목 통증 치료의 질병 부담에 관한 예비연구: 국민건강보험자료 기반 전국단위 분석
Preliminary Study on the Burden of Disease for Neck Pain Treatment: A Nationwide Analysis Based on National Health Insurance Data
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초록
본연구의목적은전국단위건강보험자료를통해목통증의질병부담을조사및파악하는데있다. 한국건강보험데이터베이스를통해2002년부터2021년까지목통증(ICD 10 codes: M54.2)으로입내원한105,504명의20년간의료기록을추출하였다. 추출된독립변수는나이, 성별, 건강보험종류, 건강보험료분위, 지역보건취약지역점수로선정하였다. 질병부담인종속변수는총연구기간동안에기록된목통증을주진단으로하는의료서비스이용횟수(입내원)로정의하였다. 변수별의료서비스이용횟수의차이를분석하기위해일원배치분산분석(ANOVA)를이용하였다. 의료서비스이용평균횟수는연령별로증가하는추세를보였으며, 20대3.8회, 30대4.2회, 40대4.7회, 50대4.9회, 60대5.7회, 70대이상5.7회를나타내었다(p < 0.05). 여성은남성에비해더많은이용횟수를보였다(p < 0.05). 의료급여환자들은평균6.7회로다른가입자유형에비해높은이용횟수를나타내었으며(p < 0.05), 소득분위수준1분위에서평균5.3회로가장높은이용횟수를보였으며(p < 0.05), 지역별로는유의한차이가나타나지않았다(p = 0.16). 이연구는의료서비스제공자들에게목통증질병부담이높은인구집단의특성에대한근거를제시하고, 향후질병부담을감소하기위한인구특성별예방과관리를위한향후연구의필요성을시사한다.
Abstract
The aim of this study was to investigate and assess the disease burden of neck pain using a nationwide health insurance data. Medical records spanning 20 years (2002–2021) were extracted for 105,504 individuals who visited healthcare facilities for neck pain (ICD-10 code: M54.2) from the South Korean National Health Insurance Database. The selected independent variables included age, sex, type of health insurance, health insurance premium percentile, and regional healthcare vulnerability score. The dependent variable, representing disease burden, was defined as the total number of healthcare service utilizations (hospital visits) where neck pain was recorded as the primary diagnosis during the study period. A one-way analysis of variance (ANOVA) was conducted to analyze differences in healthcare service utilization across variables. The average number of healthcare visits showed an increasing trend with age, with an average of 3.8 visits in individuals in their 20s, 4.2 in their 30s, 4.7 in their 40s, 4.9 in their 50s, and 5.7 in those aged 60 and above (p < 0.05). Female patients exhibited a higher frequency of healthcare utilization compared to males (p < 0.05). Patients covered by medical aid had the highest average number of visits (6.7), significantly more than other insurance types (p < 0.05). Additionally, individuals in the lowest income percentile (the first decile) recorded the highest average healthcare utilization, with 5.3 visits (p < 0.05). No specific trends in the regional healthcare vulnerability score were identified (p = 0.16). This study provides evidence for healthcare providers regarding the demographic characteristics associated with a high burden of neck pain, and highlights the need for future research on prevention and management strategies tailored to specific population groups to reduce disease burden