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논문 기본 정보

자료유형
학술저널
저자정보
Kim Claire Junga (Department of Medical Humanities, Dong-A University College of Medicine, Busan, Korea.) Kim Do-Kyong (Department of Medical Humanities, Dong-A University College of Medicine, Busan, Korea.) Mun Sookyeong (Department of Optometry, Eulji University, Seongnam, Korea.) Son Minkook (Department of Physiology, Dong-A University College of Medicine, Busan, Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.39 No.6
발행연도
2024.2
수록면
1 - 7 (7page)
DOI
10.3346/jkms.2024.39.e73

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초록· 키워드

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This study measured the impact of the Decisions on Life-Sustaining Treatment Act by analyzing medical cost data from the National Health Insurance Service-National Sample Cohort. After identifying the patients who died in 2018 and 2019, the case and control groups were set using the presence of codes for managing the implementation of life-sustaining treatment with propensity score matching. Regarding medical costs, the case group had higher medical costs for all periods before death. The subdivided items of medical costs with significant differences were as follows: consultation, admission, injection, laboratory tests, imaging and radiation therapy, nursing hospital bundled payment, and special equipment. This study is the first analysis carried out to measure the impact of the Decision on LifeSustaining Treatment Act through a cost analysis and to refute the common expectation that patients who decided to withhold or withdraw life-sustaining treatment would go through fewer unnecessary tests or treatments.

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