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J Korean Soc Emerg Med > Volume 33(3); 2022 > Article
Journal of The Korean Society of Emergency Medicine 2022;33(3): 252-261.
An analysis of HIV patients visiting hospitals in Korea by complete enumeration: based on the Health Insurance Review and Assessment Service database
Ye-Chun Noh1 , Jung-Youn Kim1 , Young-Duck Cho1 , Geum-Joon Cho2 , Sung-Jun Park1 , Young-Hoon Yoon1 , Eun-Seog Hong3
1Departments of Emergency Medicine, Korea University College of Medicine, Seoul, Korea
2Departments of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea
3Department of Emergency Medicine, Ulsan University Hospital, Ulsan College of Medicine, Ulsan, Korea
Correspondence  Young-Hoon Yoon ,Tel: 02-2626-3284, Fax: 02-2626-1562, Email: yyh71346@naver.com,
Received: June 29, 2021; Revised: September 12, 2021   Accepted: September 30, 2021.  Published online: June 30, 2022.
ABSTRACT
Objective:
This study investigated the hospital use patterns of patients with human immunodeficiency virus (HIV) infections in Korea. The prevalence of HIV infections in Korea is very low and there is no data on the type of medical treatment HIV patients receive. We therefore decided to perform a complete enumeration of the utilization of medical facilities by HIV patients using a nationwide claims database.
Method:
The nationwide Health Medical Insurance Review and Assessment (HIRA) service claims database was used to identify and include all new patients with HIV infections from 2013 to 2018. The current inpatient, outpatient, and emergency service use of these patients were investigated. The number of invasive procedures, interventions, and operations performed on these patients, and their death rate, was also investigated.
Results:
The number of patients visiting outpatient departments increased by 44% from 2013 to 2018. The most frequently visited department was internal medicine, followed by emergency medicine. Dental procedures followed intravenous line insertions as the most common procedures undertaken by patients with HIV.
Conclusion:
The results of this study show the status of hospital visits by patients with HIV infections in Korea and provide the basic data upon which policy decisions can be based.
Key words: HIV; Clinical coding; Medical utilization; Epidemiology; AIDS
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