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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.25 No.4
발행연도
2010.1
수록면
326 - 339 (14page)

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Background: Although osteoporosis is increasing in the elderly population, attempts to analyze the patterns of medical service utilization for osteoporosis are currently not sufficient. The medical services and treatment patterns were investigated using Korea’s National Health Insurance claims data, which includes all of the Korean population. Methods: Through the patient identification algorithm developed by using the administrative claims data in 2007, the adult patients (between 50-100 years) with osteoporosis were identified. The age and gender of the patients who used medical service for osteoporosis were described, in relation with six dichotomous variables. The medical service use patterns such as the type of medical institution and conducting bone mineral density measurement were investigated. Results: The number of patients who used medical service were 1,230,580 (females 89.9%). Sixty one point six percent of the patients were prescribed osteoporosis medicine (indicated for osteoporosis only), and 12.9% of the patients had experienced osteoporotic fracture. The primary medical institutions for treatment were clinics (54.3%), while hospitals were mainly used among the patients with a history of fracture and disease or drug use that may induce secondary osteoporosis. The number of visited medical institutions was 6.4 (as an outpatient) and 0.2 (as admissions) during 6 months. The proportion of patients who conducted bone mineral density measurements within one year before and after the diagnosis of osteoporosis was 66.7% and DXA was the most frequently used densitometry (46.3%). The average number of days for the prescriptions for osteoporosis medicine was 70 days. Conclusion: In order to prevent further osteoporotic fractures, appropriate management and treatment should be implemented for osteoporosis patients. To do this, we need to understand the current state of medical service utilization and the treatment of osteoporosis using the National Health Insurance claims data.
#Osteoporosis #National Health Insurance Claims Data #Medical service utilization

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참고문헌 (25)

참고문헌 신청
World Health Organization / 1994 / WHO Technical Report Series, 843 google schola Korea Centers for Disease Control and Prevention / Korean National Health and Nutrition Examination Survey in 2008 results presentation google schola Lim S / 2008 / Incidence of hip fractures in Korea / J Bone Miner Metab 26:400~405 google schola Shin CS / 2007 / Study of an osteoporosis management program in Korea. Unpublished manuscript / Seoul National University google schola Rowe SM / 1993 / An epidemiological study of hip fracture in Honam,Korea / Int Orthop 17:139~143 google schola

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