대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제21권1호
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  • Pages.24-31
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  • 2023
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  • 1738-1320(pISSN)
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  • 2508-6332(eISSN)
대한임상독성학회 (Korean society of Clincal Toxicology)
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중독환자의 의료비 현황 및 변화추세

Status and trends of medical expenditures for poisoning patients

  • 김응남 (연세대학교 의과대학 응급의학교실) ;
  • 전소영 (연세대학교 의과대학 연구부 통계지원팀) ;
  • 이혜선 (연세대학교 의과대학 연구부 통계지원팀) ;
  • 정성필 (연세대학교 의과대학 응급의학교실)
  • Eung Nam Kim (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Soyoung Jeon (Biostatistics Collaboration Unit, Medical Research Center, Yonsei University College of Medicine) ;
  • Hye Sun Lee (Biostatistics Collaboration Unit, Medical Research Center, Yonsei University College of Medicine) ;
  • Sung Phil Chung (Department of Emergency Medicine, Yonsei University College of Medicine)
  • 투고 : 2023.01.05
  • 심사 : 2023.05.12
  • 발행 : 2023.06.30
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초록

Purpose: The purpose of this study was to estimate the medical expenditures for poisoning patients in Korea using data from National Health Insurance and the Korea Health Panel Survey. Methods: The operational definition of poisoning was the presence of Korean Standard Classification of Diseases codes from T36 to T65. The number of poisoning patients, the amount of legal copayments, and benefit and non-benefit costs were extracted from both databases. The frequency of emergency, inpatient, and outpatient treatment utilization by poisoning patients was determined, and medical expenses were calculated. Linear regression analyses were performed to investigate factors affecting the medical expenses of poisoning patients. Results: The number of poisoning patients increased from 97,965 in 2011 to 147,984 persons in 2020. Medical expenses also increased by 74% from Korean won (KRW) 30.1 billion to KRW 52.3 billion, and benefit costs also increased by 79%. The average outpatient cost per person was KRW 67,660, and the inpatient cost was KRW 1,485,103. The average non-benefit medical expenses were KRW 80,298, accounting for about 16.2% of the total expenses. Multivariable analysis showed that the total expenditure was associated with economic status and disabilities. Conclusion: The average medical expenditure per poisoning patient was KRW 534,302 in 2020, and poisoning-related costs gradually increased during the study period. Further research on the economic burden of poisoning should include indirect costs and reflect disease-adjusted life years.

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참고문헌

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