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KMID : 0387320210310030301
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Korean Journal of Health Policy and Administration
2021 Volume.31 No. 3 p.301 ~ p.311
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Relationship between Local Extinction Index and Medical Service Uses of Chronic Diseases
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Lee Hyun-Ji
Oh Jae-Hwan
Kim Jae-Hyun
Lee Kwang-Soo
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Abstract
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Background: This study purposed to analyze the relationship between the local extinction index and medical service uses of chronicdiseases. The local extinction index is an indicator of the demographic structure and population aging of the region.
Methods: The 2014?2018 statistics of National Health Insurance Corporation and Korean Statistical Information Service data wereused for the analysis. First, descriptive statistics were used to analyze the general status of research variables. Second, a panelanalysis was performed to analyze the relationship between the local extinction index and medical service uses of chronic diseases(hypertension, diabetes mellitus, periodontal disease, arthritis, mental health, epidemic disease, liver disease). Medical service useswere measured by the number of visits/inpatient days and medical charges of seven chronic diseases.
Results: Panel analysis results showed that higher local extinction risks (meaning lower local extinction index) had a positiverelationship with the number of visits/inpatient days and medical charges of chronic diseases. But the relationships were varied whenthe seven chronic diseases were analyzed separately.
Conclusion: This study showed a significant relationship between the local demographic structure and medical service uses ofchronic disease. Analyzing the local demographic structure will be an essential prerequisite step for implementing appropriateregional health care policies.
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KEYWORD
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Local extinction index, Medical service uses, Chronic disease
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