Browse > Article
http://dx.doi.org/10.7231/jon.2019.30.1.031

A Study on Medical Expenses of Modern and Korean Medicine for Dementia Patients Under National Health Care  

Lee, Jung Bae (School of Korean Medicine, Pusan National University)
Kang, Hyung Won (Department of Korean Neuropsychiatry Medicine & Inam Neuroscience Research Center, Wonkwang University Sanbon Hospital)
Kim, Jaeuk (Korea Institute of Oriental Medicine)
Kim, Gahye (Korea Institute of Oriental Medicine)
Kim, Nam-Kwen (Center for Comparative Effectiveness Research & Economic Evaluation in Korean Medicine, Pusan National University)
Publication Information
Journal of Oriental Neuropsychiatry / v.30, no.1, 2019 , pp. 31-38 More about this Journal
Abstract
Objectives: To identify the cost effectiveness of early dementia diagnosis using the 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS). Methods: The medical costs of dementia between Western medical care and Korean medical care were compared through the reimbursement and non-reimbursement item code for dementia examination. In addition, the medical expenses of patients with dementia and mild cognitive impairment were compared and analyzed with respect to Western and Korean medical care. Results: There were 87,434 claims, of which 16,101 patients were diagnosed with dementia and 38,680,789,560 won was found to be the medical expenses. 12,881 patients (80.0%) with dementia, 3,144 patients (19.5%) with mild cognitive impairment, and 76 patients (0.5%) progressing from mild cognitive impairment to dementia. The proportion of medical expenses was 97.6% for dementia patients, 2.3% for mild cognitive impairment, and 1% for patients progressing from mild cognitive impairment to dementia. 86,070 claims (98.4%) were from Western medical care, with16,824 patients (98.2%), and the medical expenses was 38,546,895,400 won (99.7%). 1,361 claims (1.6%) were from Korean medical care, with 303 patients (1.8%), and the medical expenses was 133,894,160 won (0.3%). Conclusions: This study compared and analyzed the medical costs of dementia patients and the diagnosis of both Korean and Western medical care. The results of this study are expected to be used as basic research data for investigating cost effectiveness of developing early diagnosis of dementia.
Keywords
Dementia; Mild cognitive impairment; Early Dementia Diagnosis Technology;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Ko SK et al. The Social Burden and Care Management for People with Dementia. Korea institute for Health and Social Affairs. 2016.
2 Lautenschlager NT, Almeida OP. Physical activity and cognition in old age. Current Opinions in Psychiatry. 2006;19(2):190-3.   DOI
3 Jorm AF. Is depression a risk factor for dementia or cognitive decline? A review. Gerontology. 2000;46:219-27.   DOI
4 Statistics korea. Population Projections for Korea : 2010-2060. 2012.
5 Seoul National University Hospital. Nationwide study on the prevalence of dementia in Korean elders. Seoul: Ministry for Health, Welfare and Family Affairs; 2008.
6 National Institute of Dementia, Korean Dementia Observatory 2016. 2016.
7 Park CJ, Kang WM. Estimating the Economic Costs of Informal Caring for the Demented Elderly. Journal of the Korea Gerontological Society. 2002;22(3):67-83.
8 Hong CM. A study on dementia and mild cognitive impairment. The Korea Contents Society. 2012;6:25-30.
9 Korean Dementia Association. Dementia A Chlinical Approach. 2nd ed. Anyang:academya. 2011:50-5.
10 Kim et al. Gender differences in risk factors for transition from mild cognitive impairment to Alzheimer's disease: A CREDOS study. Comprehensive Psychiatry. 2015;62:114-22.   DOI
11 Petersen RC, Stevens JC, Ganguli M, Tangalos EG, Cummings JL, DeKosky ST. Practice parameter: Early detection of dementia: Mild cognitive impairment (an evidence-based review). Neurology. 2001;56:1133-42.   DOI
12 Park HS, Uhm TW, Kim NK. A Study on the facial palsy patients' use of Western-Korean collaborative treatment: Using Health Insurance Review & Assessment Service-National Patients Sample. Journal of the Korean Data & Information Science Society. 2017;28(1):75-86.   DOI
13 Korean Medical Association. Health Care Medical Care Costs. 2017.
14 Kim Y, Shin S, Park J, Jung YJ, Kim J, Lee TJ, Bae EY, Song HJ. Costing methods in Healthcare. National Evidence-based healthcare Collaboration Agency. 2013.
15 Statistics korea. Prevalence and cure rate of doctors diagnosis of chronic diseases of elderly people over 65 years old, 2014.
16 Statistics korea, The multi frequency private st class pay present condition by elderly disease sub-category over the age of 65. 2014.
17 Min SK. Modern PSYCHIATRY. 6th ed. Seoul:Ilchokak. 2016:229
18 Yoo CU, Lee HJ, Yang YA. Common Diseases in the Elderly -Data from Korea National Statistical Office-, Korean Aging Friendly Industry Association, 2013;10(1):39-45.
19 Kim MK, Seo KH. A Comparative Study on the National Dementia Policy, Institute of Public Policy & Administration, 2017;31(1):233-60.
20 Cho H, Ko Zk. Current State of Senile Dementia and Improvement of the Long Term Care Insurance for Elderly People. Korea Academy Industrial Cooperation Society. 2012;12:5816-25.   DOI