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.
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Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.
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참고문헌 (42)
참고문헌 신청
Babazono A / 2003 / Effects of an increase in patient copayments on medical service demands of the insured in Japan / Int J Technol Assess Health Care 19(3):465~475
Bae EY / 2005 / The effect of co-payment on the prescription drugs / Health Econ Policy Res 11(2):65~84
Beck RG / 1980 / Utilization of publicly insured health services in Saskatchewan before, during and after copayment / Med Care 18(8):787~806
Cherkin DC / 1989 / The effect of office visit copayments on utilization in a health maintenance organization / Med Care 27(11):1036~1045
Chiappori PA / 1998 / Moral hazard and the demand for physician services: first lessons from a French natural experiment / Eur Econ Rev 42(3-5):499~511
Bae EY / 2005 / The effect of co-payment on the prescription drugs / Health Econ Policy Res 11(2):65~84
Beck RG / 1980 / Utilization of publicly insured health services in Saskatchewan before, during and after copayment / Med Care 18(8):787~806
Cherkin DC / 1989 / The effect of office visit copayments on utilization in a health maintenance organization / Med Care 27(11):1036~1045
Chiappori PA / 1998 / Moral hazard and the demand for physician services: first lessons from a French natural experiment / Eur Econ Rev 42(3-5):499~511
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