HIRA

코로나19 대유행 시기의 공공 및 민간의료기관의 입원의료이용 변화

  • 522
  • 281
Metadata Downloads
Type
Original Article
Author(s)
김동환유태경이윤예안미라안성은백상주
Issued Date
2022-11-30
Keyword
COVID-19PandemicInpatientsUncertaintyVolatility
Abstract
Background: This study aimed to compare the difference in healthcare utilization public and private hospitals (by hospital ownership) during Coronavirus disease (COVID-19) pandemic in Republic of Korea.
Methods: The study analyzed the national health insurance claim data from January 1, 2019 to December 31, 2021. We performed a panel regression with a fixed effects model using balanced panel data (n=406, time=36). The response variables are the number of inpatients per bed and the proportion of COVID-19 inpatients. The uncertainty was measured by volatility (calculating standard deviation) of daily confirmed cases of COVID-19. An interaction term between volatility and public hospital was included as an explanatory variable. In addition, region population, geospatial accessibility, the number of beds, the ratio of negative pressure isolation beds, and COVID-19 severity were included as control variables.
Results: As a result of panel regression analysis, for aggregation of data, (1) the volatility of daily confirmed cases of COVID-19 was not directly related to the number of inpatients per bed. For public hospitals, an increase in the number of inpatients per bed was observed with increasing volatility of daily confirmed cases of COVID-19. (2) For the log-transformed value of the number of inpatients per bed, the time effect of the first wave was –0.488, which was lower than those of the second (-0.328), third (-0.468), and fourth (-0.276) waves. (3) The interaction of volatility and public hospitals was positively associated with the ratio of COVID-19 inpatients.
Conclusion: In this study, quantification of uncertainty is proposed to reduce uncertainty of new infectious diseases. Therefore, it is expected to contribute to the policies on health resources.
Publisher
심사평가연구소
DOI
10.52937/hira.22.2.2. e10
URI
https://repository.hira.or.kr/handle/2019.oak/3027
Alternative Title
Changes of Inpatient Health Care Utilization in Public and Private Hospitals during the COVID-19 Pandemic
Publisher
심사평가연구소
Location
KOR
Citation
김동환 et al. (20221130). 코로나19 대유행 시기의 공공 및 민간의료기관의 입원의료이용 변화. HIRA Research, 2(2), 183–201. doi: 10.52937/hira.22.2.2. e10
ISSN
2765-6764
Appears in Collections:
HIRA 발간 > 1. HIRA Research
Authorize & License
  • Authorize공개
Files in This Item:

열람하신 정보에 대해 만족하십니까?

Comment

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.