Medical expenses and its determinants in female patients with urological disorder.

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES
Sewon Park, Seokmin Ji, Hyunseo Lee, Hangseok Choi, Mankyu Choi, Munjae Lee, Mihajlo Jakovljevic
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Abstract

Background: The rising older adult population has led to an increase in the prevalence of chronic diseases and medical expenses. Women tend to have a longer healthy life expectancy than men and are more likely to be exposed to urological disorders around the age of 50, resulting in substantial healthcare expenses throughout their lifetime. Urological disorders often require continuous treatment owing to their high risk of recurrence, contributing to an increased financial burden from medical costs. This study aimed to identify factors influencing medical expense in female patients with urological disorders and propose strategies to alleviate the associated financial burden.

Methods: We used data from the Korea Health Panel Survey conducted from 2011 to 2016. The final sample comprised 2,932 patients who visited hospitals for urological disorders. To identify the factors influencing medical expense among female patients with urological disorders, we employed a generalized estimating equation model.

Results: The results indicated that younger people and patients with middle-income levels tended to incur higher medical expenses. Furthermore, patients receiving treatment at tertiary hospitals and those enrolled in National Health Insurance also incurred higher health expenses.

Conclusions: This study suggests that effective management of medical expenses related to urological disorders in women requires improvements in healthcare accessibility to facilitate early detection and continuous disease management. In addition, the findings highlight the potential benefits of digital health and non-face-to-face treatments in addressing these needs.

泌尿系统疾病女性患者的医疗费用及其决定因素。
背景:随着老年人口的增加,慢性病的发病率和医疗费用也随之增加。女性的健康预期寿命往往长于男性,而且更有可能在 50 岁左右患上泌尿系统疾病,从而在一生中产生大量医疗费用。泌尿系统疾病由于复发风险高,通常需要持续治疗,从而加重了医疗费用带来的经济负担。本研究旨在找出影响女性泌尿系统疾病患者医疗费用的因素,并提出减轻相关经济负担的策略:我们使用了 2011 年至 2016 年进行的韩国健康面板调查的数据。最终样本包括2932名因泌尿系统疾病到医院就诊的患者。为了确定影响女性泌尿系统疾病患者医疗费用的因素,我们采用了广义估计方程模型:结果表明,年轻人和中等收入水平的患者往往需要花费更多的医疗费用。此外,在三级医院接受治疗的患者和参加国民健康保险的患者的医疗费用也较高:这项研究表明,要有效控制与女性泌尿系统疾病相关的医疗费用,就必须改善医疗服务的可及性,以促进早期发现和持续的疾病管理。此外,研究结果还强调了数字医疗和非面对面治疗在满足这些需求方面的潜在优势。
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来源期刊
Cost Effectiveness and Resource Allocation
Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
4.30%
发文量
59
审稿时长
34 weeks
期刊介绍: Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.
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