대학교 보건대학원) ;
  • 김정현 (가톨릭대학교 의과대학 예방의학교실) ;
  • 박근영 (한국보건의료연구원) ;
  • 김지만 (연세대학교 보건대학원) ;
  • 김한준 (가톨릭대학교 서울성모병원) ;
  • 이창우 (가톨릭대학교 보건대학원) ;
  • 신의철 (가톨릭대학교 의과대학 예방의학교실)
  • Received : 2017.10.11
  • Accepted : 2018.01.22
  • Published : 2018.03.31
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Abstract

Background: The current study evaluated the hospital utilization and characteristics of patients who received health care services for acute cerebral infarction outside their own residential area. Methods: Using the 2014 national patient survey data, information on 2,982 patients diagnosed with acute cerebral infarction through emergency department were retrieved for the analyses. Multiple logistic regression was performed to investigate the characteristics associated with using hospitals outside residential area among patients diagnosed with acute cerebral infarction. Results: Fifteen point nine percent of patients admitted for acute cerebral infarction utilized hospitals outside their residential area. Patients residing in a province were 7.7 times more likely to utilize hospitals located outside their residential areas compared to those living in Seoul metropolitan city. Patients living in Gangwon and Jeolla were 0.26 times and 0.48 times more likely to go to hospitals in different geographical areas. Also, patients within the age group of 80 years and over were 0.65 times less likely to be admitted to hospitals outside their residential area compared to those in their 40s-50s. Conclusion: The use of hospitals outside patient's residential area is shown to be substantial, given that the acute cerebral infarction requires immediate recognition and treatment. The findings on the geographical differences in the hospital utilization suggest further investigation.

Keywords

References

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