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베이비붐세대가 65세 노인인구로 전환 시의 만성질환 환자수와 진료비 예측

Estimate over the Number of Chronic Disease Patients and Medical Care Expenditure at the Time of Transition of Baby Boomer into 65 Years Old Aging Population

  • 이선영 (을지대학교 대학원 의료경영학과) ;
  • 김영훈 (을지대학교 대학원 의료경영학과) ;
  • 김한성 (건강보험심사평가원 분류체계관리실 상대가치개발부)
  • Lee, Sun-Young (Department of Healthcare Management, Eulji University Graduate School) ;
  • Kim, Young-Hoon (Department of Healthcare Management, Eulji University Graduate School) ;
  • Kim, Han-Sung (Department of Classification System Management, Health Insurance Review Agency)
  • 투고 : 2013.10.08
  • 심사 : 2013.12.30
  • 발행 : 2013.12.31

초록

Purpose: The purpose of study is to estimate the number of chronic disease patients and medical care expenditure at the time baby-boomers belong to 65 years old aging population, and compare with current 65 year-old aging population. Methods: Analysis method used an estimating formula devised by the researcher and estimated the number of chronic disease patients and medical care expenditure of each generation. Results: When comparing the estimated number of chronic diseases patients of each generation, 40.6% of the first generation, 76.4% of the second generation, 95.2% of third generation are expected to get chronic disease. When comparing each generation's total medical care expenditure, based on the estimated number of chronic diseases patients of each generation, the second generation( 1,206,251,224 thousand won) showed higher than other generation. This study compared the number of chronic disease patients and medical care expenditure between the second generation of the elderly and current elder generation. As a result, the second generation patients was higher than the fourth generation in high blood pressure, diabetes, psychological and behavioral disorder, and neurological diseases whereas the fourth generation is only high the number of patients in heart disease. As for total medical care expenditure, the second generation paid more in high blood pressure, psychological and behavioral disorder while the fourth generation in neurological disease and heart disease. Conclusion: It is desired that considering the number of chronic disease patients and medical care expenditure of baby boomers accounting for 14.6% of total population, in-depth follow-up study is carried out that inquires into what are issues with a current chronic disease management project, what business is needed in order to manage these issues, and how to fund to cover increasing medical care expenditure.

키워드

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