地域醫療保險資料를 利用한 醫療利用 分析 = An Analysis on the Medical Utility Based on the Regional Medical Insurance Data

다국어 초록 (Multilingual Abstract)

So for with Mokpo city and Boeun county which were demonstrative areas of regional medical insurance and through the utilized data of Okchon county which was performed with the national converage of regional medical insurance, the analysis between variables was conducted.
Independent variables; demographic characteristics of the insured people
Dependent variables; reality of medical utility and medical cost.
The results of analysis are as follows:
1. The utility rate by medical institute was significant between city(Mokpo) and county(Boeun and Okchon). In case of Mokpo city, the rate which clinic level or more were occupied was more than 99%, but medical utility of health facilities was only 0.1%, while in case of county area, the utility rate of clinic or more were as follows:
Boeun county: about 38%, Okchon county: about 61%
Utility rates of health facilities were as folows:
Boeun county : 23%, Okchon county: 38%
As above, the difference of utility rate by medical institute among city and county areas were correlated with the present distribution of medical institute of the corresponding area.
2. When the increasing factor of medical cost was shown as contribution rate, the increase of medical prices by increase was occupied by more weight than the increase of medical prices.
3. In the comparison of treatment rate by age group, the one of 0-4 age group was the highest among all age groups.
4. In the monthly numbers of out-patient utility by region, Okchon county was, the highest(3.77 times per 100 persons). It is because the coverage of medical insurance was performed most recently and the approach of medical utility became more easily.
5. In comparison of treatment days or medical care cost by treatment type, medical facilities, visiting days per case of clinical level was 2.3 days, which was the highest among all medical facilities. When medical care cost per case of clinic was regarded as 1, general hospital was 1.8, hospital was 1.4 and its cost of health facilities was only 0.3. On the other hand, in case of inpatients, hospitalization days per case of hospital level or more was 7-8 days, clinic was 5.6 days and health facilities were 1.4 days. As shown above, the bigger the scale of medical institute was the more the hospitalization days per case or the hospital fee per age were.
6. In comparison of treatment days per case or medical cost per case by age group, age groups which have the most treatment days or the most medical cost per case was almost included in 20-64 age group. In Korea, so far, the weight of medical cost of senile population above 65 years old is not so serious.