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Chronic obstructive lung disease-related health care utilisation in Korean adults with obstructive lung disease

Authors
 Jung, J. Y.  ;  Kang, Y. A.  ;  Park, M. S.  ;  Oh, Y. M.  ;  Park, E. C.  ;  Kim, H. R.  ;  Lee, S. D.  ;  Kim, S. K.  ;  Chang, J.  ;  Kim, Y. S. 
Citation
 INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, Vol.15(6) : 824-829, 2011 
Journal Title
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE
ISSN
 1027-3719 
Issue Date
2011
MeSH
Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities/utilization* ; Female ; Forced Expiratory Volume ; Health Surveys ; Humans ; Insurance Claim Reporting ; Lung Diseases, Obstructive/therapy ; Male ; Middle Aged ; Multivariate Analysis ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive/diagnosis ; Pulmonary Disease, Chronic Obstructive/epidemiology* ; Pulmonary Disease, Chronic Obstructive/therapy* ; Republic of Korea/epidemiology ; Smoking/epidemiology ; Spirometry ; Surveys and Questionnaires
Keywords
COPD ; Korea ; health care ; utilisation
Abstract
OBJECTIVES: The numbers of nationwide epidemiological surveys about chronic obstructive pulmonary disease (COPD) prevalence and prospective cohort studies for health care utilisation are limited. We investigated COPD-related health care utilisation in adults with obstructive lung disease in the second Korean National Health and Nutritional Survey (KNHANES II) in 2001 using Korean national medical insurance claim data.

METHODS: Among people aged >40 years, obstructive lung disease (OLD) is defined according to Global Initiative for Chronic Obstructive Lung Disease criteria. Data from a total of 1942 subjects were linked with Korean national medical insurance claims data, and we investigated their COPD-related out-patient visits from 2002 to 2005.

RESULTS: Among the 1942 subjects, 256 (13.2%) had airflow obstruction. COPD-related out-patient visits were reported for 8.2% of patients without airway obstruction, 18.1% of those with mild airway obstruction, and 33.9% of those with moderate to very severe airway obstruction. Multivariate analysis revealed that previous COPD diagnosis by a physician (OR 2.54; P = 0.02) and lower socio-economic status (OR 0.45; P = 0.02) were independent predictors of COPD-related out-patient visits in subjects with OLD.

CONCLUSIONS: Of the subjects with airway obstruction, those with poor financial status utilised COPD-related health care services less frequently, and those previously diagnosed as having COPD by a physician utilised the services more frequently.
Full Text
http://www.ingentaconnect.com/content/iuatld/ijtld/2011/00000015/00000006/art00021
DOI
10.5588/ijtld.10.0432
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kang, Young Ae(강영애) ORCID logo https://orcid.org/0000-0002-7783-5271
Kim, Se Kyu(김세규)
Kim, Young Sam(김영삼) ORCID logo https://orcid.org/0000-0001-9656-8482
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Chang, Joon(장준) ORCID logo https://orcid.org/0000-0003-4542-6841
Jung, Ji Ye(정지예) ORCID logo https://orcid.org/0000-0003-1589-4142
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93389
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