학술논문
건강보험빅데이터의 고혈압 입원율 분석을 통한 장애인의 의료접근성 실증 분석
Empirical Analysis of Medical Accessibility for People with Disabilities using Health Insurance Big Data
Empirical Analysis of Medical Accessibility for People with Disabilities using Health Insurance Big Data
Document Type
Article
Author
전희원 / Huiwon Jeon; 홍민정 / Minjung Hong; 정재연 / Jaeyeon Jeong; 김예순 / Yesoon Kim; 이창우 / Changwoo Lee; 이해종 / Haejong Lee; 신의철 / Eulchul Shin
Source
한국병원경영학회지 / KOREAN JOURNAL OF HOSPITAL MANAGEMENT. Mar 31, 2022 27(1):1
Subject
Language
Korean
ISSN
1226-6299
Abstract
Background: This study aims to empirically compare and evaluate the current status of medical accessibility and health inequality between people with disabilities and without. We calculated the ACSC hospitalization rate, which is a medical accessibility index, for hypertension, a major risk factor for cardiovascular disease that accounts for more than 20% of deaths among people with disabilities using the 2016 National Health Insurance Big Data. Methods: The subjects of the study were a total of 601,520, including 64,018 people with disabilities and 537,501 people without. Logistic regression was performed to analyze the differences in hypertension hospitalization rates adjusted for demographic and sociological characteristics and disease characteristics using SAS 9.4 program. Results: Before adjusting for the characteristics, the hypertension hospitalization rate of people with disabilities was 1.55%, and the people without disabilities were 0.49%. After adjusting, it was found that people with disabilities were 2.11 times higher than people without disabilities, and it was statistically significant. Conclusion: The preventable hospitalization rate of people with disabilities is higher than that of people without, suggesting that the disabled have problems with access to medical care and health inequality. Therefore, the government's policy improvement is required to close the medical gap for the disabled.