Journal of the Korean Medical Association (대한의사협회지)

Korean Medical Association (대한의사협회)
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Nationwide trends in stroke hospitalization over the past decade

2000-2010년 뇌졸중 환자의 입원진료 현황과 추세

  • Kwon, Young Dae (Department of Humanities and Social Medicine, The Catholic University of Korea College of Medicine) ;
  • Chang, Hyejung (Department of Health Services Administration, Kyung Hee University School of Management) ;
  • Choi, Youn Jung (Health Insurance Review & Assessment Service) ;
  • Yoon, Sung Sang (Department of Neurology, Kyung Hee University College of Medicine)
  • 권영대 (가톨릭대학교 의과대학 인문사회의학과) ;
  • 정혜정 (경희대학교 경영대학 의료경영학전공) ;
  • 최윤정 (건강보험심사평가원) ;
  • 윤성상 (경희대학교 의과대학 부속병원 신경과학교실)
  • Published : 2012.10.10
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Abstract

Stroke is a major health problem in Korea. It is the second leading cause of death, and many stroke survivors are permanently disabled. Despite the high economic and social burden of stroke, little is known about utilization of health care services for sufficiently long follow-up periods. This study assessed nationwide patterns of hospitalization for inpatients with stroke from 2000 to 2010, using national health insurance claim data. Overall, during these 10 years, the number of stroke hospitalizations grew by a compound annual growth rate of 6.4%, and health care expenditures showed continued growth at a faster rate of 13.2%. These growth trends were also consistent in different types of hospitals as well as different stroke subtypes. However, the utilization patterns of inpatient services were different across hospital types, especially in lengths of hospital stay (LOS), health care expenditures, and proportions of stroke subtypes. Concerning the proportion of patients in different types of hospitals, there were sharp increases in the use of long-term care hospitals from 5% to 20% of all stroke patients while the proportion has decreased from 49% to 39% in general hospitals. The LOS was also different across hospital types: The longest average LOS of 49 days was shown in long-term care hospitals, while the tertiary hospitals showed the shortest LOS of 15. In conclusion, despite a continuing decline in stroke mortality due to improved survival, the burden of disease due to stroke is increasing. To manage this issue, monitoring the trends of health care expenditures in detail, as well as the incidence and mortality rates, would be useful. These efforts will result in understanding the factors contributing to the increasing burden and in identifying the efficient and effective utilization of limited health care resources.

Keywords

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