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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
김선제 (국민건강보험공단 건강보험연구원) 황지영 (경희대학교) 선정연 (가톨릭대학교)
저널정보
한국보건정보통계학회 보건정보통계학회지 보건정보통계학회지 제45권 제3호
발행연도
2020.1
수록면
302 - 310 (9page)

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Objectives: Korea is struggling to join in the global trend toward strengthening the role of primary care in the healthcare system. Based on healthcare data collected from Organization for Economic Co-operation and Development (OECD), a plan for quality improvement in primary care is proposed through an analysis of the relationship between the supply of and accessibility to health resources and its impact on primary care quality. Methods: Based on the OECD healthcare data (2008-2017), Two-factors Fixed Effect Panel analysis was performed. Save for countries having insufficient variables, 16 out of 37 OECD countries were subjected to the analysis. The resulting variables were asthma, chronic obstructive pulmonary disease, congestive heart failure, diabetes and hypertension hospital admission rates, and five models were set for each disease. Life expectancy and alcohol consumption were used as variables for correction, and the number of general practitioners, the publicly-owned hospital rates, the number of consultations, and the number of discharges were set as major variables to identify the effect on the healthcare system. Additionally, current health expenses were used as explanatory variables. Results: Statistical significance between the number of general practitioners, the number of consultations, and the number of discharges and hospital admission rates for chronic disease was found. One person/1,000 population increase in the number of general practitioners was associated with 24.96 cases/100,000 population decrease in the asthma hospital admission rates (p= 0.006). One visit/person increase in the number of consultations was associated with decrease in the hospital admission rates for asthma (3.75 cases/100,000 population, p= 0.003), diabetes (18.51 cases/100,000 population, p= 0.003) and hypertension (16.82 cases/100,000 population, p= 0.003). One case/1,000 population in the number of discharges was associated with increase in the hospital admission rates for asthma (0.41 cases/100,000 population, p< 0.001), diabetes (1.44 cases/100,000 population, p= 0.002), and hypertension (1.14 cases/100,000 population, p= 0.006). Conclusions: To improve primary care quality in Korea, it is necessary to secure sufficient medical specialists through the establishment of community-oriented health service system, weaken access to inpatient services, and integrate the fragmented system for outpatient care.
#Organization for Economic Co-operation and Development #Primary health care #Quality of health care #Chronic disease

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참고문헌 (36)

참고문헌 신청
World Health Organization / Global status report on noncommunicable diseases 2010 google schola World Health Organization / Global action plan for the prevention and control of noncommunicable diseases 2013-2020 google schola Korea Centers for Disease Control and Prevention / 2019 / 2019 Current status and issue of chronic disease google schola World Health Organization / Adherence to long-term therapies; Evidence for action google schola Macinko J / 2003 / The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998 / Health Serv Res 38(3):831~865 Crossref

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