전라남도 거주 소아환자의 의료이용에 관한 연구

Abstract

This study investigated the current status of medical use in the metropolitan and non-metropolitan cities of pediatric patients living in Jeollanam-province, South Korea. It used Health care benefit statistics data from 2016 to 2020. The results of chi-squared test and logistic regression on a total of 5,687 extracted cases are as follows. First, as a general characteristic of pediatric patients living in Jeollanam-province, there were more males than females and found more improved results among them. In addition, when it comes to administrative district, the frequency of county was high. Respiratory system diseases were high as the main diagnosis, and musculoskeletal system surgery was high as the main surgery. Second, differences in medical use in the metropolitan and non-metropolitan cities according to the characteristics of the analyzed subjects showed significant differences in children's age, treatment results, and administrative districts. Significant differences were shown in birth deformities, deformations, and chromosome abnormalities. Third, when patients had surgery and the severity was 1 point and there were 1000 beds or more, there were substantial differences in medical use in the metropolitan cities. Fourth, in the case of male, residents Suncheon-city, someone who had surgery, the severity was 1 point, and 500 to 999 beds showed significantly higher in medical use in the metropolitan cities. Based on these results, it is believed that qualitative policies should be established rather than the increase the number of medical institutions to resolve the regional imbalance in the medical use of pediatric patients.