Small Area Variation in Rates of Common Surgery in General Surgery Department

김윤미,; 양봉민,

doi:10.4332/kjhpa.2004.14.2.138

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…, 안형식 등 [6], 이홍기 등 [7], 김윤미 등 [8], 이 기성 [9], 홍월란 [10], 전희진 [11]은 자궁절제술, 제왕절개 분만율, 편도적출술, 충주절제술, 탈장수술, 항문 및 주위 수술, 뇌혈관질환 및 암 등 수술률에서 변이가 존재함을 제시한바 있으며 신의균 [12], 진기남 [13]…”

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Variation Analysis of Medical Service Utilization in Oriental Medicine Frequent Disease of Rural Area

Jang¹

2013

Journal of the Korea Academia-Industrial cooperation Society

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The objectives of this study are to identify whether the small area variation also exists in the oriental medicine and, if it exists, what causes, to expand our boundary of research interests on the small area variation observed at the western medicine toward the oriental medicine as one of the fundamental research foundations and to provide any fundamental findings from this study results to the healthcare politicians to promote consumer's rational behaviors for the use of healthcare. This study analyzed the health insurance claim data (2010, 2011) which were the patients of western medicine and the outpatients of the oriental medicine with the top 10 most frequent diseases and looked into the variation of healthcare utilization among the areas after grouping resident area into an 86-area category. The study result shows that the small area variation was also observed at the part of the oriental medicine in which the characteristics of patients critically affect the healthcare expenditure per visit day rather than those of providers and the characteristics of both patients and providers equally affect the healthcare expenditure per patient. Therefore, this study suggests that government set up healthcare policies on the standardization of oriental medicine to prevent its over-utilization and unmet need, enforcing the roles of oriental medicine in the markets, enhancing the appropriate health care utilization, and expanding provision and sharing the health care information to reduce unnecessary health care utilization.

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Variation Analysis of Medical Service Utilization in Oriental Medicine Frequent Disease of Rural Area

Jang¹

2013

Journal of the Korea Academia-Industrial cooperation Society

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The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization

Kim

Park

Kang

et al. 2016

J Prev Med Public Health

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Objectives:We aimed to evaluate the effect of geographic units of analysis on measuring geographic variation in medical services utilization. For this purpose, we compared geographic variations in the rates of eight major procedures in administrative units (districts) and new areal units organized based on the actual health care use of the population in Korea.Methods:To compare geographic variation in geographic units of analysis, we calculated the age–sex standardized rates of eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee-replacement surgery, caesarean section, hysterectomy, computed tomography scan, and magnetic resonance imaging scan) from the National Health Insurance database in Korea for the 2013 period. Using the coefficient of variation, the extremal quotient, and the systematic component of variation, we measured geographic variation for these eight procedures in districts and new areal units.Results:Compared with districts, new areal units showed a reduction in geographic variation. Extremal quotients and inter-decile ratios for the eight procedures were lower in new areal units. While the coefficient of variation was lower for most procedures in new areal units, the pattern of change of the systematic component of variation between districts and new areal units differed among procedures.Conclusions:Geographic variation in medical service utilization could vary according to the geographic unit of analysis. To determine how geographic characteristics such as population size and number of geographic units affect geographic variation, further studies are needed.

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Small Area Variation in Rates of Common Surgery in General Surgery Department

Cited by 2 publications

References 15 publications

Variation Analysis of Medical Service Utilization in Oriental Medicine Frequent Disease of Rural Area

Variation Analysis of Medical Service Utilization in Oriental Medicine Frequent Disease of Rural Area

The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization

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