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J Korean Soc Emerg Med > Volume 27(4); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(4): 360-366.
환자의 보험급종에 따른 일개 권역응급의료센터의 내원양상
주성용1, 조석주2, 이성화1, 김형회3, 여광희4, 황성연5, 김형빈1, 조영모1
1부산대학교병원 응급의학과
2부산대학교 의학전문대학원 응급의학교실
3부산대학교 의학전문대학원 생명의료정보학교실
4부산대학교병원 외상외과
5성균관대학교 의과대학 삼성창원병원 응급의학과
Feature of Visiting Patients to a Wide Regional Emergency Center According to Insurance Status
Seong Yong Ju1, Suck Ju Cho2, Seong Hwa Lee1, Hyung Hoi Kim3, Kwang Hee Yeo4, Seong Yeon Hwang5, Hyung Bin Kim1, Young Mo Jo1
1Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea
2Department of Emergency Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
3Department of Biomedical Informatics, Pusan National University School of Medicine, Busan, Korea
4Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea
5Department of Emergency Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
Correspondence  Suck Ju Cho ,Tel: 051-240-7503, Fax: 051-253-6472, Email: csjmedigate@naver.com,
Received: April 28, 2016; Revised: April 28, 2016   Accepted: July 6, 2016.  Published online: August 31, 2016.
ABSTRACT
Purpose:
In Korea, emergency department overcrowding in large hospitals have caused social concern. Moreover, patients with low socioeconomic status visit the emergency department more frequently. This kind of visitation also causes a burden on the national budget, but emergent patient should be treated in emergency department regardless of economic state. So, on establishment of policy about the patient with low socioeconomic status, the frequency of emergency visitation alone is difficult to obtain a sufficient basis for policy-making.
Method:
We retrospectively analyzed adult patients with a disease who visited the Pusan Wide-regional Emergency Center in 2015. Korean Triage and Acuity Scale level I, II or III were defined as emergency, and level IV or V was defined as non-emergency. The ratio of emergency and non-emergency was compared in the National Health Insurance and Medicaid database.
Results:
The number of patients with National Health Insurance was 16,208 (90.3%) and with Medicaid was 1,737 (9.7%). Among those with National Health Insurance, there were 12,720 (78.5%) emergency cases and 3,488 (21.5%) non-emergency cases. Among those with Medicaid, 1,379 (79.4%) emergency cases and 358 (20.6%) non-emergency cases. Between National Health Insurance and Medicaid, there was no statistically significant difference in the ratio of emergency and non-emergency (p=0.380)
Conclusion:
Accessibility of emergency and non-emergency patients with National Health Insurance and Medicaid to Pusan Wide-regional Emergency Center was not different.
Key words: Insurance, Medicaid, Triage
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