Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
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Correlation between Outpatient's Medical Adherence and National Insurance Types in the Type 2 Diabetes Mellitus

제2형 당뇨병의 외래환자 복약순응도와 보험유형과의 관계

  • 이미준 (강북삼성병원 헬스케어팀) ;
  • 강희경 (제주한라대학교 간호학부) ;
  • 서범준 (연세대학교 보건통계학과)
  • Received : 2018.07.11
  • Accepted : 2018.08.20
  • Published : 2018.08.31
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Abstract

The purpose of this study was to analyse the relationship between the characteristics of the patients who received oral antihyperglycemic drugs and their medical adherence in Korea. The study method was a cross-sectional study using the patient sample data of the Health Insurance Review and Assessment Service for 2016, and it was analyzed with 109 major components of diabetes drug. The medical adherence was slightly higher in male than female. The patriots & veterans(free) type had the highest medication adherence because they have low self burden to access medical institutions compared to other insurance types. It is expect that this study result will be used as a basic data to understand the burden of outpatients with health insurance and establish a policy to reduce of the self outpatients' burden with chronic diseases such as type 2 diabetes.

본 연구의 목적은 국내 의료기관에서 외래진료 시 경구용 혈당강하제를 투약 받는 사람들의 특성과 복약순응도와의 연관성을 확인하기 위함이다. 연구방법은 2016년 한 해 동안 건강보험심사평가원 청구데이터에 주상병이나 부상병에 E11을 포함하는 제2형 당뇨병 환자표본자료를 이용한 단면연구로 당뇨약제 109개 주성분코드로 분석하였다. 연구결과 복약순응도는 성별에서 유의한 차이가 있었고, 남성이 여성에 비해 높았다. 복약순응도는 보험유형 간에 유의한 차이가 있었으며, 건강보험, 의료급여에 비해 보훈(무료)이 가장 높았다. 보훈(무료)이 타 보험유형에 비해 복약순응도가 높은 것은 자기부담이 적어 의료접근성이 높은 이유로 해석된다. 본 연구의 결과가 건강보험 외래 본인부담에 대한 정책적 기초자료로 활용될 것을 기대한다. 또한, 제2형 당뇨병 환자와 같은 만성질환자의 외래 본인부담률을 줄일 수 있는 적정방안을 추가연구로 제안한다.

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