한국 치매 환자의 건강보험 의ㆍ한의 진료 비용에 관한 연구
A Study on Medical Expenses of Modern and Korean Medicine for Dementia Patients Under National Health Care
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
Objectives: To identify the cost effectiveness of early dementia diagnosis using the 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS).Methods: The medical costs of dementia between Western medical care and Korean medical care were compared through the reimbursement and non-reimbursement item code for dementia examination. In addition, the medical expenses of patients with dementia and mild cognitive impairment were com-pared and analyzed with respect to Western and Korean medical care.Results: There were 87,434 claims, of which 16,101 patients were diagnosed with dementia and 38,680,789,560 won was found to be the medical expenses. 12,881 patients (80.0%) with dementia, 3,144 patients (19.5%) with mild cognitive impairment, and 76 patients (0.5%) progressing from mild cognitive impairment to dementia. The proportion of medical expenses was 97.6% for dementia pa-tients, 2.3% for mild cognitive impairment, and 1% for patients progressing from mild cognitive im-pairment to dementia. 86,070 claims (98.4%) were from Western medical care, with16,824 patients (98.2%), and the medical expenses was 38,546,895,400 won (99.7%). 1,361 claims (1.6%) were from Korean medical care, with 303 patients (1.8%), and the medical expenses was 133,894,160 won (0.3%). Conclusions: This study compared and analyzed the medical costs of dementia patients and the diag-nosis of both Korean and Western medical care. The results of this study are expected to be used as ba-sic research data for investigating cost effectiveness of developing early diagnosis of dementia.
Abstract
Objectives: To identify the cost effectiveness of early dementia diagnosis using the 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS).Methods: The medical costs of dementia between Western medical care and Korean medical care were compared through the reimbursement and non-reimbursement item code for dementia examination. In addition, the medical expenses of patients with dementia and mild cognitive impairment were com-pared and analyzed with respect to Western and Korean medical care.Results: There were 87,434 claims, of which 16,101 patients were diagnosed with dementia and 38,680,789,560 won was found to be the medical expenses. 12,881 patients (80.0%) with dementia, 3,144 patients (19.5%) with mild cognitive impairment, and 76 patients (0.5%) progressing from mild cognitive impairment to dementia. The proportion of medical expenses was 97.6% for dementia pa-tients, 2.3% for mild cognitive impairment, and 1% for patients progressing from mild cognitive im-pairment to dementia. 86,070 claims (98.4%) were from Western medical care, with16,824 patients (98.2%), and the medical expenses was 38,546,895,400 won (99.7%). 1,361 claims (1.6%) were from Korean medical care, with 303 patients (1.8%), and the medical expenses was 133,894,160 won (0.3%). Conclusions: This study compared and analyzed the medical costs of dementia patients and the diag-nosis of both Korean and Western medical care. The results of this study are expected to be used as ba-sic research data for investigating cost effectiveness of developing early diagnosis of dementia.
참고문헌 (20)
- The Social Burden and Care Management for People with Dementia, "Ko SK", Korea institute for Health and Social Affairs, ~ (2016)
- Lautenschlager NT, "Physical activity and cognition in old age", Current Opinions in Psychiatry, 19(2), pp.190~193 (2006)
- Jorm AF, "Is depression a risk factor for dementia or cogni-tive decline? A review", Gerontology, 46, pp.219~227 (2000)
- Population Projections for Korea :2010-2060, "Statistics korea", ~ (2012)
- Seoul National University Hospital, "Nationwide study on the prevalence of dementia in Korean elders" (2008), Ministry for Health, Welfare and Family Affairs
- Korean Dementia Obser-vatory 2016, "National Institute of Dementia", ~ (2016)
- 박창제, "치매 노인 비공식 보호의 비용에 관한 연구", 한국노년학, 22(3), pp.67~84 (2002), 한국노년학회
- Hong CM, "A study on dementia and mild cognitive impairment", The Korea Contents Society, 6, pp.25~30 (2012)
- Korean Dementia Association, "Dementia A Chlinical Ap-proach", pp.50~55 (2011), academya
- Kim, "Gender differences in risk factors for transition from mild cognitive impairment to Alzheimer’s disease: A CREDOS study", Comprehensive Psychiatry, 62, pp.114~122 (2015)
- Petersen RC, "Practice parameter: Early detection of dementia: Mild cognitive impairment (an evi-dence-based review)", Neurology, 56, pp.1133~1142 (2001)
- 박효성, "얼굴마비 환자의 의·한의 협진 의료이용 연구: 건강보험심사평가원 환자표본 데이터를 이용", 한국데이터정보과학회지, 28(1), pp.75~86 (2017), 한국데이터정보과학회[DOI]
- Health Care Medical Care Costs, "Korean Medical Association", ~ (2017)
- Min SK, "Modern PSYCHIATRY", pp.229~ (2016), Ilchokak
- Costing methods in Healthcare, "Kim Y", National Evidence-based healthcare Collaboration Agency, ~ (2013)
- Prevalence and cure rate of doctors di-agnosis of chronic diseases of elderly people over 65years old, "Statistics korea", ~ (2014)
- The multi frequency private st class pay present condition by elderly disease sub-category over the age of 65, "Statistics korea", ~ (2014)
- 유찬욱, "통계청 자료를 이용한 노인 다빈도 상병 분석", 대한고령친화산업학회지, 5(1), pp.39~45 (2013), 대한고령친화산업학회
- 김민경, "국내외 치매관리정책에 대한 비교연구", 국가정책연구, 31(1), pp.233~260 (2017), 국가정책연구소[DOI]
- 조현, "치매노인의 현황과 노인장기요양보험법상의 개선방안", 한국산학기술학회논문지, 13(12), pp.5816~5825 (2012), 한국산학기술학회[DOI]