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Trends in the Quality of Primary Care and Acute Care in Korea From 2008 to 2020: A Cross-sectional Study.
Gwon, Yeong Geun; Han, Seung Jin; Kim, Kyoung Hoon.
  • Gwon YG; Review and Assessment Research Division, Health Insurance Review & Assessment Service, Wonju, Korea.
  • Han SJ; Primary Care Improvement Division, Health Insurance Review & Assessment Service, Wonju, Korea.
  • Kim KH; International Policy Research Division, Health Insurance Review & Assessment Service, Wonju, Korea.
J Prev Med Public Health ; 56(3): 248-254, 2023 May.
Article in English | MEDLINE | ID: covidwho-20236418
ABSTRACT

OBJECTIVES:

Measuring the quality of care is paramount to inform policies for healthcare services. Nevertheless, little is known about the quality of primary care and acute care provided in Korea. This study investigated trends in the quality of primary care and acute care.

METHODS:

Case-fatality rates and avoidable hospitalization rates were used as performance indicators to assess the quality of primary care and acute care. Admission data for the period 2008 to 2020 were extracted from the National Health Insurance Claims Database. Case-fatality rates and avoidable hospitalization rates were standardized by age and sex to adjust for patients' characteristics over time, and significant changes in the rates were identified by joinpoint regression.

RESULTS:

The average annual percent change in age-/sex-standardized case-fatality rates for acute myocardial infarction was -2.3% (95% confidence interval, -4.6 to 0.0). For hemorrhagic and ischemic stroke, the age-/sex-standardized case-fatality rates were 21.8% and 5.9%, respectively in 2020; these rates decreased since 2008 (27.1 and 8.7%, respectively). The average annual percent change in age-/sex-standardized avoidable hospitalization rates ranged from -9.4% to -3.0%, with statistically significant changes between 2008 and 2020. In 2020, the avoidable hospitalization rates decreased considerably compared with the 2019 rate because of the coronavirus disease 2019 pandemic.

CONCLUSIONS:

The avoidable hospitalization rates and case-fatality rates decreased overall during the past decade, but they were relatively high compared with other countries. Strengthening primary care is an essential requirement to improve patient health outcomes in the rapidly aging Korean population.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: J Prev Med Public Health Journal subject: Public Health Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: J Prev Med Public Health Journal subject: Public Health Year: 2023 Document Type: Article