상용치료원 보유가 예방 가능한 입원에 미치는 영향 = The Effect of Having Usual Source of Care on Preventable Hospitalization

다국어 초록 (Multilingual Abstract)

Preventable hospitalization is the admission that could be prevented through effective chronic disease management and proper use of primary care services, thus closely related to the lack of primary care. This study considered the role of a usual source of care as a quality primary care provider. Quality primary care attributes include longitudinality, comprehensiveness, and coordination. This study explored how preventable hospitalization is affected by not only having a usual source of care but also having it with quality primary care attributes. With 2012, 2013, and 2016 Korean Health Panel, this study used random-effects logistic panel model and pooled logistic model to examine the effects of having a usual source of care with primary care attributes on preventable hospitalization. The results show that having a usual source of care and quality primary care attributes had no significant impact on preventable hospitalization, which seem to result from the perverse incentive and payment systems for health providers, e.g., fee-for-service, or lack of the community and primary care based integrated health care services in Korea.

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