韩国与疼痛相关的家庭灾难性医疗支出。
Household catastrophic health expenditure related to pain in Korea.
作者信息
Shin Sun Mi
机构信息
Department of Nursing, Joongbu University, Geumsan, Korea.
出版信息
Korean J Pain. 2023 Jul 1;36(3):347-357. doi: 10.3344/kjp.23041. Epub 2023 Jun 21.
BACKGROUND
The data related to pain and catastrophic health expenditure (CHE) needed to be further explored. This study aims to understand the relationship between pain and CHE.
METHODS
Using cross-sectional analysis of 4-year data (2015-2018) from the Korea Health Panel, the prevalence of CHE and adjusted odds ratio (AOR) by pain type were confirmed.
RESULTS
Among participants (n = 46,597), the prevalence of pain and severe pain were 24.2% and 1.1%, respectively. The use of medical services in emergency rooms, hospitalizations, and outpatients increased in the order of pain-free, pain, and severe pain ( < 0.001). Prevalence of household CHE was 3.3% vs. 11.1% vs. 25.9%, ( < 0.001). The AOR of CHE was 1.5 (95% confidence interval [CI], 1.4-1.7) for pain and 3.1 (95% CI, 2.5-3.9) for severe pain. Household capacity to pay per year was lower and lower in the order of pain-free, pain, and severe pain ($25,094 vs. $17,965 vs. $14,056, < 0.001). Also, the household out-of-pocket expenditure per year was higher and higher in the order of pain-free, pain, and severe pain ($1,649, $1,870, $2,331, < 0.001).
CONCLUSIONS
It can be inferred that pain is one of the mechanisms of poverty. Positivist healthcare policies for the prevention and management of pain should be sought.
背景
与疼痛和灾难性卫生支出（CHE）相关的数据有待进一步探究。本研究旨在了解疼痛与CHE之间的关系。
方法
利用韩国健康面板4年（2015 - 2018年）的数据进行横断面分析，确定CHE的患病率以及按疼痛类型划分的调整优势比（AOR）。
结果
在参与者（n = 46,597）中，疼痛和重度疼痛的患病率分别为24.2%和1.1%。急诊室、住院和门诊医疗服务的使用量按无痛、疼痛和重度疼痛的顺序增加（<0.001）。家庭CHE的患病率分别为3.3%、11.1%和25.9%（<0.001）。疼痛的CHE的AOR为1.5（95%置信区间[CI]，1.4 - 1.7），重度疼痛的AOR为3.1（95%CI，2.5 - 3.9）。家庭每年的支付能力按无痛、疼痛和重度疼痛的顺序越来越低（25,094美元对17,965美元对14,056美元，<0.001）。此外，家庭每年的自付费用按无痛、疼痛和重度疼痛的顺序越来越高（1,649美元、1,870美元、2,331美元，<0.001）。
结论
可以推断疼痛是贫困的机制之一。应寻求积极的疼痛预防和管理卫生政策。
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