韩国初级保健医生供应与人口死亡率的关系:综合横断面分析》。

IF 1.4 Q4 PRIMARY HEALTH CARE
Korean Journal of Family Medicine Pub Date : 2024-03-01 Epub Date: 2024-01-30 DOI:10.4082/kjfm.23.0156
Hyeonseok Koh, Soonman Kwon, Belong Cho
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引用次数: 0

摘要

背景:初级保健医生通过提供持续的、以患者为中心的、便捷的医疗保健服务,并与专科医疗机构建立联系,发挥着综合作用。然而,在韩国,初级保健医生的供应与死亡率之间的关系尚未得到深入研究:本研究利用了韩国 229 个郡区在 2016 年至 2020 年期间的数据。每 10 万人中的全科医生、功能性基层诊所医生、全科医疗机构中的专科医生和在职医生的密度是自变量。因变量为每 10 万人中经年龄调整后的全因死亡率和特定病因死亡率。数据分析采用了负二项回归法、伪面板法负二项回归法和地域加权回归法:我们的研究表明,全科医生密度与全因死亡率之间存在明显的负相关。每 10 万人中初级保健医生的增加与全因死亡率降低 0.11% 有显著联系(发病率比为 0.9989;95% 置信区间为 0.9983-0.9995)。心血管疾病、呼吸道疾病和交通事故死亡率之间也存在类似的联系:本研究提供的证据表明,在韩国,初级保健医生人数越多,死亡率越低。未来的研究应考虑更好的指标,以反映初级保健的质量,从而更好地了解其对人口健康结果的影响。这些发现强调了在韩国医疗保健系统中加强初级保健以改善整体健康和福祉的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Primary Care Physician Supply with Population Mortality in South Korea: A Pooled Cross-Sectional Analysis.

Background: Primary care physicians perform a comprehensive role by providing continuous, patient-centered, and accessible healthcare and establishing connections with specialized care. However, the association between the supply of primary care physicians and mortality rates in South Korea has not been thoroughly investigated.

Methods: This study utilized data from 229 si-gun-gu in South Korea from 2016 to 2020. The densities of primary care physicians, physicians in functional primary clinics, specialists in primary care facilities, and active physicians per 100,000 people were independent variables. Age-adjusted all-cause mortality and cause-specific mortality rates per 100,000 individuals were the dependent variables. Negative binomial regression, negative binomial regression with a pseudo-panel approach, and geographically weighted regression were used to analyze the data.

Results: Our study revealed a significant negative association between the density of primary care physicians and all-cause mortality. An increase in a primary care physician per 100,000 population was significantly linked to a 0.11% reduction in all-cause mortality (incidence rate ratio, 0.9989; 95% confidence interval, 0.9983-0.9995). Similar associations have been observed between mortality rates owing to cardiovascular diseases, respiratory tract diseases, and traffic accidents.

Conclusion: This study provides evidence that having a higher number of primary care physicians in South Korea is associated with lower mortality rates. Future research should consider better indicators that reflect the quality of primary care to better understand its impact on population health outcomes. These findings emphasize the significance of strengthening primary care in the South Korean healthcare system to improve the overall health and wellbeing.

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来源期刊
Korean Journal of Family Medicine
Korean Journal of Family Medicine PRIMARY HEALTH CARE-
CiteScore
4.00
自引率
4.30%
发文量
51
审稿时长
53 weeks
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