Health Policy Manag.
2023 Mar;33(1):40-54. 10.4332/KJHPA.2023.33.1.40.
A Study on the Determinants of Convalescent Rehabilitation Medical Service Needs at Regional Level
- Affiliations
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- 1Department of Health Administration, Yonsei University Graduate School, Wonju, Korea
- 2Health Policy Research Laboratory, Korea Institute for Health and Social Affairs, Sejong, Korea
- 3Long-Term Care Research Laboratory, Health Insurance Research Institute, National Health Insurance Service, Wonju, Korea
- 4Department of Health Administration, Yonsei University College of Software and Digital Healthcare Convergence, Wonju, Korea
- KMID: 2549085
- DOI: http://doi.org/10.4332/KJHPA.2023.33.1.40
Abstract
- Background
Based on the increase in the needs for convalescent rehabilitation medical services in Korea, this study aims to calculate the needs for rehabilitation services and examine its determinants for 229 regions.
Methods
Claim data from the Health Insurance Review and Assessment Service were used to estimate patients who need to receive rehabilitation services, and data from various sources were also used for analysis. The number of cases and incidence rates of hospitalization related to convalescent rehabilitation were calculated to estimate the needs for services by region, and the results were visualized via a map. Multivariate regression and fixed effects regression using panel data were performed to identify the determinants of regional variation of the incidence rate.
Results
First, the incidence rate of rural areas such as Jeolla-do, Gyeongsang-do, and Chungcheong-do was higher than urban areas (metropolitan cities). Second, the population, proportion of the elder, medical aid recipients, financial independence, traffic deaths, smoking, diabetes rate, and medical infrastructure correlated significantly with the incidence rate. Third, ‘rho’ values which mean the fraction of variance due to individual terms in panel data regression models were 0.965 and 0.976, respectively.
Conclusion
The incidence rate of hospitalizations was correlated with most independent variables in this study and there is a gap between urban and rural areas. These regional disparities are fixed in our society. An improved regional convalescent rehabilitation system is suggested to cover the entire area including rural areas with a high rate of aging.
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