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우울증 환자의 퇴원 후 외래 방문 관련 요인

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Type
Article
Author(s)
김경훈
Issued Date
2023-11-30
Keyword
DepressionFollow-up careHealth insurance claims database
Abstract
Background: Ensuring timely outpatient follow-up care after hospital discharge in patients with depression is critical for preventing suicide and relapse. This study aimed to identify patient factors associated with receiving outpatient follow-up care within 7 days of hospital discharge for patients with depression.
Methods: We conducted a cross-sectional study using the National Health Insurance Claims Database. This study included all patients with depression aged 18 years or older who were newly admitted to hospitals from January 1, 2017 to December 31, 2018. A generalized estimating equation was used to explore the association between receiving outpatient follow-up care within 7 days of hospital discharge and various factors, such as age, sex, insurance type, comorbidity, and previous outpatient care.
Results: Of the 15,018 patients included in the study, 60.2% were female, and 6,886 patients (45.9%) received outpatient follow-up care within 7 days after hospital discharge. Patients who were females and those with previous outpatient care experience were more likely to receive outpatient followup care (odds ratio [OR] 1.410, 95% confidence interval [CI] 1.317-1.511; OR 2.502, 95% CI 2.269-2.759; respectively). In contrast, older and medicaid patients were less likely to receive outpatient care within 7 days after discharge.
Conclusion: To prevent suicide and relapse, discharge planning interventions should be actively provided to vulnerable groups, such as older individuals, males, medicaid patients, and patients without previous outpatient care experience.
Publisher
심사평가연구소
DOI
10.52937/hira.23.3.2.e3
URI
https://repository.hira.or.kr/handle/2019.oak/3176
Alternative Title
Factors Associated with Outpatient Follow-up after Discharge among Patients with Depression
Publisher
심사평가연구소
Location
KOR
Citation
김경훈. (2023-11-30). 우울증 환자의 퇴원 후 외래 방문 관련 요인. HIRA Research, 3(2), 196–204. doi: 10.52937/hira.23.3.2.e3
ISSN
2765-6764 ; 2765-7353
Appears in Collections:
HIRA 발간 > 1. HIRA Research
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