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患有泌尿系统疾病的女性患者的医疗费用及其决定因素。

Medical expenses and its determinants in female patients with urological disorder.

作者信息

Park Sewon, Ji Seokmin, Lee Hyunseo, Choi Hangseok, Choi Mankyu, Lee Munjae, Jakovljevic Mihajlo

机构信息

Department of Medical Science, Ajou University School of Medicine, Suwon, 16499, South Korea.

Department of Health Policy & Management, College of Health Science, Korea University, Seoul, South Korea.

出版信息

Cost Eff Resour Alloc. 2024 May 24;22(1):45. doi: 10.1186/s12962-024-00556-x.

Abstract

BACKGROUND

The rising older adult population has led to an increase in the prevalence of chronic diseases and medical expenses. Women tend to have a longer healthy life expectancy than men and are more likely to be exposed to urological disorders around the age of 50, resulting in substantial healthcare expenses throughout their lifetime. Urological disorders often require continuous treatment owing to their high risk of recurrence, contributing to an increased financial burden from medical costs. This study aimed to identify factors influencing medical expense in female patients with urological disorders and propose strategies to alleviate the associated financial burden.

METHODS

We used data from the Korea Health Panel Survey conducted from 2011 to 2016. The final sample comprised 2,932 patients who visited hospitals for urological disorders. To identify the factors influencing medical expense among female patients with urological disorders, we employed a generalized estimating equation model.

RESULTS

The results indicated that younger people and patients with middle-income levels tended to incur higher medical expenses. Furthermore, patients receiving treatment at tertiary hospitals and those enrolled in National Health Insurance also incurred higher health expenses.

CONCLUSIONS

This study suggests that effective management of medical expenses related to urological disorders in women requires improvements in healthcare accessibility to facilitate early detection and continuous disease management. In addition, the findings highlight the potential benefits of digital health and non-face-to-face treatments in addressing these needs.

摘要

背景

老年人口的增加导致慢性病患病率和医疗费用上升。女性的健康预期寿命往往比男性长,并且在50岁左右更容易患泌尿系统疾病,这导致她们一生中产生大量医疗费用。泌尿系统疾病由于复发风险高,通常需要持续治疗,从而增加了医疗费用的经济负担。本研究旨在确定影响泌尿系统疾病女性患者医疗费用的因素,并提出减轻相关经济负担的策略。

方法

我们使用了2011年至2016年韩国健康面板调查的数据。最终样本包括2932名因泌尿系统疾病前往医院就诊的患者。为了确定影响泌尿系统疾病女性患者医疗费用的因素,我们采用了广义估计方程模型。

结果

结果表明,年轻人和中等收入水平的患者往往产生更高的医疗费用。此外,在三级医院接受治疗的患者和参加国民健康保险的患者也产生了更高的医疗费用。

结论

本研究表明,有效管理女性泌尿系统疾病相关的医疗费用需要改善医疗可及性,以促进早期发现和持续的疾病管理。此外,研究结果突出了数字健康和非面对面治疗在满足这些需求方面的潜在益处。

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