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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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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
- 2019.1
- 수록면
- 976 - 983 (8page)
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초록· 키워드
오류제보하기
Purpose: The objective of this study was to investigate whether financial coverage by the national insurance system for patientswith lower economic conditions can improve their 1-year mortality after intensive care unit (ICU) discharge. Materials and Methods: This study, conducted in a single tertiary hospital, used a retrospective cohort design to investigate dischargedICU survivors between January 2012 and December 2016. ICU survivors were classified into two groups according to theNational Health Insurance (NHI) system in Korea: medical aid program (MAP) group, including people who have difficulty payingtheir insurance premium or receive medical aid from the government due to a poor economic status; and NHI group consistingof people who receive government subsidy for approximately 2/3 of their medical expenses. Results: After propensity score (PS) matching, a total of 2495 ICU survivors (1859 in NHI group and 636 in MAP group) were includedin the analysis. Stratified Cox regression analysis of PS-matched cohorts showed that 1-year mortality was 1.31-fold higherin MAP group than in NHI group (hazard ratio: 1.31, 95% confidence interval, 1.06 to 1.61; p=0.012). According to Kaplan-Meirestimation, MAP group also showed significantly poorer survival probability than NHI group after PS matching (p=0.011). Conclusion: This study showed that 1-year mortality was higher in ICU survivors with low economic status, even if financial coveragewas provided by the government. Our result suggests the necessity of a more nuanced and multifaceted approach to policyfor ICU survivors with low economic status.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Brinkman S / 2013 / Mortality after hospital discharge in ICU patients / Crit Care Med 41:1229~1236
Goldhill DR / 1998 / Outcome of intensive care patients in a group of British intensive care units / Crit Care Med 26:1337~1345
Moreno R / 1997 / Outcome prediction in intensive care : results of a prospective, multicentre, Portuguese study / Intensive Care Med 23:177~186
Winters BD / 2010 / Long-term mortality and quality of life in sepsis : a systematic review / Crit Care Med 38:1276~1283
Sukantarat KT / 2007 / Psychological assessment of ICU survivors : a comparison between the Hospital Anxiety and Depression scale and the Depression, Anxiety and Stress scale / Anaesthesia 62:239~243
Goldhill DR / 1998 / Outcome of intensive care patients in a group of British intensive care units / Crit Care Med 26:1337~1345
Moreno R / 1997 / Outcome prediction in intensive care : results of a prospective, multicentre, Portuguese study / Intensive Care Med 23:177~186
Winters BD / 2010 / Long-term mortality and quality of life in sepsis : a systematic review / Crit Care Med 38:1276~1283
Sukantarat KT / 2007 / Psychological assessment of ICU survivors : a comparison between the Hospital Anxiety and Depression scale and the Depression, Anxiety and Stress scale / Anaesthesia 62:239~243
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