의료보장유형이 심부전 입원 환자의 의료서비스 이용에 미친 영향분석: Propensity Score Matching 방법을 사용하여

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dc.contributor.author최소영
dc.contributor.author곽진미
dc.contributor.author강희정
dc.contributor.author이광수
dc.date.accessioned2018-02-27T06:45:02Z
dc.date.available2018-02-27T06:45:02Z
dc.date.issued2016-12-31
dc.identifier.issn1225-4266
dc.identifier.urihttp://repository.kihasa.re.kr/handle/201002/28570
dc.description.abstractBackground: This study aims to analyze the effects of insurance types on the medical service uses for heart failure inpatients using propensity score matching (PSM). Methods: 2014 National inpatient sample based on health insurance claims data was used in the analysis. PSM was applied to con trol factors influencing the service uses except insurance types. Negative binomial regression was used after PSM to analyze factors that had influences on the service uses among inpatients. Subjects were divided by health insurance type, national health insurance (NHI) and medical aid (MA). Total charges and length of stay were used to represent the medical service uses. Covariance variables in PSM consist of sociodemographic characteristics (gender, age, Elixhauser comorbidity index) and hospital characteristics (hospital types, number of beds, location, number of doctors per 50 beds). These variables were also used as independent variables in nega tive binomial regression. Results: After the PSM, length of stay showed statistically significant difference on medical uses between insurance types. Negative binomial regression provided that insurance types, Elixhauser comorbidity index, and number of doctors per 50 beds were signifi cant on the length of stay. Conclusion: This study provided that the service uses, especially length of stay, were differed by insurance types. Health policy mak ers will be required to prepare interventions to narrow the gap of the service uses between NHI and MA.
dc.format.extent9
dc.languagekor
dc.publisher한국보건행정학회
dc.title의료보장유형이 심부전 입원 환자의 의료서비스 이용에 미친 영향분석: Propensity Score Matching 방법을 사용하여
dc.title.alternativeThe Effects of Insurance Types on the Medical Service Uses for Heart Failure Inpatients: Using Propensity Score Matching Analysis
dc.typeArticle
dc.type.localArticle(Academic)
dc.subject.keywordHeart failure
dc.subject.keywordInsurance type
dc.subject.keywordMedical service uses
dc.subject.keywordPropensity score matching
dc.contributor.alternativeNameSoyoung Choi
dc.contributor.alternativeNameJin-Mi Kwak
dc.contributor.alternativeNameHee-Chung Kang
dc.contributor.alternativeNameKwang-Soo Lee
dc.contributor.affiliatedAuthor강희정
dc.identifier.localIdKIHASA-334
dc.citation.title보건행정학회지
dc.citation.volume26
dc.citation.number4
dc.citation.date2016
dc.citation.startPage343
dc.citation.endPage351
dc.identifier.bibliographicCitation보건행정학회지, vol. 26, no. 4, pp. 343 - 351
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