한국병원경영학회지 (Korea Journal of Hospital Management)

한국병원경영학회 (Korean Society of Hospital Management)
권호 표지

건강보험빅데이터의 고혈압 입원율 분석을 통한 장애인의 의료접근성 실증 분석

Empirical Analysis of Medical Accessibility for People with Disabilities using Health Insurance Big Data

  • 전희원 (영산대학교) ;
  • 홍민정 (김포우리병원) ;
  • 정재연 (단국대학교) ;
  • 김예순 (국립재활원) ;
  • 이창우 (보스턴 대학) ;
  • 이해종 (연세대학교 소프트웨어디지털헬스케어융합대학 보건행정학부) ;
  • 신의철 (가톨릭대학교 의과대학 예방의학교실)
  • Jeon, HuiWon (Department of Healthcare Management, College of Health Sciences, Youngsan University) ;
  • Hong, MinJung (Gimpo Woori Hospital) ;
  • Jeong, JaeYeon (Department of Biohealth Open University, Dan Kook University of Korea) ;
  • Kim, YeSoon (Department of Healthcare and Pubic Health Research, National Rehabilitation Research Institute, National Rehabilitation Center) ;
  • Lee, ChangWoo (Department of Economics, Boston University) ;
  • Lee, HaeJong (Division of Health Administration, College of Software and Digital Health care Convergence, Yonsei University) ;
  • Shin, EulChul (Department of Preventive Medicine, College of Medicine Catholic University of Korea)
  • 투고 : 2021.11.24
  • 심사 : 2022.01.01
  • 발행 : 2022.03.30
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초록

Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data. Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program. Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant. Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.

키워드

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