1Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea
2Institute of Health Policy and Management, Seoul National University Medical Research Center, Seoul, Korea
Copyright © 2016 The Korean Society for Preventive Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICT OF INTEREST
The authors have no conflicts of interest associated with the material presented in this paper.
Variables | Total |
Health insurance status change |
|
---|---|---|---|
Downward mobility (+) | Downward mobility (-) | ||
Total | 19 293 (100) | 2057 (10.7) | 17 236 (89.3) |
Gender*** | |||
Men | 10 602 (55.0) | 1438 (13.6) | 9164 (86.4) |
Women | 8691 (45.0) | 619 (7.1) | 8072 (92.9) |
Age (y) | |||
≤19 | 685 (3.6) | 29 (4.2) | 656 (95.8) |
20-29 | 2610 (13.5) | 217 (8.3) | 2393 (91.7) |
30-39 | 4350 (22.5) | 707 (16.3) | 3643 (83.7) |
40-49 | 4818 (25.0) | 779 (16.2) | 4039 (83.8) |
50-59 | 3135 (16.2) | 226 (7.2) | 2909 (92.8) |
≥60 | 3695 (19.2) | 99 (2.7) | 3596 (97.3) |
Primary diagnosis (ICD-10)*** | |||
F10 | 5886 (30.5) | 850 (14.4) | 5036 (85.6) |
F20-F29 | 6440 (33.4) | 921 (14.3) | 5519 (85.7) |
F30-F33 | 6967 (36.1) | 286 (4.1) | 6681 (95.9) |
Type of hospital (first admission) | |||
Tertiary hospital | 3658 (19.0) | 101 (2.8) | 3557 (97.2) |
General hospital | 4425 (22.9) | 301 (6.8) | 4124 (93.2) |
Hospital | 8925 (46.3) | 1413 (15.8) | 7512 (84.2) |
Clinic | 2285 (11.8) | 242 (10.6) | 2043 (89.4) |
Regular use (outpatient) | |||
Yes | 5216 (27.0) | 417 (8.0) | 4799 (92.0) |
No | 14 077 (73.0) | 1640 (11.7) | 12 437 (88.3) |
Long-term hospitalization*** | |||
Yes | 2125 (11.0) | 943 (44.4) | 1182 (55.6) |
No | 17 168 (89.0) | 1114 (6.5) | 16 054 (93.5) |
Medical expenditure (3 y)*** | 5 348 772±8 170 854 | 12 161 584±9 481 682 | 4 535 709±7 603 006 |
Length of hospitalization (d)*** | 116±196.9 | 375±304.0 | 85.1±152.9 |
Variables | OR1 (95% CI) | p-value |
---|---|---|
Gender | ||
Men | 1.00 (reference) | |
Women | 0.75 (0.66, 0.84) | <0.001 |
Age (y) | ||
≤19 | 1.00 (reference) | |
20-29 | 1.47 (0.97, 2.24) | 0.07 |
30-39 | 2.58 (1.73, 3.87) | <0.001 |
40-49 | 2.49 (1.66, 3.74) | <0.001 |
50-59 | 0.87 (0.57, 1.33) | 0.53 |
≥60 | 0.31 (0.20, 0.48) | <0.001 |
Primary diagnosis (ICD-10) | ||
F10 | 1.00 (reference) | |
F20-F29 | 0.97 (0.85, 1.10) | 0.64 |
F30-F33 | 0.52 (0.44, 0.61) | <0.001 |
Medical care utilization group | ||
A | 1.00 (reference) | |
B | 2.24 (1.26, 3.98) | 0.006 |
C | 2.71 (1.48, 4.97) | 0.001 |
D | 5.13 (2.96, 8.89) | <0.001 |
E | 4.84 (2.79, 8.41) | <0.001 |
F | 6.65 (3.88, 11.41) | <0.001 |
G | 3.38 (1.82, 6.30) | <0.001 |
H | 4.94 (2.82, 8.64) | <0.001 |
Long-term hospitalization | ||
Yes | 8.69 (7.33, 10.31) | <0.001 |
No | 1.00 (reference) | |
Medical expenditure (3 y) | 1.00 (1.00, 1.00) | 0.38 |
OR, odds ratio; CI, confidence interval; ICD-10, International Classification of Diseases, 10th revision; F10, alcohol use disorder; F20-F29, schizophrenia and related disorders; F30-F33, mood disorders; A, tertiary hospital admission and regular outpatient clinic access; B, tertiary hospital admission and irregular outpatient clinic access; C, general hospital admission and regular outpatient clinic access; D, general hospital admission and irregular outpatient clinic access; E, hospital admission and regular outpatient clinic access; F, hospital admission and irregular outpatient clinic access; G, clinic admission and regular outpatient clinic access; H, clinic admission and irregular outpatient clinic access.
1 Adjusted for all other variables in the table.
Variables | Total | Health insurance status change |
|
---|---|---|---|
Downward mobility (+) | Downward mobility (-) | ||
Total | 19 293 (100) | 2057 (10.7) | 17 236 (89.3) |
Gender |
|||
Men | 10 602 (55.0) | 1438 (13.6) | 9164 (86.4) |
Women | 8691 (45.0) | 619 (7.1) | 8072 (92.9) |
Age (y) | |||
≤19 | 685 (3.6) | 29 (4.2) | 656 (95.8) |
20-29 | 2610 (13.5) | 217 (8.3) | 2393 (91.7) |
30-39 | 4350 (22.5) | 707 (16.3) | 3643 (83.7) |
40-49 | 4818 (25.0) | 779 (16.2) | 4039 (83.8) |
50-59 | 3135 (16.2) | 226 (7.2) | 2909 (92.8) |
≥60 | 3695 (19.2) | 99 (2.7) | 3596 (97.3) |
Primary diagnosis (ICD-10) |
|||
F10 | 5886 (30.5) | 850 (14.4) | 5036 (85.6) |
F20-F29 | 6440 (33.4) | 921 (14.3) | 5519 (85.7) |
F30-F33 | 6967 (36.1) | 286 (4.1) | 6681 (95.9) |
Type of hospital (first admission) | |||
Tertiary hospital | 3658 (19.0) | 101 (2.8) | 3557 (97.2) |
General hospital | 4425 (22.9) | 301 (6.8) | 4124 (93.2) |
Hospital | 8925 (46.3) | 1413 (15.8) | 7512 (84.2) |
Clinic | 2285 (11.8) | 242 (10.6) | 2043 (89.4) |
Regular use (outpatient) | |||
Yes | 5216 (27.0) | 417 (8.0) | 4799 (92.0) |
No | 14 077 (73.0) | 1640 (11.7) | 12 437 (88.3) |
Long-term hospitalization |
|||
Yes | 2125 (11.0) | 943 (44.4) | 1182 (55.6) |
No | 17 168 (89.0) | 1114 (6.5) | 16 054 (93.5) |
Medical expenditure (3 y) |
5 348 772±8 170 854 | 12 161 584±9 481 682 | 4 535 709±7 603 006 |
Length of hospitalization (d) |
116±196.9 | 375±304.0 | 85.1±152.9 |
Variables | OR |
p-value |
---|---|---|
Gender | ||
Men | 1.00 (reference) | |
Women | 0.75 (0.66, 0.84) | <0.001 |
Age (y) | ||
≤19 | 1.00 (reference) | |
20-29 | 1.47 (0.97, 2.24) | 0.07 |
30-39 | 2.58 (1.73, 3.87) | <0.001 |
40-49 | 2.49 (1.66, 3.74) | <0.001 |
50-59 | 0.87 (0.57, 1.33) | 0.53 |
≥60 | 0.31 (0.20, 0.48) | <0.001 |
Primary diagnosis (ICD-10) | ||
F10 | 1.00 (reference) | |
F20-F29 | 0.97 (0.85, 1.10) | 0.64 |
F30-F33 | 0.52 (0.44, 0.61) | <0.001 |
Medical care utilization group | ||
A | 1.00 (reference) | |
B | 2.24 (1.26, 3.98) | 0.006 |
C | 2.71 (1.48, 4.97) | 0.001 |
D | 5.13 (2.96, 8.89) | <0.001 |
E | 4.84 (2.79, 8.41) | <0.001 |
F | 6.65 (3.88, 11.41) | <0.001 |
G | 3.38 (1.82, 6.30) | <0.001 |
H | 4.94 (2.82, 8.64) | <0.001 |
Long-term hospitalization | ||
Yes | 8.69 (7.33, 10.31) | <0.001 |
No | 1.00 (reference) | |
Medical expenditure (3 y) | 1.00 (1.00, 1.00) | 0.38 |
Values are presented as number (%) or mean±standard deviation. ICD-10, International Classification of Diseases, 10th revision; F10, alcohol use disorder; F20-F29, schizophrenia and related disorders; F30-F33, mood disorders.
OR, odds ratio; CI, confidence interval; ICD-10, International Classification of Diseases, 10th revision; F10, alcohol use disorder; F20-F29, schizophrenia and related disorders; F30-F33, mood disorders; A, tertiary hospital admission and regular outpatient clinic access; B, tertiary hospital admission and irregular outpatient clinic access; C, general hospital admission and regular outpatient clinic access; D, general hospital admission and irregular outpatient clinic access; E, hospital admission and regular outpatient clinic access; F, hospital admission and irregular outpatient clinic access; G, clinic admission and regular outpatient clinic access; H, clinic admission and irregular outpatient clinic access. Adjusted for all other variables in the table.