Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Trend Analysis of Medical Care Utilization among People with Autistic Spectrum Disorder Using National Health Insurance Data

자폐성장애인의 의료이용 경향분석 및 시사점 : 국민건강보험자료를 이용한 융복합적 접근

  • Yun, Jieun (Department of Pharmaceutical Engineering, Cheongju University) ;
  • Kim, Hyun Joo (Department of Nursing Science, Shinsung University)
  • 윤지은 (청주대학교 이공대학 제약공학과) ;
  • 김현주 (신성대학교 간호학과)
  • Received : 2018.09.28
  • Accepted : 2018.11.20
  • Published : 2018.11.28
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Abstract

The purpose of this study was to estimate the current status and trends of healthcare utilization among people with ASD. Using National Health Insurance open database, from 2010 to 2017. We analyzed the treatment prevalence for people with ASD, the pattern of healthcare utilization, the difference in medical care utilization according to age, and the type and location of main medical institutions. The main results of the study are as follows: First, the medical utilization has been continuously increasing from 2010 to 2017. The total amount of medical utilization is increased by 50% in 2017 compared to 2010, and the treatment prevalence was estimated to be 79.1% in 2017 and medical uses for the next three years is also increasing. Second, the pattern of medical care utilization varied widely according to age, especially after 20 years of age. Third, the types of medical institutions that were mainly used were 45.6% in the medical clinic and 35.9% in Seoul. The results of this study can be used as a minimum reference point of evaluating the effectiveness of government policy on future autistic disorders. However, further studies are required to increase the prevalence of treatment for autistic patients and to find out the difference in medical use according to age.

자폐성장애는 의학적인 조기 진단과 치료가 중요하고, 성인기에도 정기적으로 의학적 상태를 점검하는 것이 필요하다. 이 연구는 자폐성장애인에 대한 융복합적 접근을 위해 국민건강보험자료를 이용하여 자폐성장애인의 의료이용 경향과 추이 분석 및 시사점을 도출을 목적으로 하였다. 보건의료빅데이터개방시스템을 이용하여 2010년부터 2017년까지 자폐성장애인의 치료유병률, 의료이용 양상, 연령 구간에 따른 의료이용의 차이, 주 이용 의료기관 유형 및 소재지를 분석하였다. 연구결과 첫째, 자폐성 장애인의 2017년의 의료이용량은 2010년에 비해 50%이상 증가하였고 치료유병률은 79.1%로 추정되었으며, 향후 3년간 의료이용을 예측한 결과 지속적으로 증가하는 것으로 나타났다. 둘째, 자폐성 장애인의 의료이용은 연령구간에 따른 편차가 컸으며 특히 20세 이후에 의료이용량이 급감하였다. 셋째, 주로 이용하는 의료기관 유형은 의원급(45.6%)이었으며 서울(35.9%) 소재 의료기관을 주로 이용하는 것으로 나타났다. 이번 연구결과는 향후 정부의 자폐성장애관련 정책의 실효성 평가에 최소 기준점으로 활용할 수 있을 것이다. 그러나 자폐성 장애인의 치료유병률 향상 방안 및 연령별 의료이용량 차이의 원인 등에 대해 추가적인 연구가 필요하다.

Keywords

DJTJBT_2018_v16n11_411_f0001.png 이미지

Fig. 1. Trends and predictions in Medical Utilization of Autism Spectrum Disorders (p<0.05)

DJTJBT_2018_v16n11_411_f0002.png 이미지

Fig. 2. Trend of Autism Spectrum Disorder by Gender and Age (2017)

Table 1. Operational definitions of autism spectrum disorder using ICD-10 code

DJTJBT_2018_v16n11_411_t0001.png 이미지

Table 2. Medical Utilization Change of Autism Spectrum Disorder

DJTJBT_2018_v16n11_411_t0002.png 이미지

Table 3. Medical utilization pattern of autistic spectrum disorders by gender, age group

DJTJBT_2018_v16n11_411_t0003.png 이미지

Table 4. Medical uses status of Autism Spectrum Disorder according to type of medical institution.

DJTJBT_2018_v16n11_411_t0004.png 이미지

Table 5. Autism Spectrum Disorder by Medical Institution Location

DJTJBT_2018_v16n11_411_t0005.png 이미지

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