KLI

The impact of national health insurance on the compliance of positive airway pressure therapy in patients with obstructive sleep apnea

Metadata Downloads
Abstract
----------e-pub(22.1.13)------
Objectives: Compliance with positive airway pressure (PAP) in patients with obstructive sleep apnea (OSA) directly affects its treatment efficacy. Since July 2018, polysomnography and PAP therapy have been covered by the national health insurance (NHI), which has reduced the price barrier and promoted PAP therapy in Korea. This study aimed to compare changes in PAP compliance before and after NHI implementation.

Methods: This study is a retrospective analysis in a tertiary hospital setting in Korea. From 2011 to 2019, patients with OSA (apnea-hypopnea index≥5) treated using a PAP device for ≥ 1 month were included. They were allocated to the pre-insurance (PI) (having started PAP before July 2018) and NHI groups (having received a PAP reimbursement by the NHI service). We collected and analyzed medical records and PAP use information for between-group comparisons of compliance. We defined compliance as (A) percentage of usage days, (B) percentage of days with usage for ≥ 4 night hours, and (C) average daily usage hours.

Results: We included 146 and 100 patients in the PI and NHI groups, respectively. Automatic positive airway pressure (APAP) mode and NHI were independent predictors of compliance B at the 3- and 9-month follow-up points. The NHI group showed significantly higher compliance A at 3, but not 9 months. For compliance B, the NHI group showed significantly higher compliance than the PI group at 1 month and 3 months, but not at 9 months. Compared with the PI group, the NHI group showed significantly higher compliance C only at 3 months.

Conclusion: The NHI has positively affected PAP therapy in patients with OSA. Insurance policy may affect compliance within the first 3 months.
Author(s)
배미례정유삼최우리
Issued Date
2021
Type
Article
Keyword
ComplianceNational health insuranceObstructive sleep apneaPositive airway pressure.
DOI
10.21053/ceo.2020.02362
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7943
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2488170470&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,The%20impact%20of%20national%20health%20insurance%20on%20the%20compliance%20of%20positive%20airway%20pressure%20therapy%20in%20patients%20with%20obstructive%20sleep%20apnea&offset=0&pcAvailability=true
Publisher
Clinical and Experimental Otorhinolaryngology
Location
대한민국
Language
영어
ISSN
1976-8710
Citation Volume
1
Citation Number
1
Citation Start Page
1
Citation End Page
1
Appears in Collections:
Medicine > Medicine
Authorize & License
  • Authorize공개
Files in This Item:
  • There are no files associated with this item.

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