• 디지털융복합연구
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• 제11권10호
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• pp.459-467
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• 2013

이 연구의 목적은 질병관리본부의 퇴원손상환자조사 자료를 이용하여 지역의 소득수준에 따른 의료이용의 차이를 규명하는 것이었다. 지역의 경제적 수준은 234개 시 군 구의 재정자립도를 지표로 하여 5분위로 구분하였다. 주요 결과로는 첫째, 소득수준이 낮을수록 연령표준화입원률과 표준화사망률이 증가하였다. 둘째, 16개 주요 질환 중 뇌혈관질환, 심장질환, 폐암, 위암이 소득수준에 따른 표준화사망률의 변화가 큰 것으로 나타났다. 셋째, 소득수준이 낮을수록 응급 경유 입원이 증가하였다. 넷째, 대부분의 주요 질환에서 소득수준이 낮을수록 평균재원일수가 증가하는 것으로 나타났다. 따라서, 지역별 건강 불평등의 격차를 줄이기 위해서는, 지역 및 소득수준별 특성에 맞는 지역보건의료정책이 수립되어야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제56권3호
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• pp.248-254
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• 2023

Objectives: Measuring the quality of care is paramount to inform policies for healthcare services. Nevertheless, little is known about the quality of primary care and acute care provided in Korea. This study investigated trends in the quality of primary care and acute care. Methods: Case-fatality rates and avoidable hospitalization rates were used as performance indicators to assess the quality of primary care and acute care. Admission data for the period 2008 to 2020 were extracted from the National Health Insurance Claims Database. Case-fatality rates and avoidable hospitalization rates were standardized by age and sex to adjust for patients' characteristics over time, and significant changes in the rates were identified by joinpoint regression. Results: The average annual percent change in age-/sex-standardized case-fatality rates for acute myocardial infarction was -2.3% (95% confidence interval, -4.6 to 0.0). For hemorrhagic and ischemic stroke, the age-/sex-standardized case-fatality rates were 21.8% and 5.9%, respectively in 2020; these rates decreased since 2008 (27.1 and 8.7%, respectively). The average annual percent change in age-/sex-standardized avoidable hospitalization rates ranged from -9.4% to -3.0%, with statistically significant changes between 2008 and 2020. In 2020, the avoidable hospitalization rates decreased considerably compared with the 2019 rate because of the coronavirus disease 2019 pandemic. Conclusions: The avoidable hospitalization rates and case-fatality rates decreased overall during the past decade, but they were relatively high compared with other countries. Strengthening primary care is an essential requirement to improve patient health outcomes in the rapidly aging Korean population.

• Journal of Information Technology Applications and Management
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• 제30권1호
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• pp.33-52
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• 2023

This study observes the difference in the actual regional ripple effect of the decrease in admission resources due to the decrease in school age population, which has been weak in empirical studies, and how much the decrease in competition rate by department nationwide provides a significant shock to the decrease in enrollment rate in the population unit. An empirical quantitative analysis was attempted. As a result of applying the panel-tobit regression model, a clear gap was confirmed in the decrease in the registration rate due to the decrease in the competition rate both nationally and in the provinces, and in particular, a highly significant relationship was derived with the decrease in the recruitment rate. In particular, the sensitivity of the risk of unrecruitment due to a decrease in competition rate was the highest in the Jeolla region (0.499), followed by the Gangwon region (0.475) and the Gyeongsang region (0.471), and the metropolitan region (0.158) was confirmed to be the most stable. This suggests that the gap in insufficient funding has gradually widened by region over the past 10 years, and that the shock wave becomes more pronounced in the provinces farther away from the metropolitan area. Based on this study, if we deviate from the standardized application of university development policies for the metropolitan area and regional universities, and present a customized higher education strategy for each region, it will be an opportunity to prevent local extinction due to a decrease in the school-age population and achieve coexistence with higher education institutions and regions at the same time.