韩国与疼痛相关的家庭灾难性医疗支出。

IF 3.4 3区医学 Q2 CLINICAL NEUROLOGY

Korean Journal of Pain Pub Date : 2023-07-01 DOI:10.3344/kjp.23041

Sun Mi Shin

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引用次数: 0

摘要

背景:与疼痛和灾难性卫生支出(CHE)相关的数据需要进一步探索。本研究旨在了解疼痛与CHE之间的关系。方法:采用韩国健康调查委员会(Korea Health Panel) 2015-2018年4年数据的横断面分析，确认CHE患病率和按疼痛类型调整的优势比(AOR)。结果:在参与者(n = 46,597)中，疼痛和剧烈疼痛的患病率分别为24.2%和1.1%。急诊室、住院和门诊患者对医疗服务的使用按无痛、疼痛和剧烈疼痛的顺序增加(P < 0.001)。家庭CHE患病率分别为3.3%、11.1%、25.9% (P < 0.001)。疼痛组的AOR为1.5(95%可信区间[CI]， 1.4-1.7)，重度疼痛组的AOR为3.1 (95% CI, 2.5-3.9)。无痛、疼痛和严重疼痛的家庭每年支付能力越来越低(25,094美元vs. 17,965美元vs. 14,056美元，P < 0.001)。此外，从无痛、疼痛和严重疼痛的顺序来看，家庭每年的自付费用越来越高(1,649美元、1,870美元、2,331美元，P < 0.001)。结论:疼痛是贫困发生的机制之一。应该寻求预防和管理疼痛的积极保健政策。

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Household catastrophic health expenditure related to pain in Korea.

Background: The data related to pain and catastrophic health expenditure (CHE) needed to be further explored. This study aims to understand the relationship between pain and CHE.

Methods: Using cross-sectional analysis of 4-year data (2015-2018) from the Korea Health Panel, the prevalence of CHE and adjusted odds ratio (AOR) by pain type were confirmed.

Results: Among participants (n = 46,597), the prevalence of pain and severe pain were 24.2% and 1.1%, respectively. The use of medical services in emergency rooms, hospitalizations, and outpatients increased in the order of pain-free, pain, and severe pain (P < 0.001). Prevalence of household CHE was 3.3% vs. 11.1% vs. 25.9%, (P < 0.001). The AOR of CHE was 1.5 (95% confidence interval [CI], 1.4-1.7) for pain and 3.1 (95% CI, 2.5-3.9) for severe pain. Household capacity to pay per year was lower and lower in the order of pain-free, pain, and severe pain ($25,094 vs. $17,965 vs. $14,056, P < 0.001). Also, the household out-of-pocket expenditure per year was higher and higher in the order of pain-free, pain, and severe pain ($1,649, $1,870, $2,331, P < 0.001).

Conclusions: It can be inferred that pain is one of the mechanisms of poverty. Positivist healthcare policies for the prevention and management of pain should be sought.

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来源期刊

Korean Journal of Pain Medicine-Anesthesiology and Pain Medicine

CiteScore

5.40

自引率

7.10%

发文量

审稿时长

16 weeks

期刊介绍： Korean Journal of Pain (Korean J Pain, KJP) is the official journal of the Korean Pain Society, founded in 1986. It has been published since 1988. It publishes peer reviewed original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. It has been published quarterly in English since 2009 (on the first day of January, April, July, and October). In addition, it has also become the official journal of the International Spinal Pain Society since 2016. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals. The circulation number per issue is 50.