Current Condition and Supporting Service Measures of Childhood, Adolescent Diabetes Patient in Republic of KOREA: Focused on the SPORT

Abstract

This study aims to contemplate on the necessity of supplement of medical support service as in institutional throughand enhance the stand of insulin dependent childhood, adolescent diabetes patient who were excluded from beneficiary of medical support service. Type-1 diabetes is a disease which the pancreas makes less or none of insulin so that the blood sugar increases and the rest of the sugar come out by urine, which the high blood sugar level damages eye, heart, kidney and other body organs. This has no basic prevention, and for the treatment, the one must inject insulin 4 times a day which is a definite burden to childhood, adolescent diabetes patients. The childhood, adolescent diabetes patient are easy to be exposed to physiological trauma in daily lives due to the self-management of diabetes along with growing and development. Actually, the adolescent with type-1 diabetes patients are more 2~3 times more likely to suffer depression than the normal ones. Insulin-dependent diabetic child and adolescent need continuous management, which goal is to control proper blood sugar, normal growth, development, prevention of acute complication, chronic complication. In other words, to conduct similar level of activity and function as peers and maintain proper blood sugar. The normal growth and development means maintaining proper height and weight for specific age group and accomplish emotion and social development. Including the growth of childhood, adolescent diabetes patient have burden of managing diabetes for the lifetime. National Health Insurance Corporation has published health insurance payment material analysis result for recent 10 years from 2006 to 2015. According to the analysis, child patients under age 18 who are treated with medicine treatment for diabetes increased 31% from 4076 patients in year 2006 to 5338 in year 2015. During the period, when considering the child population decrease, the total number of patient per 100 thousand populations increased from 35.6 patients in year 2006 to 55.3% which is 55.3% increase. Finally, the various angle of studies for correct recognition toward insulin dependent child and adolescent diabetes patients are required. The insulin dependent diabetes requires various angle of treatment management environment. The financial, social, educational support must be backed for each period of lifetime, not just limiting to the individual pathological problem. Above all, future studies with present senses for the insulin dependent child and adolescent diabetes patients must continue to develop the medical support service they require and provide the service. This thesis seeks understanding toward childhood, adolescent diabetes patient and support service for childhood, adolescent diabetes patient.