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논문 기본 정보

자료유형
학술저널
저자정보
Sohn Dong-Gyun (Graduate School of Public Health Seoul National University Seoul Korea.Outpatient Rehabilitation Center Korea Workers’ Compensation and Welfare Service Incheon Hospital Incheon Korea.) Yoon Jaehong (Department of Rehabilitation Medicine Seoul National University College of Medicine Seoul National University Hospital Seoul Korea.National Traffic Injury Rehabilitation Research Institute National Tr) Ro Jun-Soo (Institute of Health Policy and Management Medical Research Center Seoul National University Seoul Korea.) Leigh Ja-Ho (Department of Rehabilitation Medicine Seoul National University College of Medicine Seoul National University Hospital Seoul Korea.National Traffic Injury Rehabilitation Research Institute National Tr)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.20
발행연도
2023.5
수록면
1 - 12 (12page)
DOI
10.3346/jkms.2023.38.e147

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초록· 키워드

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Background: Health disparity is defined as a difference in the accessibility of medical resources among regions or other factors. In South Korea, there might be a disparity because of the low proportion of public medical institutions. This study aimed to investigate the geographic distribution of rehabilitation treatment and examine the factors associated with the rates of rehabilitation treatment in Korea. Methods: We used administrative claims data in 2007, 2012, and 2017 from the National Health Insurance Database in Korea. We defined physical therapy and occupational therapy as rehabilitation treatments and analyzed the rate of rehabilitation treatments for administrative districts in 2007, 2012, and 2017. Interdecile range and coefficient of variation were used to investigate the geographic distribution of rehabilitation treatment over time. We applied multiple random intercept negative binomial regression to examine the factors associated with rehabilitation treatment. A total of 28,319,614 inpatient and outpatient claims were submitted for 874 hospitals that provided rehabilitation treatment in 2007, 2012, and 2017. Results: The increase in the mean rates of physical therapy inpatients and outpatients was greater than those for occupational therapy inpatients and outpatients from 2007 to 2017. Both physical therapy and occupational therapy were concentrated in the Seoul Capital Area and other large urban areas. More than 30% of the districts received no rehabilitation treatment. The interdecile range and coefficient of variation for physical therapy declined more than those for occupational therapy from 2007 to 2017. The deprivation index was negatively correlated with physical therapy inpatients, physical therapy outpatients, occupational therapy inpatients, and occupational therapy outpatients. Furthermore, a 1-unit increase in the number of hospital beds per 1,000 people was associated with 1.42 times higher physical therapy inpatient, 1.44 times higher physical therapy outpatient, 2.14 times higher occupational therapy inpatient, and 3.30 times higher occupational therapy outpatient treatment. Conclusion: To reduce the geographic inequality in rehabilitation treatment, it is necessary to narrow the gap between the supply and demand of rehabilitation services. Providing incentives or direct provisions from the government might be an alternative.
#Neurological Rehabilitation #Occupational Therapy #Healthcare Disparity #Health Service Accessibility #Facilities and Services Utilization

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