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상용치료원 보유 여부가 고혈압 환자의 외래이용횟수 및 외래의료비에 미치는 영향

Other Titles
 Influence of Usual Source of Care on Outpatient Visit and Expense of Hypertension Patients 
 윤효정  ;  최재우  ;  이상아  ;  박은철 
 Korean Journal of Hospital Management (병원경영학회지), Vol.22(1) : 1-9, 2017 
Journal Title
 Korean Journal of Hospital Management (병원경영학회지) 
Issue Date
상용의료원 ; 외래이용횟수 ; 외래의료비 본인부담금
Purpose : Many studies showed that having a usual source of care improved the efficient access of healthcare service. However in Korea there have been few studies on the usual source of care. So this study aims to find whether having a usual source of care affect the medical utilization and expense. Methodology/Approach : We used the Korean Health Panel data in 2012, 2013 to examine the change of utilization and expenses in ambulatory care affected by having a usual source of care. We selected 1,215 hypertension patients without usual source of care in 2012 and performed linear regression analysis to identify the difference between treatment group(with usual source of care in 2013) and control group(without usual source of care in 2013). Then we performed analysis again separated by the age group. Findings : Among study population, 711(58.5%) reported that they have a usual source of care in 2013. Treatment group reported 1.85 less increase in outpatient visits and 69,234 won less increase in expense than control group with weak significance(visit β -1.85 p-value 0.0807, expense β -69,234 p-value 0.0541). People under the age of 65 showed significant change in outpatient visits for tertiary hospital (visit β -0.78 p-value 0.0154, expense β -91,462 p-value 0.0168). The analysis which focused outpatient for mild disease showed similar trend. Practical Implications : This study supports the positive effect of having usual source of care which decrease inefficient outpatient utilization. Promoting physician-patient relationships is important for efficiency of healthcare service.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
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