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KMID : 1170320190250030055
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Korean Journal of Health Economics and Policy
2019 Volume.25 No. 3 p.55 ~ p.70
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Factors affecting out-of-hospital cardiogenic cardiac arrest mortality between patients with National Health Insurance and Medical Aid program
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Koo Su-Jin
Ahn Jeong-Hoon
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Abstract
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The objective of this research is to suggest an effective policy direction on off-hospital cardiac arrest by analyzing the mortality difference between Medical Aid (MA) population and National Health Insurance (NHI) population under off-hospital cardiac arrest. The data set used in this research is from the Korean Centers for Disease Control Cardiac Arrest Survey raw data from 2012 to 2016. The whole data set has 142,905 patients who underwent off-hospital cardiac arrest in those period but we used 11,225 patients for analysis since they do not have any missing value in major variables such as cardiography. MA patients had 3.1% higher mortality rate than NHI patients under off-hospital cardiac arrest. The difference was significant but multivaraiate logistic regression analysis showed the significance disappears when other factors such as gender, age, CPR performed or not, transportation time to hospital less than 30 minutes, and non-shockable rhythm are controlled. Most important interpretation of this finding is the significantly higher mortality rate of MA patients under off-hospital cardiac arrest can be further lowered through diffusion of emergency devices such as automated external defibrillator (AED) and education on how to use them. This policy direction will significantly improve mortality rate of MA patients who are believed to have less healthy status.
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KEYWORD
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Off Hospital Cardiac Arrest, Health insurance, Medical Aid, Emergency Transportation, CPR
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