Journal of Preventive Medicine and Public Health

  • 제52권1호
  • /
  • Pages.21-29
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  • 2019
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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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Impact of Regional Cardiocerebrovascular Centers on Myocardial Infarction Patients in Korea: A Fixed-effects Model

  • Cho, Sang Guen (Department of Preventive Medicine, Graduate School of Public Health, Seoul National University) ;
  • Kim, Youngsoo (Department of Preventive Medicine, Graduate School of Public Health, Seoul National University) ;
  • Choi, Youngeun (Department of Preventive Medicine, Graduate School of Public Health, Seoul National University) ;
  • Chung, Wankyo (Department of Public Health Science, Graduate School of Public Health, Seoul National University)
  • 투고 : 2018.07.08
  • 심사 : 2018.11.20
  • 발행 : 2019.01.31
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초록

Objectives: The Regional Cardiocerebrovascular Center (RCCVC) Project designated local teaching hospitals as RCCVCs, in order to improve patient outcomes of acute cardiocerebrovascular emergencies by founding a regional system that can adequately transfer and manage patients within 3 hours. We investigated the effects of RCCVC establishment on treatment volume and 30-day mortality. Methods: We constructed a panel dataset by extracting all acute myocardial infarction cases that occurred from 2007 to 2016 from the Health Insurance Review and Assessment Service claims data, a national and representative source. We then used a panel fixed-effect model to estimate the impacts of RCCVC establishment on patient outcomes. Results: We found that the number of cases of acute myocardial infarction that were treated increased chronologically, but when the time effect and other related covariates were controlled for, RCCVCs only significantly increased the number of treatment cases of female in large catchment areas. There was no statistically significant impact on 30-day mortality. Conclusions: The establishment of RCCVCs increased the number of treatment cases of female, without increasing the mortality rate. Therefore, the RCCVCs might have prevented potential untreated deaths by increasing the preparedness and capacity of hospitals to treat acute myocardial infarction patients.

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참고문헌

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피인용 문헌

  1. Presence of Thrombectomy-capable Stroke Centers Within Hospital Service Areas Explains Regional Variation in the Case Fatality Rate of Acute Ischemic Stroke in Korea vol.54, pp.6, 2019, https://doi.org/10.3961/jpmph.21.329
  2. Machine learning enhances the performance of short and long-term mortality prediction model in non-ST-segment elevation myocardial infarction vol.11, pp.1, 2019, https://doi.org/10.1038/s41598-021-92362-1