비만이 의료비와 의료이용에 미친 영향 분석
The Effect of Obesity on Medical Costs and Health Service Uses
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives : Obesity is a worldwide health concern due to an increasing obese population. This study proposed to analyze the differences in medical costs and care utilization between obese and normal group using propensity score matching. Methods : Data were collected from the sample cohort database by the Korea National Health Insurance Corporation. Propensity score matching(PSM) was applied to control selection bias, and factors affecting obesity were used as covariates in PSM. Results : The results showed higher medical costs and care utilization in the obese group than the normal group. According to gender and medical type, there were differences in the relationships between obesity and medical charges and utilization. In particular, the differences in the female population were larger in both outpatients and inpatients than the male population. Conclusions : It is important to manage obesity, because obesity has a negative effect on national health insurance costs. These findings suggest directions for future research.
Abstract
Objectives : Obesity is a worldwide health concern due to an increasing obese population. This study proposed to analyze the differences in medical costs and care utilization between obese and normal group using propensity score matching. Methods : Data were collected from the sample cohort database by the Korea National Health Insurance Corporation. Propensity score matching(PSM) was applied to control selection bias, and factors affecting obesity were used as covariates in PSM. Results : The results showed higher medical costs and care utilization in the obese group than the normal group. According to gender and medical type, there were differences in the relationships between obesity and medical charges and utilization. In particular, the differences in the female population were larger in both outpatients and inpatients than the male population. Conclusions : It is important to manage obesity, because obesity has a negative effect on national health insurance costs. These findings suggest directions for future research.
참고문헌 (23)
- "10 facts on obesity, Fact sheets" (2010)[URL]
- the 5th National Health and Nutrition Examination Survey (2011), "Korea Centers for Disease Control and Prevention", Ministry of Health and Welfare Korea Centers for Disease Control and Prevention, 52~53 (2011)
- "Among the entire popultaion, 1 out of 17 will be diagnosed extremely obese in 2025" (2015)[URL]
- 김상현, "비만과 만성질환이 의료비에 미치는 효과에 대한 패널분석", 보건행정학회지, 25(3), pp.152~161 (2015), 한국보건행정학회
- 정백근, "한국인 성인 비만의 사회경제적 비용", 예방의학회지, 35(1), pp.1~12 (2002), 대한예방의학회
- 정영호, "청소년 비만의 사회경제적 비용", 보건사회연구, 30(1), pp.195~219 (2010), 한국보건사회연구원
- 강재헌, "우리나라 성인의 허혈성 심장질환, 뇌졸중으로 인한 총 진료비 중 과체중 및 비만의 기여분", 보건교육건강증진학회지, 27(4), pp.83~90 (2010), 한국보건교육건강증진학회
- 주남석, "비만 및 복부비만 유무에 따른 의료 비용과 병원 방문 횟수의 비교", Journal of Obesity & Metabolic Syndrome, 17(2), pp.91~98 (2008), 대한비만학회
- K.H. Kim, "Association of obesity with medical services use and medical costs: a 7-year follow-up study", pp.2009
- J.S. Nam, "Analysis of the relationship between Body Mass Index(BMI) and medical services use", pp.2010
- 윤난희, "비만이 의료이용과 의료비용에 미치는 영향", 보건경제와 정책연구, 19(2), pp.61~80 (2013), 한국보건경제정책학회
- Methods for the control of measured confounders in outcomes research, "E.J. Jang", National Evidence-based healthcare Collaborating Agency, 2~5, pp.NECA Research Method Series 6 (2003)
- D. Thompson, "The medical-care cost burden of obesity", Obesity reviews, 2(3), pp.189~197 (2001)
- The Asia-Pacific Perspective: Redefining obesity and its treatment, "World Health Organization Western Pacific Region", International Obesity TaskForce, 15~21 (2000)
- J.H. Kang, "Obesity Clinical Practice Guidelines", pp.17~22 (2014), Korean Society for the Study of Obesity
- 박여린, "지역사회건강조사와 국민건강영양조사에 따른 우리나라 성인의 비만 및과체중 유병률 비교", Journal of Obesity & Metabolic Syndrome, 23(1), pp.64~68 (2014), 대한비만학회[DOI]
- 김명희, "비실험자료를 이용한 연구에서 인과적 추론의 강화: 성향점수와 도구변수 방법의 적용", 예방의학회지, 40(6), pp.495~504 (2007), 대한예방의학회
- 김선미, "의료기관별 뇌졸중 유형에 따른 진료비, 재원일수 이학요법료의 차이분석", 보건의료산업학회지, 11(1), pp.91~105 (2017), 보건의료산업학회
- T. Andreyeva, "Moderate and severe obesity have large differences in health care costs", Obesity research, 12(12), pp.1936~1943 (2004)
- D.E. Arterburn, "Impact of morbid obesity obesity on medical expenditure in adults", International Journal of Obesity, 20, pp.334~339 (2005)
- R. Sturm, "The effects of obesity, smoking and drinking on medical problems and costs", Health affairs, 21(2), pp.245~253 (2002)
- M.A. Raebel, "Health Services Use and Health Care Costs of Obese and Nonobese Individuals", JAMA, 164(19), pp.2135~2140 (2004)
- Z. Yang, "The Financial Burden of Overweight and Obesity among Elderly Americans: The Dynamics of Weight, Longevity and Health Care Cost", Health Services Research, 43(3), pp.849~868 (2007)