지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: The purpose of this study is to examine the magnitude of and the factors associated with the downward mobility of first-episode psychiatric patients.
Methods: This study used the claims data from the Korean Health Insurance Review and Assessment Service. The study population included 19 293 first-episode psychiatric inpatients diagnosed with alcohol use disorder (International Classification of Diseases, 10th revision [ICD-10] code F10), schizophrenia and related disorders (ICD-10 codes F20-F29), and mood disorders (ICD-10 codes F30-F33) in the first half of 2005. This study included only National Health Insurance beneficiaries in 2005. The dependent variable was the occurrence of downward mobility, which was defined as a health insurance status change from National Health Insurance to Medical Aid. Logistic regression analysis was used to assess factors associated with downward drift of first-episode psychiatric patients.
Results: About 10% of the study population who were National Health Insurance beneficiaries in 2005 became Medical Aid recipients in 2007. The logistic regression analysis showed that age, gender, primary diagnosis, type of hospital at first admission, regular use of outpatient clinic, and long-term hospitalization are significant predictors in determining downward drift in newly diagnosed psychiatric patients.
Conclusions: This research showed that the downward mobility of psychiatric patients is affected by long-term hospitalization and medical care utilization. The findings suggest that early intensive intervention might reduce long-term hospitalization and the downward mobility of psychiatric patients.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Whiteford HA / 2013 / Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010 / Lancet 382(9904):1575~1586
Mathers CD / 2006 / Projections of global mortality and burden of disease from 2002 to 2030 / PLoS Med 3(11):e442
Ministry of Health and Welfare / 2011 / The epidemiological survey of mental disorders among Korean adults :12~13
박재현 / 2006 / 우리나라 국민의 정신질환으로 인한 질병부담 추정 / 예방의학회지 39(1):39~45
McGorry PD / 2007 / Early intervention in psychotic disorders: detection and treatment of the first episode and the critical early stages / Med J Aust 187(7 Suppl):S8~S10
Mathers CD / 2006 / Projections of global mortality and burden of disease from 2002 to 2030 / PLoS Med 3(11):e442
Ministry of Health and Welfare / 2011 / The epidemiological survey of mental disorders among Korean adults :12~13
박재현 / 2006 / 우리나라 국민의 정신질환으로 인한 질병부담 추정 / 예방의학회지 39(1):39~45
McGorry PD / 2007 / Early intervention in psychotic disorders: detection and treatment of the first episode and the critical early stages / Med J Aust 187(7 Suppl):S8~S10
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