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Original Article

환자표본자료를 이용한 간경변증 환자의 의료이용 특성 및 의료비용 분석

원문정보

Analysis of Medical Use and Costs Related to the Management of Liver Cirrhosis Using National Patients Sample Data

김혜린, 박재아, 신지영, 박승후, 이의경

피인용수 : 0(자료제공 : 네이버학술정보)

초록

영어

Background: Liver cirrhosis causes substantial socio-economic burden and is one of the major severe liver diseases in Korea. Nonetheless, there is only a few studies that analyzes disease burden of liver cirrhosis in Korea. Such study must be carried out due to its increasing need from the invention of new drugs for chronic hepatitis and demand for cost-effectiveness analyses. Methods: Patient sample data with ensured representativeness was analyzed retrospectively to compare the medical costs and uses for patients with compensated cirrhosis and decompensated cirrhosis. Patient claims data that include K74 and K703 from the year of 2014 were selected. Within the selected data, decompensated cirrhosis patient was identified if complications such as ascites (R18), encephalopathy (B190), hepatic failure (K72), peritonitis (K65), or esophageal varices (I85) were included, and they were compared to compensated cirrhosis patients. Results: 6,565 patients were included in the analysis. The average cost per patient was 6,471,020 (SD 8,848,899) KRW and 2,173,203 (4,220,942) KRW for decompensated cirrhosis and compensated cirrhosis, respectively. For inpatients, the average hospitalized days was 38.0 (56.4) days and 27.2 (57.2) days for decompensated cirrhosis and compensated cirrhosis, respectively. For outpatients, the average number of visits was 8.7 (9.1) days and 5.3 (7.5) days for compensated cirrhosis and decompensated cirrhosis, respectively. Conclusion: Compared to compensated cirrhosis patients, decompensated cirrhosis patients had higher costs, especially for hospitalization, injection, examination, and drugs administrated within medical institutions.

목차

ABSTRACT
 연구 방법
  대상성 간경변증 및 비대상성 간경변증 환자의 정의
  분석 자료원
  분석 데이터셋 구축과정
  통계분석
 연구 결과
  연구대상자 특성
  의료비용 분석
  의료이용(내원일수) 분석결과
 고찰
 결론
 감사의 글
 참고문헌

저자정보

  • 김혜린 Hye-Lin Kim. 삼육대학교 약학대학
  • 박재아 Jae-A Park. 성균관대학교 약학대학
  • 신지영 JiYoung Sin. 성균관대학교 약학대학
  • 박승후 Seung-Hoo Park. 성균관대학교 약학대학
  • 이의경 Eui-Kyung Lee. 성균관대학교 약학대학

참고문헌

자료제공 : 네이버학술정보

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