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Estimating Nationwide Prevalence of Live Births with Down Syndrome and Their Medical Expenditures in Korea
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Estimating Nationwide Prevalence of Live Births with Down Syndrome and Their Medical Expenditures in Korea

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자료유형
학술저널
저자정보
박건우 (서울대학교) 김남은 (서울대학교) 최은경 (연세대학교) 양현종 (순천향대학교) 원성호 (서울대학교) 이용주 (한림대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.34 No.31 KCI Accredited Journals
발행연도
2019.1
수록면
1 - 12 (12page)

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Estimating Nationwide Prevalence of Live Births with Down Syndrome and Their Medical Expenditures in Korea
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Background: This study aimed to estimate the nationwide prevalence of live births with Down syndrome (DS) and its trends and compare the observed and model-based predicted prevalence rates. Further, we compared the direct medical expenditures among DS and non- DS patients. Methods: Using the health administrative data of Health Insurance Review and Assessment in Korea, we selected 2,301 children with DS who were born between 2007 and 2016 to estimate the prevalence of live births with DS, and 12,265 non-DS children who were born between 2010 and 2014 to compare the direct medical expenditures among patients. Results: The prevalence of live births with DS was 5.03 per 10,000 births in 9 years, and 13% of children with DS were medical aid recipients during the study period. The medical expenditure of children with DS was about 10-fold higher than that of non-DS children and their out-of-pocket expenditure was about twice as high. Conclusion: The prevalence of live birth with DS is high in the low socioeconomic group and the healthcare costs for the children with DS are significantly higher than those for non-DS children. Therefore, health authorities should help mothers at lower socioeconomic levels to receive adequate antenatal care and consider the cost of medical care for children with DS.

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