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KMID : 0387320170270010047
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Korean Journal of Health Policy and Administration
2017 Volume.27 No. 1 p.47 ~ p.55
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The Effects of the Metabolic Syndrome on the Total Medical Charge
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Kim Ki-Young
Dong Jae-Yong
Han Seung-Yeon
Lee Kwang-Soo
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Abstract
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Background: This study purposed to analyze the effects of metabolic syndrome on the total medical charge of patients.
Methods: 2013 National Health Insurance Service sample research database (eligibility database, medical database, and health ex amination database) was used for this study. Gamma regression was applied to analyze the effects of metabolic syndrome on the total medical charge and logistic regression was used to determine the probability of medical charge which was higher than the third quartile. Sociodemographic characteristics (age and household income), health behavior factors (smoking, drinking, exercise, and body mass index), and disease related factors (family history and metabolic syndrome) were included as the independent vari ables.
Results: people who had metabolic syndrome spent more medical expenses than those without metabolic syndrome both in man and woman group. The standard regression coefficient was 0.09 (p<0.001) in man with metabolic syndrome and 0.16 (p<0.001) in woman. In addition, woman with metabolic syndrome spent more than the third quartile of medical charge. The odds ratios was 1.04 (p=0.16) for man with metabolic syndrome and 1.18 (p=0.013) for woman.
Conclusion: people with metabolic syndrome spent more medical charge, so it will need to consider policy interventions for pre venting the incidence and management of metabolic syndrome in Korean people.
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KEYWORD
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Metabolic syndrome, Medical charge, Korean adults, Gamma regression, Logistic regression
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