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        원주시와 춘천시 흡연 관련 요인 비교 분석: 국민건강보험공단 건강검진 DB 바탕으로

        정윤지,설이서,조형경,이현지,이광수 한국병원경영학회 2023 병원경영학회지 Vol.28 No.1

        Purposes: The purpose of this study was to analyze the factors associated with current smoking status in Wonju-si and Chuncheon-si, and to study the cause of difference in smoking rates between these two regions. Methodology: Data was from the National Health Insurance Service database from 2019 to 2020. Current smoking status was based on the response to the health examination questionnaire. Logistic regression analysis was conducted to identify factors associated with current smoking status. The study included 207,307 individuals from Wonju-si and 173,698 individuals from Chuncheon-si. Findings: The smoking rate of Wonju-si was 19.83%, and Chuncheon-si was 18.20%, showing a difference in the smoking rates between the two regions. Logistic regression analysis found that men, those aged 40-49, being a self-employed insured, a medical-aid beneficiary, having a lower income, working in construction, transport, storage, communication, or manufacturing industries, having a high-risk drinking level and being underweight were significantly associated with a higher likelihood of smoking(p<0.05). Additionally, having a chronic disease was associated with a lower likelihood of smoking in the case of Chuncheon-si(p<0.05). Practical Implication: This study found the differences of factors associated with smoking rates between the two regions and could provide implications for establishing intervention programs or policies that could contribute to lowering the smoking rate in areas with high smoking rates.

      • 어린이 재활의료기관 지정운영 시범사업 성과평가 및 지정규모 확충 방안 연구

        박진관,전인혜,김세린,설이서 건강보험심사평가원 심사평가정책연구소 2023 연구보고서 Vol.2023 No.0

        This study estimates the number of institutions needed to create a community-centered medical use environment for children's rehabilitation patients, and establishes performance evaluation and development plans for pilot projects introduced to expand children's rehabilitation medical care Estimating the number of institutions needed in 2023 by measuring the number of unmet hospital beds and the number of outpatients in consideration of demand and supply by region. As a result, as of now, there are a total of 11 areas requiring designation, a total of 12 hospitals and 4 clinics in the metropolitan area, 18 hospitals and 1 clinic outside the metropolitan area The performance evaluation of the children's rehabilitation medical institution pilot project was compared and analyzed by matching the participating and non-participating groups, focusing on the improvement of patients' medical use and function, and the institution's medical staff and treatment activities. In the case of children's rehabilitation medical use behavior, the number of visits to the hospital, the number of days of medical use, and the concentration of medical institutions improved, and among them, the improvement effect of new users was found to be high. In the case of cost accessibility, about 1 million won per person for speech therapy, manual therapy, and cognitive therapy can be saved through the application of existing non-insured health insurance. In the case of functional improvement, as a result of examining the clinical effect with a group of specialists along with before-and-after evaluation for patients who have undergone two or more evaluations, the improvement effect on the results of GMFM-66, pediatric balance scale, SELSI, and PRES is appeared to be high Through these achievements, it is expected that this pilot project will play a pivotal role in the children's rehabilitation medical network if the capacity improvement of the institution through the expansion of the pilot project institution and conversion to the main project and the improvement of patients' medical use and function are expanded in the future.

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