Browse > Article
http://dx.doi.org/10.4332/KJHPA.2005.15.3.079

The Empirical Ambulatory Care Sensitive Conditions Study & its Potential Health Insurance Applicability in Korea  

Kim, Yang Yun (College of Business Administration, Kyung Hee University)
Sung, Joo Ho (College of Business Administration, Kyung Hee University)
Publication Information
Health Policy and Management / v.15, no.3, 2005 , pp. 79-93 More about this Journal
Abstract
The purpose of the study is to identify Ambulatory Care Sensitive Conditions (ACSC) and their potential health insurance applicability in Korea, using the correlation and regression analysis with the empirical data provided by Korean Health Insurance Review Agency(KHIRA). Here, ACSC would be thought of as conditions that when timely and effectively treated in the outpatient medical services can help reduce the risk of hospitalizations. As for ACSC, reducing accessibility for outpatient visit results in increasing hospitalization. In this respect, the ACSC concept is popularly adopted as one of the performance indicators of the national health system. As one of main results, fortifying the accessibility to necessary health care in a way of sharing appropriately the role with private health insurance can lead to the efficiency of national health care delivery systems in view of total health care expense, in particular in a case of ACSC children. Lastly, we would like to strongly suggest that the disease treatment data set reported to KHIRA needs to be opened to private insurance companies only for illness experience investigation.
Keywords
Ambulatory Care Sensitive Condition; Health Care Delivery System; Outpatient Medical Service; Correlation & Regression Analysis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Weinick, R. et al., 'Children's health insurance, access to care, and health status: new findings', Health Affairs 17, 1998, pp. 127-136   DOI   ScienceOn
2 Weissman J. et al., ' Potentially avoidable hospitalizations: Inequalities in rates between US socioeconomic groups ', American Journal of Public Health 87, 1997, pp. 811-816   DOI   ScienceOn
3 국민건강보험공단, 2003 건강보험통계연보, 2004
4 김양균. 성주호, USA evidence on the relation between health insurance, outpatient services and impatient services for children ACSC, 보험학회지, 69집, 2004, pp. 133-156
5 Krakauer, H et aI., 'Physician impact on hospital admission and on mortality rates in the Medicare population', Health Services Research 31(2), 1996, pp. 191-211
6 Milhnan M. (Ed.), Access to Health Care in America, Washington D.c.: Institute of Medicine, National Academy Press, 1993
7 Parker J. and Schoendorf K., 'Variation in hospital discharges for ambulatory care sensitive conditions among children', Pediatrics 106(4), 2000, pp. 942-948
8 Folland S. et aI., The Economics of Health and Health Care, 4th ed, New York: Pretice Hall, 2004
9 Feldstein P.J., Health Care Economics, 6th ed, Ohio: South-Western Thomson Learning, 2004
10 Richetts, T. et aI., ' Hospitalization rates as indicators of access to primary care ', Health & Place 7(1), 2001, pp. 27-38   DOI   ScienceOn
11 유승홈, 양재모. 의료총론. 서울: 수문사, 1995
12 Simpson G. et aI., Access to Health Care. Part 1: Children, Washington D.G.: National Center for Health Statistics(Vital Health Stat. 10), 1997
13 State of Victoria, The Victorian Ambulatory Care Sensitive Conditions Study: Preliminary Analyses, Health Outcomes Section, Public Health Division in Australia, 2001
14 오영수. 이경희. 민영건강보험의 언더라이팅 선진화 방안, 보험개발원 보험연구소, 2003
15 Institute of Medicine, America's Children: Health Insurance and Access to Care, Washington D.C.: National Academy Press, 1998
16 통계청 사이트, http://www.nso.go.kr, 2005. 8. 6
17 Billings J. et aI., 'Impact of socioeconomic status on hospital use in New York City', Health Affairs 12(1), 1993, pp. 162-173
18 Feder, J. et al., 'Covering The Low-Income uninsured: The Case for Expanding Public Programs' Health Affairs 20(1), 2001, pp. 27-39   DOI   ScienceOn