[논문]코로나19 유행 시기 의료이용의 변화

오정윤; 조수진; 최지숙

doi:10.4332/kjhpa.2021.31.4.508

코로나19 유행 시기 의료이용의 변화
Changes in Health Care Utilization during the COVID-19 Pandemic 원문보기

Health policy and management = 보건행정학회지, v.31 no.4, 2021년, pp.508 - 517

오정윤 (건건강보험심사평가원 의료체계개선실) , 조수진 (건건강보험심사평가원 의료체계개선실) , 최지숙 (건건강보험심사평가원 의료체계개선실)

Abstract ▼ AI-Helper

Background: After the first case of coronavirus disease 2019 (COVID-19) in January 2020, Korea has experienced three waves in 2020. This study aimed to analyze changes in health care utilization according to the period of the 1st to 3rd waves of the COVID-19 pandemic. Methods: We analyzed 3,354,469,401 national health insurance claims from 59,104 medical facilities between 2017 and 2020. Observed-to-expected ratios (O:E ratio) with data from 2017 to 2019 as expected values and data from 2020 as observed values were obtained to analyze changes in medical utilization. T-test was used to test whether the difference of observed and expected values was statistically significant. Results: In 2020, the O:E ratio was 0.894, indicating a decrease in health care utilization overall during the pandemic. The O:E ratio of the 1st wave was 0.832, which was lower than those of the second (0.886) and third (0.873) waves. Health care utilization decreased relatively more among outpatient, women, children and adolescents, and health insurance patients. And health care utilization decreased more in small medical facilities and in Daegu and Gyeongbuk during the first wave. During the pandemic, the O:E ratios of respiratory diseases were 0.486-0.694, while chronic diseases and mental diseases were more than 1.0. Conclusion: Health care utilization decreased during the COVID-19 pandemic overall, and there were differences by COVID-19 waves, and by the characteristics of patients and medical facilities. It is necessary to understand the cause of changes in health care utilization in order to cope with the prolonged COVID-19 pandemic.

주제어

표/그림 (6)

표 Table 1. The observed to expected ratios according to patient characteristics during the coronavirus disease 2019 pandemic510
그림 Figure 1. Trend of medical utilization according to patient characteristics during the coronavirus disease 2019 (COVID-19) pandemic. (A) Total. (B) Inpatient/outpatient. (C) Classification of treatment. (D) Sex. (E) Age (yr). (F) Insurance type.
표 Table 2. The observed to expected ratios according to characteristics of medical facilities during the coronavirus disease 2019 pandemic
그림 Figure 2. Trend of medical utilization according to characteristics of medical facilities during the coronavirus disease 2019 (COVID-19) pandemic. (A) Classification of hospital. (B) Region.
그림 Figure 3. Trend of medical utilization of respiratory, chronic, and mental diseases during the coronavirus disease 2019 (COVID-19) pandemic.
표 Table 3. The observed to expected ratios of respiratory, chronic, and mental diseases during the coronavirus disease 2019 pandemic

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표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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