필수의료 영역별 지역친화도 분석: 울산광역시를 대상으로 한 예비 연구

Abstract

Purpose : In this study, the relevance index analysis by field of essential medical service in Ulsan Metropolitan City (hereinafter Ulsan city) from 2007 to 2016 was performed in terms of the number of admission patients and out-of-pocket expenses total amount. For this purpose, the 260 diseases calculated and classified in the National Disease Burden Study using the Korea National Health Insurance Service data and the Korean National Hospital Discharge IN-depth Injury Survey data were reclassified into a total of eight essential medical services fields. Methods : The medical service region was analyzed by calculating the relevance index, which is a percentage of the medical care utilization (admission) by medical institution location among the total medical care utilization of inpatients in a specific region. Results : In 2016, the proportion of number of inpatients by medical services field in the Ulsan city region was the lowest in the cancer field (70.6%), followed by mental field (73.3%), elderly & rehabilitation field (82.6%). The proportion of out-of-pocket expenses of inpatients by medical services field in the Ulsan city region was the lowest in the mental field (63.3%), followed by cancer field (63.8%), elderly & rehabilitation field (76.8%). In all fields except the trauma field, the proportion of residents of Ulju-gun who were admitted to other regions was the highest compared to other locations. Conclusions : As a result, the relevance index in Ulsan City has not improved, and among the essential medical service fields, the relevance index in the cancer, mental, elderly & rehabilitation and maternal & neonatal fields needs to be improved first, and the relevance index of Ulju-gun must be improved urgently. Based on the results of this study, it is necessary to prepare a strategy for improving the relevance index of essential medical service fields in Ulsan City.