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학술저널
저자정보
김한상 (건강보험심사평가원) 이혜진 (분당서울대학교 병원) 박춘선 (건강보험심사평가원) 김수민 (건강보험심사평가원) 조상아 (건강보험심사평가원) 유승미 (건강보험심사평가원) 김지애 (건강보험심사평가원) 이진용 (서울대학교)
저널정보
연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제62권 제9호
발행연도
2021.9
수록면
850 - 857 (8page)
DOI
10.3349/ymj.2021.62.9.850

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Purpose: During the COVID-19 pandemic, Korea has temporarily expanded coverage of teleconsultation to ensure access to essentialhealth services. As a preliminary study, we investigated service utilization patterns and the characteristics of doctors andpatients involved in these temporary teleconsultation services. Materials and Methods: Using national health insurance claims data from February 23, 2020 to June 30, 2020 from the Health InsuranceReview and Assessment Service, 228269875 cases were identified. Among them, 567390 cases that received teleconsultationservices were included in our study. We performed descriptive analyses according to the types of healthcare institutions. Results: In total, 6193 healthcare institutions provided teleconsultation. Of these, 5466 (88.3%) were clinics. Physicians providingteleconsultations were most likely to be doctors of internal medicine (34.0%) or pediatricians (7.0%) and based in the Seoul Metropolitanarea (30.4%). In terms of patients undergoing teleconsultation, the most common major disease categories treated werecirculatory system diseases (I00?I99). In a detailed analysis, hypertensive diseases (I10?I15) were the most common diagnoses,with a total of 88726 cases (15.6%), followed by diabetes mellitus at 60298 cases (10.6%). The proportion of Medical Aid recipientsreceiving teleconsultations was higher (9.5%) than other socioeconomic groups. Among all participants, 356622 cases (84.6%)were from a return visit, and 108838 cases (19.2%) received teleconsultation services without being prescribed drugs. Conclusion: Temporarily allowed teleconsultation services were provided mostly to the following patients: 1) those scheduled forrevisitation, 2) those with chronic diseases, and 3) those living in pandemic hotspots.

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