在韩国,医疗补助覆盖与自我伤害后急诊室利用的关联:一项基于全国注册的全国性研究
Ga In Han1, Sikyoung Jeong1, Insoo Kim1
1Department of Emergency Medicine, Daejeon St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
扩大医疗补助计划的覆盖范围与自我伤害的急诊室 (ED) 访问减少有关. 仔细监测医疗补助使用是减少ED负担和改善公共卫生结果的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 自伤是重大的公共卫生问题,导致急诊室 (ED) 的高利用率和医疗费用.
- 医疗补助系统在为医疗保健费用提供财政支持方面发挥着至关重要的作用.
- 这项研究调查了医疗补助覆盖率和韩国自我伤害ED访问之间的关系.
研究的目的:
- 探索医疗补助覆盖和急诊室自我伤害访问之间的关联.
- 分析医疗补助入学率和对自我伤害访问率 (SHVR) 的支出的影响.
主要方法:
- 利用来自韩国国家ED信息系统 (NEDIS) 的全国ED监控数据.
- 包括14岁以上的患者,因为自我伤害 (包括自我中毒) 提交给ED.
- 计算了每10万人每年的自我伤害访问率 (SHVR),并采用了通用线性模型.
主要成果:
- 医疗补助入学人数增加1%与SHVR下降14%相关.
- 每名入学者增加的医疗补助支出与减少的SHVR有关.
- 每名入学者更高的医疗补助访问量和延长的覆盖日与增加的SHVR有关.
- 医疗补助覆盖和SHVR之间的关联在青少年和年轻人中更为明显.
结论:
- 扩大医疗补助覆盖范围可以通过减少与自我伤害相关的访问来帮助减少ED过度拥挤.
- 仔细监测医疗补助使用模式的变化对于有效的公共卫生干预至关重要.
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