지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Background: This paper describes the relationship and effect of health examination on personal medical cost by identifying the difference of the cost for medical care in physician visit between the population without and with health examination. Methods: After classifying into three cohorts in which, independent variables were designed according to the Andersen's behavioral model, the association of personal medical cost for medical care and prescription drugs which is dependent variable was analyzed by t-test and Mann-Whitney test for description and gamma regression model for inference. Results: In personal average medical cost, the population with health examination paid significantly more than without health examination, 11.6% more in cohort 2008, 26.6% more in cohort 2009, and 48.0% more in combined cohort. The odds ratio on medical expenditure of outpatients with health examination was 1.067, 1.126, 1.398 significantly in cohort 2008, 2009, and combined cohort respectively, comparing to the group without health examination. In independent variables, that is female, the elderly, never married, non-working, non-metropolitan, the higher family income, the smaller family size, people with disability, the people with chronic disease, and people with health examination have significantly being paid more tendency showing positive association with medical cost. Conclusion: This result showed that medical expenditure in physician visit has been increased after taking a health examination. Therefore reasonable limitation of getting preventive medical service is suggested to avoid medical shopping around and reduce being repeated health examination by unifying control to find out easily the clinical results from various medical facilities.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
National Health Insurance Services / 2008 / Annual statistical report on payment of medical service
Tchoe BH / 2004 / Determinants of the national health expenditure: panel study / Korean J Health Policy Admin 14(2):99~116
이견직 / 2002 / 국민의료비 결정요인 및 영향력 분석 / 보건행정학회지 12(3):99~111
Shin YS / 2013 / Health policy and management :495
Cohen JT / 2008 / Does preventive care save money? Health economics and the presidential candidates / N Engl J Med 358(7):661~663
Tchoe BH / 2004 / Determinants of the national health expenditure: panel study / Korean J Health Policy Admin 14(2):99~116
이견직 / 2002 / 국민의료비 결정요인 및 영향력 분석 / 보건행정학회지 12(3):99~111
Shin YS / 2013 / Health policy and management :495
Cohen JT / 2008 / Does preventive care save money? Health economics and the presidential candidates / N Engl J Med 358(7):661~663
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