Journal of Preventive Medicine and Public Health
- Volume 31 Issue 4 Serial No. 63
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- Pages.814-827
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- 1998
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- 1975-8375(pISSN)
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- 2233-4521(eISSN)
Medical Care Utilization of Tuberculosis Patients in Private Sector
민간의료기관을 이용하는 결핵환자의 의료이용 분석
- Kang, Gil-Won (Department of Health Policy and Management, College of Medicine, Seoul National University) ;
- Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Dankook University) ;
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Kim, Chang-Yup
(Department of Health Policy and Management, College of Medicine, Seoul National University) ;
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Shin, Young-Soo
(Department of Health Policy and Management, College of Medicine, Seoul National University)
- 강길원 (서울대학교 의과대학 의료관리학교실) ;
- 윤석준 (단국대학교 의과대학 예방의학교실) ;
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김창엽
(서울대학교 의과대학 의료관리학교실) ;
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신영수
(서울대학교 의과대학 의료관리학교실)
- Published : 1998.12.01
Abstract
In this study we analyzed the insurance claims data to investigate the medical care utilization pattern of tuberculosis patients in private sector. We selected the claims of principal or secondary diagnosis with tuberculosis from claims database of National federation of Medical Insurance, from December 1995 to November 1996. Both spell-based analysis and person-based analysis were carried out. In spell-based analysis, type and location of treatment facilities, distribution of diagnoses, number of outpatient/inpatient treatments were analyzed. Additionally in person-based analysis, number of tuberculosis patients, demographic characteristics, number of treatments per person, frequency and pattern of change in source of care were analyzed. The results were as follows 1. The number of treatments with tuberculosis was 863,641 from 1 December 1995 to 30 November 1996. The number of patients was 313.964. 2. Most of tuberculosis patients in private sector were treated in general hospital (45.8%) and clinics(42.2%) 3. About 77.7% of tuberculosis patients who were treated more than two times did not change the source of care. 18,9% of tuberculosis patients changed source of care only once. Even when we limited tuberculosis patient to those who were treated more than five times and whose treatment period were longer than six months, 94.7% of patients did not change source of care at all, or changed treatment facility only once. 4. The probability of change in source of rare was higher in pulmonary tuberculosis, in twenties, and in rural area respectively than other tuberculosis. In conclusion, healer shopping of tuberculosis patients was not serious as expected. However special attention is needed to pulmonary tuberculosis in twenties and rural area.