دورية أكاديمية
Estimating Nationwide Prevalence of Live Births with Down Syndrome and Their Medical Expenditures in Korea.
| العنوان: | Estimating Nationwide Prevalence of Live Births with Down Syndrome and Their Medical Expenditures in Korea. |
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| المؤلفون: | Park GW; Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Korea., Kim NE; Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Korea., Choi EK; Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Korea., Yang HJ; SCH Biomedical Informatics Research Unit, Soonchunhyang University Seoul Hospital, Seoul, Korea.; Pediatric Allergy and Respiratory Center, Department of Pediatrics, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea., Won S; Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Korea.; Institute of Health and Environment, Seoul National University, Seoul, Korea.; Interdisciplinary Program of Bioinformatics, Seoul National University, Seoul, Korea. sunghow@gmail.com., Lee YJ; Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea. pedalllee@gmail.com. |
| المصدر: | Journal of Korean medical science [J Korean Med Sci] 2019 Aug 12; Vol. 34 (31), pp. e207. Date of Electronic Publication: 2019 Aug 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Korean Academy of Medical Science Country of Publication: Korea (South) NLM ID: 8703518 Publication Model: Electronic Cited Medium: Internet ISSN: 1598-6357 (Electronic) Linking ISSN: 10118934 NLM ISO Abbreviation: J Korean Med Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Seoul, Korea : Korean Academy of Medical Science, [1986- |
| مواضيع طبية MeSH: | Health Care Costs* , Live Birth*, Down Syndrome/*economics , Down Syndrome/*epidemiology, Adult ; Databases, Factual ; Female ; Geography ; Health Expenditures ; Humans ; Infant, Newborn ; Insurance, Health/economics ; Male ; Maternal Age ; Middle Aged ; Pregnancy ; Prenatal Diagnosis ; Prevalence ; Republic of Korea/epidemiology ; Time Factors |
| مستخلص: | 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. Competing Interests: The authors have no potential conflicts of interest to disclose. (© 2019 The Korean Academy of Medical Sciences.) |
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| معلومات مُعتمدة: | NRF-2016R1D1A1A09919610 Korea NRF National Research Foundation of Korea |
| فهرسة مساهمة: | Keywords: Down Syndrome; Health Expenditures; Live Birth; National Health Insurance Claims |
| تواريخ الأحداث: | Date Created: 20190809 Date Completed: 20200220 Latest Revision: 20200225 |
| رمز التحديث: | 20240513 |
| مُعرف محوري في PubMed: | PMC6689486 |
| DOI: | 10.3346/jkms.2019.34.e207 |
| PMID: | 31392854 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1598-6357 |
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| DOI: | 10.3346/jkms.2019.34.e207 |