Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

Continuity of Care of Patient with Diabetes and Its Affecting Factors in Korea

우리나라 당뇨병 환자의 지료 지속성 및 이에 영향을 미치는 요인

  • Yoon, Chai-Hyun (Department of Preventive Medicine, Graduate School of Public Health, Seoul National University) ;
  • Lee, Sin-Jae (Gangseogu Health Center, Seoul) ;
  • Choo, Soo-Young (Department of Preventive Medicine, Graduate School of Public Health, Seoul National University) ;
  • Moon, Ok-Ryun (Department of Preventive Medicine, Graduate School of Public Health, Seoul National University) ;
  • Park, Jae-Hyun (National Cancer Center)
  • 윤채현 (서울대학교 보건대학원 예방의학교실) ;
  • 이신재 (서울시 강서구 보건소) ;
  • 주수영 (서울대학교 보건대학원 예방의학교실) ;
  • 문옥륜 (서울대학교 보건대학원 예방의학교실) ;
  • 박재현 (국립암센터)
  • Published : 2007.01.31
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Abstract

Objectives : The objectives of this study were to estimate the continuity of care for all Koreans with diabetes and to identify factors affecting the continuity of care. Methods : We obtained National Health Insurance claims data for patients with diabetes who visited health-care providers during the year 2004. A total of 1,498,327 patients were included as study subjects. Most Frequent Provider Continuity (MFPC) and Modified, Modified Continuity Index (MMCI) were used as indexes of continuity of care. A multiple linear regression analysis was used to identify factors affecting continuity of care. Results : The average continuity of care in the entire population of 1,498,327 patients was $0.89{\pm}0.17$ as calculated by MFPC and $0.92{\pm}0.16$ by MMCI. In a multiple linear regression analysis, both MFPC and MMCI were lower for females than males, disabled than non-disabled, Medicaid beneficiaries than health insurance beneficiaries, patients with low monthly insurance contributions, patients in rural residential areas, and patients whose most frequently visited provider is the hospital. Conclusions : The continuity of care for patients with diabetes is high in Korea. However, women, the disabled and people of low socio-economic status have relatively low continuity of care. Therefore, our first priority is to promote a diabetes management program for these patients.

Keywords

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