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KMID : 0387420190300010031
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Korean Society of Oriental Neuropsychiatry
2019 Volume.30 No. 1 p.31 ~ p.38
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A Study on Medical Expenses of Modern and Korean Medicine for Dementia Patients Under National Health Care
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Lee Jung-Bae
Kang Hyung-Won
Kim Jae-Uk
Kim Ka-Hye
Kim Nam-Kwen
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Abstract
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Objectives: To identify the cost effectiveness of early dementia diagnosis using the 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS).
Methods: The medical costs of dementia between Western medical care and Korean medical care were compared through the reimbursement and non-reimbursement item code for dementia examination. In addition, the medical expenses of patients with dementia and mild cognitive impairment were com-pared and analyzed with respect to Western and Korean medical care.
Results: There were 87,434 claims, of which 16,101 patients were diagnosed with dementia and 38,680,789,560 won was found to be the medical expenses. 12,881 patients (80.0%) with dementia, 3,144 patients (19.5%) with mild cognitive impairment, and 76 patients (0.5%) progressing from mild cognitive impairment to dementia. The proportion of medical expenses was 97.6% for dementia pa-tients, 2.3% for mild cognitive impairment, and 1% for patients progressing from mild cognitive im-pairment to dementia. 86,070 claims (98.4%) were from Western medical care, with16,824 patients (98.2%), and the medical expenses was 38,546,895,400 won (99.7%). 1,361 claims (1.6%) were from Korean medical care, with 303 patients (1.8%), and the medical expenses was 133,894,160 won (0.3%).
Conclusions: This study compared and analyzed the medical costs of dementia patients and the diag-nosis of both Korean and Western medical care. The results of this study are expected to be used as ba-sic research data for investigating cost effectiveness of developing early diagnosis of dementia.
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KEYWORD
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Dementia, Mild cognitive impairment, Early Dementia Diagnosis Technology
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