An Analysis of Effects of Differential Coinsurance Policy and Utilization of Outpatients Care by Types of Medical Institutions / 보건행정학회지
Health Policy and Management
;
: 128-138, 2017.
Artículo
en Coreano
| WPRIM
| ID: wpr-7207
ABSTRACT
BACKGROUND:
The purpose of this study is to analyze the effects of differential coinsurance policy on prescription drug coverage of outpatients by types of medical institutions.METHODS:
In this study, we used a sample cohort database of the National Health Insurance Service and frequency analysis and marginal logistic regression model using generalized estimating equation were used for statistical analysis.RESULTS:
The summary on the major research is followed. First, about 16% of patients who used only tertiary or general hospital due to 52 ambulatory care sensitive conditions before policy implementation moved to hospitals and clinics. However, about 57% of them still use tertiary or general hospital. Second, the factors influencing the utilization of hospitals and clinics after the implementation of the policy were gender, age, and income level. As a result, the policy is effective to reduce the medical use of outpatient mental patients in tertiary or general hospital, but the effect is not significant.CONCLUSION:
Therefore, in order to achieve the purpose of the policy for establishing the health care delivery system, it is necessary to adjust the co-payment so as to feel the burden on the co-payment when the outpatient for 52 ambulatory care sensitive conditions is used at the tertiary or general hospital.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pacientes Ambulatorios
/
Modelos Logísticos
/
Estudios de Cohortes
/
Enfermos Mentales
/
Deducibles y Coseguros
/
Atención a la Salud
/
Prescripciones
/
Atención Ambulatoria
/
Hospitales Generales
/
Programas Nacionales de Salud
Tipo de estudio:
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
Health Policy and Management
Año:
2017
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS