Factors Associated with the Utilization of Out-of-Region Medical Institutions for Brain Diseases.

IF 2.8 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Kyeong-O Go, Mi-Ji Kim, Kihwan Hwang, Seong-Hyo Seo, Joo Hyun Sung
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Abstract

Purpose: In South Korea, medical institutions are distributed by region according to the population ratio. However, the utilization rate of out-of-region medical institutions is higher than that of local medical institutions, including among patients with brain diseases requiring surgical intervention. This study aimed to analyze the factors associated with the utilization of out-of-region medical institutions among patients with brain diseases requiring neurosurgical intervention.

Materials and methods: We included data regarding patients with brain disease from the National Health Insurance Service of the Republic of Korea. We analyzed patient-, disease-, and institution-related factors related to the utilization rate of out-of-region medical institutions. Patient-related factors included sex, age, health insurance premiums, impairment status, and underlying disease, while disease- and institution-related factors included treatment method, disease classification, type of medical institution, and region. Statistical analysis was performed using logistic regression.

Results: The utilization rate of out-of-region medical institutions was higher among females, individuals without impairment, individuals with underlying diseases, individuals with high economic status, young patients, and individuals living in non-capital areas. Regarding the disease type, the utilization rate was highest in trauma, followed by tumor, others (infectious, functional brain diseases, etc.), and cerebrovascular disease. For diseases other than cerebrovascular disease, patients requiring surgery had a higher utilization rate compared to those requiring procedures.

Conclusion: These findings provide valuable insights into among-group differences in the utilization of medical institutions. Identifying factors that may influence regional concentration in these medical utilization behaviors can provide clues to identifying and improving problems in the allocation of medical resources.

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利用区外医疗机构治疗脑病的相关因素
目的:在韩国,医疗机构按人口比例按地区分布。然而,区外医疗机构的使用率高于本地医疗机构,包括需要手术干预的脑部疾病患者。本研究旨在分析需要神经外科干预的脑病患者利用区外医疗机构的相关因素。材料和方法:我们纳入了来自大韩民国国民健康保险服务的有关脑病患者的数据。我们分析了与区外医疗机构使用率相关的患者、疾病和机构相关因素。患者相关因素包括性别、年龄、健康保险费、损害状况和基础疾病,疾病和机构相关因素包括治疗方法、疾病分类、医疗机构类型和地区。采用逻辑回归进行统计分析。结果:女性、无损伤个体、有基础疾病个体、经济地位高的个体、年轻患者和非首都地区个体对区外医疗机构的利用率较高。从疾病类型来看,使用率最高的是创伤,其次是肿瘤、其他(感染性、功能性脑疾病等)和脑血管疾病。对于脑血管疾病以外的疾病,需要手术的患者比需要手术的患者有更高的利用率。结论:本研究结果为了解医疗机构利用的群体差异提供了有价值的见解。识别这些医疗利用行为中可能影响区域集中的因素,可以为发现和改进医疗资源配置中的问题提供线索。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Yonsei Medical Journal
Yonsei Medical Journal 医学-医学:内科
CiteScore
4.50
自引率
0.00%
发文量
167
审稿时长
3 months
期刊介绍: The goal of the Yonsei Medical Journal (YMJ) is to publish high quality manuscripts dedicated to clinical or basic research. Any authors affiliated with an accredited biomedical institution may submit manuscripts of original articles, review articles, case reports, brief communications, and letters to the Editor.
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