National Evidence-Based Collaborating Agency, Seoul, Republic of Korea.
Seoul National University Hospital, Seoul, Republic of Korea.
Asia Pac J Public Health. 2019 Sep;31(6):522-535. doi: 10.1177/1010539519867797. Epub 2019 Sep 15.
As the prevalence of chronic diseases is continuously increasing, the socioeconomic cost of those conditions in Korea is also rising. In order to effectively manage chronic diseases, the "Community-Based Primary Care Project" was implemented from 2014 to 2016 and focused on primary medical care and physician-led chronic disease management. The purpose of this study is evaluating the effects of the project through the DID (difference in difference) model. The project's database and the National Health Insurance claims database were both used to compare the project and control groups (n = 6092 vs 24 368). Results of the analysis show that medication adherence was increased more in the project group compared with the control group. Hospitalization days, outpatient days, and number of primary medical clinic visits increased more in the participant group than the control group. As the project showed an improvement in treatment persistence, it will be necessary to monitor for a longer period of time.
随着慢性病患病率的不断上升，韩国此类疾病的社会经济成本也在上升。为了有效管理慢性病，2014 年至 2016 年实施了“社区初级保健项目”，该项目侧重于初级医疗保健和医生主导的慢性病管理。本研究旨在通过 DID（差异中的差异）模型评估该项目的效果。该项目的数据库和国家健康保险索赔数据库均被用于比较项目组和对照组（n = 6092 与 24368）。分析结果表明，与对照组相比，项目组的药物依从性更高。与对照组相比，住院天数、门诊天数和初级诊所就诊次数在项目组中增加更多。由于该项目显示出治疗持久性的提高，因此有必要进行更长时间的监测。
