Journal of the Korean Society for Railway (한국철도학회논문집)

The Korean Society for Railway (한국철도학회)
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Changes in Healthcare Utilizations of Cancer Patients since the Launch of KTX

KTX 도입 이후 암환자의 의료이용 변화

  • 김진현 (서울대학교 간호학과) ;
  • 이재희 (경원대학교 의료경영학과) ;
  • 이진희 (건강보험심사평가원 약제평가부)
  • Received : 2010.02.08
  • Accepted : 2010.04.20
  • Published : 2010.04.26
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Abstract

We examine the change in healthcare utilization pattern of cancer patients since the launch of KTX in 2004. It is found that during the year of 2004 and 2005 the rapid increase in the ratio of cancer patients' healthcare utilizations for the tertiary hospitals in Seoul to the total healthcare utilizations has accompanied the rapid decrease in the corresponding ratio for the tertiary hospitals in the local metropolitan areas under the influence of KTX while the corresponding ratio for the tertiary hospitals in the local cities with little influence of KTX on them has exhibited mild change. Since healthcare consumers' choice of hospitals can be characterized by "foot voting" action in the healthcare service market in Korea, such a phenomenon may have strong implication that the introduction of KTX may have affected substantially the inter-area healthcare utilization pattern by cancer patients by reducing various sorts of long-distance travel costs. Therefore, considering the potential contribution of KTX to the increase of cancer patients' accessibility to hospitals with higher qualities, support policies such as fare discount for low-income cancer patients in local areas may need to be taken into consideration where the well-designed fare discount program for low-income cancer patients may increase utilizations of KTX by lowincome cancer patients without incurring additional costs to running of KTX.

본 연구는 2004년 KTX 도입 이후 암환자의 의료이용 패턴 변화에 대한 조사연구이다. 2004년과 2005년 전체 의료이용에 있어 서울지역 상급종합병원에서의 의료이용량 비중은 급격히 증가하였는데 이는 KTX 영향권 내 지역 상급종합병원에서의 의료이용량 비중 감소 현상과 맞물려 발생했다. 이와 달리 KTX 영향권 외 지역 상급종합병원에서의 의료이용량 비중은 큰 변화 없이 완만한 추세를 보였다. 따라서 의료소비자의 선택이 "foot voting"의 특성을 보이는 한국의 의료서비스 시장에서 KTX 도입은 장거리 교통 관련 비용을 감소시킴으로써 암환자의 지역 간 의료이용 패턴에 큰 영향을 주었음을 시사한다. 따라서 KTX가 암환자의 의료접근성 제고에 기여할 수 있는 측면을 고려할 경우 지방 거주 저소득 암환자에 대한 요금할인정책 등을 고려할 필요가 있다. 특히 적절히 설계된 요금할인정책은 저소득층 암환자의 KTX 이용 증가를 통해 추가적인 비용 유발 없이도 가능할 수 있을 것으로 보인다.

Keywords

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