Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Prenatal care utilization and expenditure among pregnant women

임부의 산전진찰 의료이용양상 및 진료비 분석

  • Kim, Kyung-Ha (Health Insurance Policy Research Institute, National Health Insurance Corporation) ;
  • Hwang, Rah-Il (Health Insurance Policy Research Institute, National Health Insurance Corporation) ;
  • Yoon, Ji-Won (Su-Won Women College) ;
  • Kim, Jin-Soo (Health Insurance Policy Research Institute, National Health Insurance Corporation)
  • 김경하 (국민건강보험공단 건강보험정책연구원) ;
  • 황라일 (국민건강보험공단 건강보험정책연구원) ;
  • 윤지원 (수원여자대학 간호과) ;
  • 김진수 (국민건강보험공단 건강보험정책연구원)
  • Published : 2009.12.30
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Abstract

Purpose: This study was conducted to identify the prenatal heath care utilization and expenditure among pregnant women. Method: This was a 5-month follow-up study using a stratified sampling and the data were drawn from the "nationwide claim database of Korean National Health Insurance Corporation". Result: This study found that pregnant women were first diagnosed with pregnancy when they were 7.1 weeks pregnant, received 12.7 times of prenatal examinations and 10.6 times of ultrasonogram. It was revealed that 67.5% of the subjects continued to receive prenatal care at the same medical institutions from the diagnosis of pregnancy to the delivery. The study also showed that the total expenditure of prenatal care per pregnant woman was 700,000 Korean Won (KRW) on average and the insurance coverage rate stood at only 20%. Pregnant women living in metropolitan area spent more on prenatal healthcare expenditure than those who living in medium-sized city or rural area. Conclusion: The results of this study implies that the government needs to provide pregnant women with continuous support by increasing health insurance coverage for prenatal care. Especially, it is considered to provide more support to the pregnant women residing in medically underserved areas.

Keywords

References

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  1. A comparative study on the obstetric services utilization by income classes among the National Health Insurance Beneficiaries vol.55, pp.11, 2012, https://doi.org/10.5468/KJOG.2012.55.11.804
  2. Pregnancy, Prenatal Care, and Delivery of Mothers with Disabilities in Korea vol.30, pp.2, 2015, https://doi.org/10.3346/jkms.2015.30.2.127
  3. Length of Stay, Health Care Cost, Postpartum Discomfort, and Satisfaction with Medical Service in Puerperas Giving Birth in Midwifery Clinic and Hospitals vol.24, pp.1, 2018, https://doi.org/10.4069/kjwhn.2018.24.1.24