Department of Nursing, Baekseok Culture University, Baekseokdaehakro 1, Dongnam gu, Cheonan 31065, Korea.
Department of Nursing, Chung-Ang University, Heukseokro 84, Dongjak gu, Seoul 06974, Korea.
Int J Environ Res Public Health. 2021 Mar 8;18(5):2744. doi: 10.3390/ijerph18052744.
This study analyzed national health data to assess convalescent hospital use among female cancer survivors according to age group. This retrospective study collected data from women recovering from breast, colon, and stomach cancer, based on health insurance claim data over 5 years (2013-2017), from the Korea Health Insurance Review and Assessment Service (KHIRA). Interestingly, the number of young and older women who were treated in convalescent hospitals increased every year. In addition, total medical expenses increased in both groups. The annual rate of convalescent hospitalization was higher in older women (8.2916.39%) than in younger women (4.017.46%). The total yearly medical expenses of cancer survivors in convalescent hospitals increased in both age groups and all cancer types, and the range of increase rate was from 7.7% in young breast cancer survivors to 32.2% in young colon cancer survivors. Visit days and days of medication increased noticeably in young colon cancer survivors. Taken together, these data have confirmed the importance of developing standard guidelines for inpatient management in convalescent hospitals and the health management of women cancer survivors by cancer type. This includes establishing a health management system and medical policies.
本研究分析了全国健康数据，根据年龄组评估女性癌症幸存者的疗养院使用情况。这项回顾性研究收集了来自韩国健康保险审查与评估服务机构（KHIRA）的 5 年（2013-2017 年）医疗保险索赔数据中，正在康复中的乳腺癌、结肠癌和胃癌女性患者的数据。有趣的是，每年接受疗养院治疗的年轻和老年女性人数都在增加。此外，两组的总医疗费用都有所增加。老年女性（8.29%16.39%）疗养院住院率高于年轻女性（4.01%7.46%）。在两个年龄组和所有癌症类型中，癌症幸存者在疗养院的年总医疗费用均有所增加，增长率范围从年轻乳腺癌幸存者的 7.7%到年轻结肠癌幸存者的 32.2%。年轻结肠癌幸存者的住院天数和用药天数明显增加。总之，这些数据证实了制定疗养院住院管理和按癌症类型对女性癌症幸存者进行健康管理的标准指南的重要性。这包括建立健康管理系统和医疗政策。
