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한시적 비대면 진료(전화상담∙처방) 시행에 따른 효과 평가 연구

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Type
Research report
Author(s)
조민호예례미황윤기김명화신재용이혜진
Issued Date
2022-01
Keyword
전화상담 처방비대면 진료Telephone consultationsCOVID-19DID(Difference-in-Difference)PSM(Propensity score matching)MPR(Medication Possession Ratio)Health insurance claim data
Abstract
Background: The government has temporarily allowed telephone consultations for the first time since February 2020 to prevent decreasing in medical use by health-vulnerable groups. As more than a year has passed since the policy was implemented, it is necessary to analyze the current status of telephone consultations and to analyze whether it has empirically been effective in terms of accessibility and medical continuity. Methods: This study analyzed health insurance claim data to examine status of health care providers and patients use for one year after telephone
consultations allowed. Secondly, we analyzed policy effectiveness of telephone consultations with DID (Difference-in-Difference) and PSM (Propensity score matching) in order to see the difference between before and after the policy implementation.

Results: The study found 966,918 patients used telephone consultation service and 63.5% of the total patients are older than 60 years of age for one year (2020.2.~2021.2.). In the hypertensive and diabetic patients group, DID results consider the effect of increasing on the medication possession ratio(MPR) was significant, and the effect of increasing on the continuous prescription group ratio was also significant. In the hypertensive group, DID results consider the effect of decreasing on hospitalizations ratio and emergency room visit ratio were significant. however, diabetic group was not shown any significant result in hospitalizations ratio and emergency room visit ratio.

Conclusion: Based on the results, A number of relevant indicators have been shown to have appropriate effects on the main objectives of the policy in the COVID-19. However, beyond the result of the effectiveness of the policy, sustainable policy operation will be possible only when various concerns of the policy are addressed and operational guidelines that can increase the acceptability of patients and providers are applied.
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/3058
Alternative Title
Effectiveness assessment study upon telephone consultations by telephone that is temporarily allowed
Table Of Contents
요 약 ····································································································· ⅰ

제1장 서 론 ····································································································· 1
1. 연구 배경 ····································································································· 1
2. 연구 목적 ····································································································· 4
3. 연구 내용 및 방법 ····································································································· 5

제2장 문헌 고찰 ······························································································ 7
1. 국내 원격의료 시범사업 고찰 ····································································································· 7
가. 개요 ····································································································· 7
나. 원격의료 시범사업 및 평가 ····································································································· 10
2. 의료이용 효과 평가 지표 ····································································································· 31
가. 처방지속성 ····································································································· 31
나. 이용결과 ····································································································· 33

제3장 한시적 비대면 진료(전화상담·처방) 현황 ····································································································· 35
1. 분석개요 ····································································································· 35
2. 한시적 비대면 진료(전화상담·처방) 일반 현황 ····································································································· 36
가. 의료공급 현황 ····································································································· 36
나. 의료이용 현황 ····································································································· 42
3. 전화상담·처방 이용 행태 분석 ····································································································· 65
가. 전화상담 사이 일정 간격(date interval) ····································································································· 65
나. 전화상담-대면진료 일정 간격(date interval) ····································································································· 70
다. 이용 행태 분석 소결 ····································································································· 75

제4장 한시적 비대면 진료(전화상담·처방) 정책 효과 분석 ····································································································· 77
1. 분석설계 ····································································································· 77
가. 분석 대상 및 분석 개요 ····································································································· 77
나. 분석 방법 ····································································································· 78
2. 분석 결과 ····································································································· 88
가. 성향점수 매칭 결과 ····································································································· 88
나. 이중차이 분석 결과 ····································································································· 93
다. 소결 ····································································································· 119

제5장 제언 및 결론 ····················································································· 121

참고문헌 ······································································································· 123
ABSTRACT ································································································· 129
Publisher
건강보험심사평가원
Location
KOR
Citation
조민호 et al. (202201). 한시적 비대면 진료(전화상담∙처방) 시행에 따른 효과 평가 연구.
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