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KMID : 1170320220280010001
Korean Journal of Health Economics and Policy
2022 Volume.28 No. 1 p.1 ~ p.24
Comparison of the medical costs by diagnostic code between people with disabilities and general population: focusing on visual, hearing, and intellectually disabled people
Cho Yu-Song

Han Eun-A
Jeon Bo-Young
Lee Hye-Jae
Abstract
People with disabilities have more health problems than people without disabilities, and it is important to look at the patterns of medical expenses of them. The purpose of this study is to compare the medical costs by diagnostic code between the people with disabilities and the general population, and to provide a basis for further research and policies for the disabled focusing on the visual, hearing, and intellectual disabilities.
As data sources, the nationally approved statistics, ¡®Healthcare Statistics of Persons with Disabilities¡¯ and ¡®National Health Insurance (NHI) Statistics¡¯ were used, and the statistics for medical costs by diagnostic code were re-constructed under the same definition and compared. There were more cases of musculoskeletal morbidity and dental morbidity in the disabled people than in the health insurance population. Compared to the NHI population, the disabled had lower medical costs per capita for the same disease, and their out-of-pocket payments were also lower. Some diagnostic codes, which are closely related to the type of disability, such as ¡®glaucoma(H40)¡¯ for the visually disabled, ¡®conductive and sensorineural hearing loss(H90)¡¯ for the hearing disabled, and ¡®epilepsy(G40)¡¯ for the intellectually disabled, ranked higher than in the NHI population, and the expenditures of the diseases were large. In this study, the implications for the frequent morbidity and medical costs of the disabled were derived by re-constructing the previously developed statistics, and it is meaningful that further researches can be proposed.
KEYWORD
Disabled person, , Health Statistics of Disabled Persons, National Health Insurance Statistics, Diagnostic Codes, Medical costs
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