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KMID : 0371020020350040340
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Journal of Preventive Medicine and Public Health
2002 Volume.35 No. 4 p.340 ~ p.350
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Annual Visit Days, Prescription Days and Medical Expenses of Hypertensive Patients
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Lim Pu-Dol
Kam Sin
Im Jeong-Soo
Park Soon-Woo
Park Jung-Han
Chun Byung-Yeol
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Abstract
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Objectives: To evaluate the annual visit days, the annual prescription days and the medical costs of hypertensive patients.
Methods: The medical insurance records of 40,267 incident patients with the diagnostic code of hypertension from September 1998 through August 1999 in Daegu city were reviewed.
Results: The proportion of the most proper medical care pattern group (Group Ⅷ) who visited for 6-15 days with 240 prescription days or more a year was only 6.2%. The proper care group (Group Ⅸ) who visited for more than 16 days with 240 prescription days or more a year was 9.3%. The overall proper care group (Group Ⅷ+Ⅸ) was therefore 15.5%. The proportion of the insufficient care group (Group Ⅰ, Ⅳ) in both the number of visiting days and prescription days was 57.4%. The mean prescription day of the most proper group (Group Ⅷ) was 29 days; the mean annual medical expenses, 453,587won; the mean annual amount paid by patients, 218,013won; and mean medical expenses per prescription day, 1,483won. The proportion of the overall proper care group (Group Ⅷ+Ⅸ) was significantly higher in adults aged 50-59, those who were enrolled in industrial workers health insurance as well as government employees and private school teachers health insurance, and those who made a higher contribution per month (p<0.01). According to the type of medical facilities, the proportion of the most proper medical care pattern group ws highest in the general hospitals (9.3%) but the overall proper care group was higher in the public health centers (22.1%) and private clinics (17.1%).
Conclusions: The management system of hypertension should be reinforced urgently. Therefore, it is necessary to develop guidelines including the number of visiting days per year and prescription days per visit day, and make the system provide medical facilities to more properly care for hypertensive patients.
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KEYWORD
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Hypertension, Clinic visit, Prescriptions-drug, Direct service costs
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