全罗南道居民儿科患者大都市医疗效用研究

Da-hee Kim
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引用次数: 0

摘要

本研究调查了居住在韩国全罗南道的儿科患者在大都市和非大都市的医疗使用现状。它使用了2016年至2020年的医疗福利统计数据。对抽取的5687例病例进行卡方检验和logistic回归的结果如下:首先,作为全罗南道儿童患者的总体特征,男性比女性多,而且改善的效果更明显。此外,就行政区域而言,“县”的出现频率较高。呼吸系统疾病占主要诊断,肌肉骨骼系统手术占主要诊断。第二,根据被分析对象的特点,大都市与非大都市的医疗使用差异在儿童年龄、治疗效果、行政区域等方面存在显著差异。在出生畸形、畸形和染色体异常方面表现出显著差异。第三,当患者接受手术,严重程度为1分,并且有1000张以上床位时,大城市的医疗使用存在实质性差异。第四,在男性中,顺天市接受手术的人的严重程度为1分,500 ~ 999张病床的使用率在广域市明显高于男性。基于这些结果,认为解决儿科患者医疗利用的区域不平衡,应制定定性政策,而不是增加医疗机构的数量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Study on Medical Utility in Metropolitan of Pediatric Patient in Jeollanam-do Residents
This study investigated the current status of medical use in the metropolitan and non-metropolitan cities of pediatric patients living in Jeollanam-province, South Korea. It used Health care benefit statistics data from 2016 to 2020. The results of chi-squared test and logistic regression on a total of 5,687 extracted cases are as follows. First, as a general characteristic of pediatric patients living in Jeollanam-province, there were more males than females and found more improved results among them. In addition, when it comes to administrative district, the frequency of county was high. Respiratory system diseases were high as the main diagnosis, and musculoskeletal system surgery was high as the main surgery. Second, differences in medical use in the metropolitan and non-metropolitan cities according to the characteristics of the analyzed subjects showed significant differences in children's age, treatment results, and administrative districts. Significant differences were shown in birth deformities, deformations, and chromosome abnormalities. Third, when patients had surgery and the severity was 1 point and there were 1000 beds or more, there were substantial differences in medical use in the metropolitan cities. Fourth, in the case of male, residents Suncheon-city, someone who had surgery, the severity was 1 point, and 500 to 999 beds showed significantly higher in medical use in the metropolitan cities. Based on these results, it is believed that qualitative policies should be established rather than the increase the number of medical institutions to resolve the regional imbalance in the medical use of pediatric patients.
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