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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 12 (12page)
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Background: This study aimed to estimate the nationwide prevalence of live births with Down syndrome (DS) and its trends and compare the observed and model-based predicted prevalence rates. Further, we compared the direct medical expenditures among DS and non- DS patients. Methods: Using the health administrative data of Health Insurance Review and Assessment in Korea, we selected 2,301 children with DS who were born between 2007 and 2016 to estimate the prevalence of live births with DS, and 12,265 non-DS children who were born between 2010 and 2014 to compare the direct medical expenditures among patients. Results: The prevalence of live births with DS was 5.03 per 10,000 births in 9 years, and 13% of children with DS were medical aid recipients during the study period. The medical expenditure of children with DS was about 10-fold higher than that of non-DS children and their out-of-pocket expenditure was about twice as high. Conclusion: The prevalence of live birth with DS is high in the low socioeconomic group and the healthcare costs for the children with DS are significantly higher than those for non-DS children. Therefore, health authorities should help mothers at lower socioeconomic levels to receive adequate antenatal care and consider the cost of medical care for children with DS.
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참고문헌 (19)
참고문헌 신청
Asim A / 2015 / Down syndrome : an insight of the disease / J Biomed Sci 22(1):41
Weijerman ME / 2010 / Clinical practice. The care of children with Down syndrome / Eur J Pediatr 169(12):1445~1452
Cuckle HS / 1987 / Estimating a woman's risk of having a pregnancy associated with Down's syndrome using her age and serum alpha-fetoprotein level / Br J Obstet Gynaecol 94(5):387~402
Morris JK / 2002 / Revised estimates of the maternal age specific live birth prevalence of Down's syndrome / J Med Screen 9(1):2~6
Moorthie S / 2018 / Chromosomal disorders : estimating baseline birth prevalence and pregnancy outcomes worldwide / J Community Genet 9(4):377~386
Weijerman ME / 2010 / Clinical practice. The care of children with Down syndrome / Eur J Pediatr 169(12):1445~1452
Cuckle HS / 1987 / Estimating a woman's risk of having a pregnancy associated with Down's syndrome using her age and serum alpha-fetoprotein level / Br J Obstet Gynaecol 94(5):387~402
Morris JK / 2002 / Revised estimates of the maternal age specific live birth prevalence of Down's syndrome / J Med Screen 9(1):2~6
Moorthie S / 2018 / Chromosomal disorders : estimating baseline birth prevalence and pregnancy outcomes worldwide / J Community Genet 9(4):377~386
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