수면장애가 외래 진료서비스 이용에 미친 영향분석 = Effects of Sleep Disorders on the Outpatient Service Uses

다국어 초록 (Multilingual Abstract)

Objective: This study purposed to analyze the effects of sleep disorders on the outpatient service uses. Methods : Data was provided from the Korea Health Panel(KHP) collected by the Korea Institute for Health and Social Affairs(KIHASA) and National Health Insurance Service(NHIS) in 2012. The number of sample is 9,721 people. This study was used Propensity Score Matching(PSM) and Gamma regression and Negative Binominal regression. Results : First, sleep disorders had significant effects on the total outpatient charges and total outpatient visits. The coefficient was 0.97(95% CL : 0.78 ~ 1.16) and 1.06(95% CL : 0.91 ~ 1.21) in sleep disorders. Second, gender and education level had significant effects on the total outpatient charges. The coefficient was - 0.21(95% CL : -0.40 ~ -0.30) in gender. The coefficient was -0.34(95% CL : -0.60 ~ -0.14) and -0.37(95% CL : -0.61 ~ -0.03) in education level. Third, other variables had not significant effects on total outpatient visits besides sleep disorders. Conclusion : Sleep disorders have an impact on outpatient medical charges and visits. In addition to, patient with sleep disorders have a lot of socio-economic burden besides medical charges. Health policy markers should be interested in sleep disorders.

참고문헌 (Reference)

1 정선영, "한국인 수면장애 환자의 최근 3년간 한방 진료 양태" 대한한방신경정신과학회 25 (25): 389-400, 2014

2 김민영, "치과 외래 이용 선택에 있어서 공급자 요인" 대한경영학회 28 (28): 349-364, 2015

3 박은옥, "우리나라 30~64세 성인의 수면시간과 고혈압 관련 요인" 성인간호학회 26 (26): 372-381, 2014

4 김지혜, "암 질환 대상 산정특례제도가 의료이용 및 의료비 부담 형평성에 미친 영향" 한국보건행정학회 24 (24): 228-241, 2014

5 김린, "스트레스, 수면생리, 그리고 관련 불면장애" 대한의사협회 53 (53): 707-716, 2010

6 이일근, "수면장애의 경제적 비용" 대한수면연구학회 9 (9): 1-4, 2012

7 정선희, "대학생의 생활 스트레스가 수면장애에 미치는 영향" 한국전자통신학회 8 (8): 345-353, 2013

8 이샘, "가정의학 개원가를 방문한 성인의 수면장애 현황 및 관련 요인" 대한가정의학회 31 (31): 837-844, 2010

9 Ford ES, "Trends in outpatient visits for insomnia, sleep apnea, and prescriptions for sleep medications among US Adults: Findings from the national ambulatory medical care survey 1999-2010" 37 (37): 1283-1293, 2014

10 Orff HJ, "The influence of sex and gonadal hormones on sleep disorders" 4 (4): 15-25, 2014

11 Punjabi NM, "The epidemiology of adult obstructive sleep apnea" 5 (5): 136-143, 2008

12 Yu SB, "The burden of insomnia on individual function and healthcare consumption in Australia" 36 (36): 462-468, 2012

13 Ban WH, "Sleep disturbance and cancer" 20 (20): 10-14, 2013

14 Abbott SM, "Sleep disorders in perinatal women" 28 (28): 159-168, 2014

15 Kang EH, "Sleep disorder and socioeconomic burden" 18 (18): 72-75, 2011

16 Crowley K, "Sleep and sleep disorders in older adults" 21 (21): 41-53, 2011

17 Lee JS, "Sleep and alcohol" 20 (20): 59-62, 2013

18 Luyster FS, "Sleep : A health imperative" 35 (35): 727-734, 2012

19 Hillman DR, "Public health implications of sleep loss: the community burden" 199 (199): S7-S10, 2013

20 Ram S, "Prevalence and impact of sleep disorders and sleep habits in the United States" 14 (14): 63-70, 2010

21 Kapur VK, "Obstructive sleep apnea: diagnosis, epidemiology, and economics" 55 (55): 1155-1167, 2010

22 Jang EJ, "Methods for the control of measured confounders in outcomes research first edition" National evidence-based healthcare collaborating agency 66-200, 2013

23 Rosekind MR, "Insomnia risks and costs:health, safety, and quality of life" 16 (16): 617-626, 2010

24 Kessler RC, "Insomnia and the performance of US workers: results from the america insomnia survey" 34 (34): 1161-1171, 2011

25 Daley M, "Insomnia and its relationship to health-care utilization work absenteeism, productivity and accidents" 10 (10): 427-438, 2009

26 Marco RD, "Incidence and remission of asthma : A retrospective study on the natural history of asthma in Italy" 110 (110): 228-235, 2002

27 Organization for Economic Cooperation and Development, "Education at a glance OECD indicators" Korea educational development institute 38-97, 2014

28 Taylor DJ, "Comorbidity of chronic insomnia with medical problems" 30 (30): 213-218, 2007

29 Bansil P, "Association between sleep disorders, sleep duration, quality of sleep, and hypertension: Result from the National Health and Nutrition Examination Survey, 2005 to 2008" 13 (13): 739-743, 2011