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KMID : 1138720160420040011
Korean Public Health Research
2016 Volume.42 No. 4 p.11 ~ p.20
Effects of Sleep Disorders on the Outpatient Service Uses
Dong Jae-Yong

Lee Kwang-Soo
Kwak Jin-Mi
Kim Ki-Young
Abstract
Objective: This study purposed to analyze the effects of sleep disorders on the outpatient service uses.

Methods : Data was provided from the Korea Health Panel(KHP) collected by the Korea Institute for Health and Social Affairs(KIHASA) and National Health Insurance Service(NHIS) in 2012. The number of sample is 9,721 people. This study was used Propensity Score Matching(PSM) and Gamma regression and Negative Binominal regression.

Results : First, sleep disorders had significant effects on the total outpatient charges and total outpatient visits. The coefficient was 0.97(95% CL : 0.78 ~ 1.16) and 1.06(95% CL : 0.91 ~ 1.21) in sleep disorders. Second, gender and education level had significant effects on the total outpatient charges. The coefficient was - 0.21(95% CL : -0.40 ~ -0.30) in gender. The coefficient was -0.34(95% CL : -0.60 ~ -0.14) and -0.37(95% CL : -0.61 ~ -0.03) in education level. Third, other variables had not significant effects on total outpatient visits besides sleep disorders.

Conclusion : Sleep disorders have an impact on outpatient medical charges and visits. In addition to, patient with sleep disorders have a lot of socio-economic burden besides medical charges. Health policy markers should be interested in sleep disorders.
KEYWORD
Sleep disorders, Outpatient service uses, Propensity Score Matching
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