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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.  ;  Kim, Y. S.  ;  Chang, J.  ;  Kim, S. K.  ;  Lee, S. D.  ;  Kim, H. R.  ;  Park, E. C.  ;  Oh, Y. M.  ;  Park, M. 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
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.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93389
DOI
10.5588/ijtld.10.0432
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실)
Yonsei Authors
강영애(Kang, Young Ae) ; 김세규(Kim, Se Kyu) ; 김영삼(Kim, Young Sam) ; 박무석(Park, Moo Suk) ; 박은철(Park, Eun Chul) ; 장준(Chang, Joon) ; 정지예(Jung, Ji Ye)
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http://www.ingentaconnect.com/content/iuatld/ijtld/2011/00000015/00000006/art00021
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