Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

The Relation between Type of Insurance and Acute Appendicitis Rupture Rate

급성 충수돌기염 환자에서 의료보장형태와 천공률의 관련성

  • Hong, Jee-Young (Department of Preventive Medicine, Konyang University, Medical School) ;
  • Kim, Keon-Yeop (Department of Preventive Medicine, Konyang University, Medical School) ;
  • Lee, Moo-Sik (Department of Preventive Medicine, Konyang University, Medical School) ;
  • Nam, Hae-Sung (Department of Preventive Medicine, Seonam University, Medical School) ;
  • Im, Jeong-Soo (Department of Preventive Medicine, Gachon University, Medical School) ;
  • Rhee, Jung-Ae (Department of Preventive Medicine, Jeonnam National University, Medical School) ;
  • Na, Baeg-Ju (Department of Preventive Medicine, Konyang University, Medical School)
  • 홍지영 (건양대학교 의과대학 예방의학교실) ;
  • 김건엽 (건양대학교 의과대학 예방의학교실) ;
  • 이무식 (건양대학교 의과대학 예방의학교실) ;
  • 남해성 (서남대학교 의과대학 예방의학교실) ;
  • 임정수 (가천의대 예방의학교실) ;
  • 이정애 (전남대학교 의과대학 예방의학교실) ;
  • 나백주 (건양대학교 의과대학 예방의학교실)
  • Published : 2004.09.01
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Abstract

Objectives : This study was aimed at investigating the medical service utilization pattern of patients who use public medical aid compared to those who have health insurance. Methods : We selected every patient between the age of 18 and 69 who used public medical aid from January 1, 1999, to December 31, 2001, in Gwangju metropolitan city, South Korea. For comparison, a list of patients with health insurance was gathered for same period. Then the medical records of those who had been hospitalized for acute appendicitis were selected among both groups. Of those records, we compared the number of cases of ruptured appendicitis to cases of whole acute appendicitis in both groups. Regarding coding for ruptured appendicitis, International Classification of Diseases - 10 (ICD-10) was used. Multiple logistic regression was used as a statistical tool to determine the effectiveness of risk factors. Results : Even after adjusting for risk factors, such as age and sex, the proportion of perforation of acute appendicitis among public medical aid patients was found to be significantly higher than among insured patients. Conclusions : This comparative study on ruptured appendicitis among public medical aid patients and insured patients, indicates that the proportion of perforation of acute appendicitis could be an index showing that these types of patients utilize medical services differently than insured patients. We know that when abdominal pain is not properly treated at the outset, it easily develops into ruptured appendicitis complicated with peritonitis. Considering this data analysis, we guess the public medical aid system to have significant problem with medical accessibility. So additional and systematic research on the pattern of utilization of medical services of public medical aid patients is needed.

Keywords

References

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