TY - JOUR
T1 - Prevalence and management status of urologic disease in geriatric hospitals in South Korea
T2 - A population-based analysis
AU - Suh, Jungyo
AU - Kim, Khae Hawn
AU - Lee, Sang Heon
AU - Kim, Hyung Suk
AU - Lee, Young Ju
AU - Lee, Sang Rim
AU - Jeong, Chang Wook
N1 - Publisher Copyright:
© The Korean Urological Association, 2017.
PY - 2017/7
Y1 - 2017/7
N2 - Purpose: This study aimed to investigate the prevalence and management status of urologic disease in geriatric hospitals in Korea. Materials and Methods: We conducted population-based analyzed using cohort established by the National Health Insurance Service of Korea, which contains the medical insurance data of 1 million people from 2002 to 2013. The prevalence, prescription rate, and complication incidence of urologic disease in geriatric hospitals were compared with similar-sized general hospitals. We analyzed the changes that followed the adoption of the fixed sum medical fee per day for geriatric hospitals, which began in January 2008. Subgroup analysis was conducted in an elderly group and a propensity score matching (PSM) group. Results: During this time, the number of geriatric hospitals exponentially increased over general hospitals (675.5%/y vs. 30.9%/y). The prevalence, prescription rate, and complication incidence of urologic disease was higher in geriatric hospitals than in general hospitals (2.1, 1.8, and 1.4 times higher). In the elderly group, the prevalence of urologic disorders was higher in geriatric hospitals than in general hospitals, but the prescription rate was lower (26.5% vs. 19.9% and 6.8% vs. 10.0%). This tendency also founded in the PSM analysis. After the medical fee system changed, diagnosis and prescription rates decreased in geriatric hospitals but increased in general hospitals. Conclusions: Urologic diseases are more prevalent yet management has some problem in geriatric hospitals. Lack of institutional urologists and changes in the medical payment system should be associated with this problem. Additional study and political support are needed to overcome this issue.
AB - Purpose: This study aimed to investigate the prevalence and management status of urologic disease in geriatric hospitals in Korea. Materials and Methods: We conducted population-based analyzed using cohort established by the National Health Insurance Service of Korea, which contains the medical insurance data of 1 million people from 2002 to 2013. The prevalence, prescription rate, and complication incidence of urologic disease in geriatric hospitals were compared with similar-sized general hospitals. We analyzed the changes that followed the adoption of the fixed sum medical fee per day for geriatric hospitals, which began in January 2008. Subgroup analysis was conducted in an elderly group and a propensity score matching (PSM) group. Results: During this time, the number of geriatric hospitals exponentially increased over general hospitals (675.5%/y vs. 30.9%/y). The prevalence, prescription rate, and complication incidence of urologic disease was higher in geriatric hospitals than in general hospitals (2.1, 1.8, and 1.4 times higher). In the elderly group, the prevalence of urologic disorders was higher in geriatric hospitals than in general hospitals, but the prescription rate was lower (26.5% vs. 19.9% and 6.8% vs. 10.0%). This tendency also founded in the PSM analysis. After the medical fee system changed, diagnosis and prescription rates decreased in geriatric hospitals but increased in general hospitals. Conclusions: Urologic diseases are more prevalent yet management has some problem in geriatric hospitals. Lack of institutional urologists and changes in the medical payment system should be associated with this problem. Additional study and political support are needed to overcome this issue.
KW - Cohort studies
KW - Health services for the aged
KW - Physicians’ practice patterns
KW - Propensity score
KW - Urologic diseases
UR - http://www.scopus.com/inward/record.url?scp=85021792945&partnerID=8YFLogxK
U2 - 10.4111/icu.2017.58.4.281
DO - 10.4111/icu.2017.58.4.281
M3 - Article
C2 - 28681039
AN - SCOPUS:85021792945
SN - 2466-0493
VL - 58
SP - 281
EP - 288
JO - Investigative and Clinical Urology
JF - Investigative and Clinical Urology
IS - 4
ER -