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논문 상세정보

우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

Estimating the Economic Burden of Osteoporotic Vertebral Fracture among Elderly Korean Women

Abstract

Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

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이 논문을 인용한 문헌 (2)

  1. 정미영, 황경혜, 최의순 2009. "일부 대도시 지역 여성들의 골다공증 인지정도에 관한 연구" 여성건강간호학회지 = Korean journal of women health nursing, 15(4): 362~371 
  2. Ahn, Soon-Ki, Kam, Sin, Chun, Byung-Yeol 2014. "Incidence of and Factors for Self-reported Fragility Fractures Among Middle-aged and Elderly Women in Rural Korea: An 11-Year Follow-up Study" Journal of preventive medicine and public health = 예방의학회지, 47(6): 289~297 

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