J Korean Soc Emerg Med.  2022 Jun;33(3):252-261.

An analysis of HIV patients visiting hospitals in Korea by complete enumeration: based on the Health Insurance Review and Assessment Service database

• Noh YC
• Kim JY
• Cho YD
• Cho GJ
• Park SJ
• Yoon YH
• Hong ES

Abstract

Objective
This study investigated the hospital use patterns of patients with human immunodeficiency virus (HIV) infections in Korea. The prevalence of HIV infections in Korea is very low and there is no data on the type of medical treatment HIV patients receive. We therefore decided to perform a complete enumeration of the utilization of medical facilities by HIV patients using a nationwide claims database.
Methods
The nationwide Health Medical Insurance Review and Assessment (HIRA) service claims database was used to identify and include all new patients with HIV infections from 2013 to 2018. The current inpatient, outpatient, and emergency service use of these patients were investigated. The number of invasive procedures, interventions, and operations performed on these patients, and their death rate, was also investigated.
Results
The number of patients visiting outpatient departments increased by 44% from 2013 to 2018. The most frequently visited department was internal medicine, followed by emergency medicine. Dental procedures followed intravenous line insertions as the most common procedures undertaken by patients with HIV.
Conclusion
The results of this study show the status of hospital visits by patients with HIV infections in Korea and provide the basic data upon which policy decisions can be based.

Keyword

HIV; Clinical coding; Medical utilization; Epidemiology; AIDS