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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 322 - 326 (5page)
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초록· 키워드
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Background: Because primary care is the cornerstone of an effective health care system, many developed countrieshave striven to establish and strengthen their primary care systems. However, the primary care system in South Koreais not well established, and primary care research is still in its infancy. This study aimed to show the benefits ofregular doctors as primary care providers in South Korea by analyzing the effect of regular doctor visits on emergencyroom (ER) visits.
Methods: We analyzed cross-sectional data on 11,293 adults aged 18 years and over collected from the 2013 KoreaHealth Panel Survey (beta version 1.0). We classified those participants with and without regular doctors into thetreatment and control groups, respectively, and estimated the average treatment effect (ATE) of having a regulardoctor on ER visits. We used counterfactual framework and propensity score analysis to adjust for unevenly distributedconfounding covariates between treatments and control groups.
Results: The estimated conditional ATE of a regular doctor on ER visits was statistically insignificant in the generalpopulation (-0.4%; 95% confidence interval [CI], -2.0 to 1.2) and in the subgroup of patients with hypertension(-1.8%; 95% CI, -4.5 to 0.9). However, in patients with diabetes mellitus (DM), the estimated ATE was statisticallysignificant (-5.0; 95% CI, -9.2 to -0.7).
Conclusion: In the total study population, having a regular doctor did not result in a significant difference in ER visits.
However, there was a decrease in ER visits in patients with DM in South Korea.
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참고문헌 (25)
참고문헌 신청
American Academy of Family Physicians / / Primary care
Austin PC / 2011 / A tutorial and case study in propensity score analysis : an application to estimating the effect of in-hospital smoking cessation counseling on mortality
Austin PC / 2014 / The use of propensity score methods with survival or timeto-event outcomes : reporting measures of effect similar to those used in randomized experiments
Blewett LA / 2008 / When a usual source of care and usual provider matter : adult prevention and screening services / J Gen Intern Med 23 : 1354 ~ 1360
Damiano PC / 2006 / Cost of outpatient medical care for children and youth with special health care needs: investigating the impact of the medical home / Pediatrics 118 : e11
Austin PC / 2011 / A tutorial and case study in propensity score analysis : an application to estimating the effect of in-hospital smoking cessation counseling on mortality
Austin PC / 2014 / The use of propensity score methods with survival or timeto-event outcomes : reporting measures of effect similar to those used in randomized experiments
Blewett LA / 2008 / When a usual source of care and usual provider matter : adult prevention and screening services / J Gen Intern Med 23 : 1354 ~ 1360
Damiano PC / 2006 / Cost of outpatient medical care for children and youth with special health care needs: investigating the impact of the medical home / Pediatrics 118 : e11
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