보건행정학회지 (Health Policy and Management)

  • 제27권1호
  • /
  • Pages.47-55
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  • 2017
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

성인 남녀를 대상으로 대사증후군이 총 진료비에 미치는 영향분석

The Effects of the Metabolic Syndrome on the Total Medical Charge

  • 김기영 (연세대학교 대학원 보건행정학과) ;
  • 동재용 (연세대학교 대학원 보건행정학과) ;
  • 한승연 (국민건강보험공단) ;
  • 이광수 (연세대학교 보건과학대학 보건행정학과)
  • Kim, Ki Young (Department of Health Administration, Yonsei University Graduate School) ;
  • Dong, Jae Yong (Department of Health Administration, Yonsei University Graduate School) ;
  • Han, Seung Yeon (National Health Insurance Service) ;
  • Lee, Kwang-Soo (Department of Health Administration, Yonsei University College of Health Sciences)
  • 투고 : 2016.10.12
  • 심사 : 2017.01.19
  • 발행 : 2017.03.31
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초록

Background: This study purposed to analyze the effects of metabolic syndrome on the total medical charge of patients. Methods: 2013 National Health Insurance Service sample research database (eligibility database, medical database, and health examination database) was used for this study. Gamma regression was applied to analyze the effects of metabolic syndrome on the total medical charge and logistic regression was used to determine the probability of medical charge which was higher than the third quartile. Sociodemographic characteristics (age and household income), health behavior factors (smoking, drinking, exercise, and body mass index), and disease related factors (family history and metabolic syndrome) were included as the independent variables. Results: people who had metabolic syndrome spent more medical expenses than those without metabolic syndrome both in man and woman group. The standard regression coefficient was 0.09 (p< 0.001) in man with metabolic syndrome and 0.16 (p< 0.001) in woman. In addition, woman with metabolic syndrome spent more than the third quartile of medical charge. The odds ratios was 1.04 (p= 0.16) for man with metabolic syndrome and 1.18 (p= 0.013) for woman. Conclusion: people with metabolic syndrome spent more medical charge, so it will need to consider policy interventions for preventing the incidence and management of metabolic syndrome in Korean people.

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