Personal variation in patient-centered relevance Index based on individual characteristics and medical conditions among patients with diabetes Mellitus in Korea.

Autor:	Park H; Health Insurance Review and Assessment Service, HIRA Research Institute, 60, Hyeoksin-ro, Wonju-si, Gangwon-do, Republic of Korea, 26465.; Department of Public Health, Yonsei University College of Medicine, 50, Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea, 03722., Park EC; Department of Public Health, Yonsei University College of Medicine, 50, Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea, 03722.; Department of Preventive Medicine and Institute of Health Service Research, Yonsei University College of Medicine, 50, Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea, 03722., Lee WR; Research and Analysis Team, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsan-donggu, Goyang-si, Gyeonggi-do, Republic of Korea, 10444., Chun S; Research and Analysis Team, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsan-donggu, Goyang-si, Gyeonggi-do, Republic of Korea, 10444.
Jazyk:	angličtina
Zdroj:	Chronic illness [Chronic Illn] 2024 Dec 05, pp. 17423953241277900. Date of Electronic Publication: 2024 Dec 05.
DOI:	10.1177/17423953241277900
Abstrakt:	Objectives: This study aimed to identify patients at higher risk for regional disengagement from health services using the Patient-centered Relevance Index (P-RI). Methods: This nationwide retrospective cohort study analyzed the relationship between the P-RI and individual patient characteristics, including medical conditions and healthcare utilization patterns. The National Health Insurance Service claims database was used to characterize healthcare utilization by 3,046,914 patients with DM from 2017 to 2020. Results: As compared to the mild condition group, all other groups had a lower P-RI. Significant differences were observed among the groups with P-RI lower by 16.5%, 14%, 13%, 0.4%, and 0.6% in the repeated inpatient treatment (β = -0.165, P < 0.001), complication (β = -0.141, P < 0.001), extended long-term care stay (β = -0.130, P < 0.001), comorbidity (β = -0.041, P < 0.001), and other (β = -0.058, P < 0.001) groups, respectively. Additionally, the P-RI was high among low-income and older patients with high acuity. Discussion: South Korea's healthcare delivery system is not regionally self-sufficient. A relatively low P-RI in the high income and younger groups indicates healthcare access inequity. Therefore, a continuous management system that ensures uniform healthcare access needs to be established. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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