Hong Mihee, Baek Seung-Hak
Department of Orthodontics, School of Dentistry, Kyungpook National University, Daegu, Korea.
Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, Korea.
Korean J Orthod. 2018 Jul;48(4):216-223. doi: 10.4041/kjod.2018.48.4.216. Epub 2018 Jul 6.
This study is performed to investigate the trend of health care (HC) utilization among cleft lip and/or palate (CL/P) during 2007-2016 by using data from the Korean National Health Insurance Service (KNHIS).
The KNHIS data were reorganized to count a specific patient only once for a specific year. Cleft type (cleft lip [CL], cleft palate [CP], and cleft lip and palate [CLP]), sex, and age at HC utilization were investigated. The study period was divided into the first half (2007-2011) and the last half (2012-2016). The utilization number and rate per 1,000 population were calculated for the total population and for new-born patients. Independent -test and one-way analysis of variance were used for statistical analyses.
The total CL/P population (n = 48,707) comprised 19.2% CLP, 35.5% CL, and 45.3% CP (CLP < CL < CP; < 0.001). Their HC utilization rate increased from 0.066 in 2007 to 0.118 in 2016. The new-born patient population (n = 7,617) comprised 18.6% CLP, 30.4% CL, and 51.0% CP (CLP < CL < CP; < 0.001). Their HC utilization rate increased from 1.12 in 2007 to 1.74 in 2016. An examination of the utilization number and rate among new-born patients revealed CP exhibited a female-dominant pattern (all < 0.01), while CL and CLP exhibited a male-dominant pattern (all < 0.01). However, utilization number showed no difference by sex and cleft type between 2007-2011 and 2012-2016.
These results might serve as a guideline for HC utilization among patients with CL/P.
本研究旨在利用韩国国民健康保险服务（KNHIS）的数据，调查2007 - 2016年唇腭裂（CL/P）患者的医疗保健（HC）利用趋势。
对KNHIS数据进行重新整理，以便在特定年份仅对特定患者计数一次。研究了腭裂类型（唇裂[CL]、腭裂[CP]和唇腭裂[CLP]）、性别以及医疗保健利用时的年龄。研究期分为前半期（2007 - 2011年）和后半期（2012 - 2016年）。计算了总人口和新生儿患者每1000人的利用次数和利用率。采用独立样本t检验和单因素方差分析进行统计分析。
CL/P患者总数（n = 48,707）中，CLP占19.2%，CL占35.5%，CP占45.3%（CLP < CL < CP；P < 0.001）。他们的HC利用率从2007年的0.066提高到2016年的0.118。新生儿患者总数（n = 7,617）中，CLP占18.6%，CL占30.4%，CP占51.0%（CLP < CL < CP；P < 0.001）。他们的HC利用率从2007年的1.12提高到2016年的1.74。对新生儿患者的利用次数和利用率进行检查发现，CP呈现女性主导模式（所有P < 0.01），而CL和CLP呈现男性主导模式（所有P < 0.01）。然而，2007 - 2011年和2012 - 2016年之间，利用次数在性别和腭裂类型方面没有差异。
这些结果可能为CL/P患者的医疗保健利用提供指导。
