Rapid Increase of Health Care Utilization and Cost due to Benign Prostatic Hyperplasia in Korean Men: Retrospective Population-based Analysis Using the Health Insurance Review and Assessment Service Data.
10.3346/jkms.2015.30.2.180
- Author:
Hwancheol SON
1
;
Juhyun PARK
;
Sang Hoon SONG
;
Jung Yoon KANG
;
Sung Kyu HONG
;
Hyun Moo LEE
;
Sun Hee KIM
;
Byung Joo PARK
;
Hyung Lae LEE
;
Kyung Seop LEE
Author Information
1. Department of Urology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Prostatic Hyperplasia;
Epidemiology;
Insurance Claim Review
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Cost of Illness;
Health Care Costs;
Humans;
Insurance, Health/*economics/statistics & numerical data;
Male;
Middle Aged;
Patient Acceptance of Health Care/*statistics & numerical data;
Prostatic Hyperplasia/*economics/*epidemiology/therapy;
Republic of Korea/epidemiology;
Retrospective Studies;
Seasons;
Young Adult
- From:Journal of Korean Medical Science
2015;30(2):180-185
- CountryRepublic of Korea
- Language:English
-
Abstract:
Using the Korean public health insurance database, we analyzed patients diagnosed as benign prostatic hyperplasia (BPH) from 2004 to 2008. Age and year-specific amount and seasonal variation of hospital visits (HV), duration of treatment (DT), the total and per capita amount of insurance payment (TAIP, PCIP) were evaluated. A total of 12,088,995 HV were studied. Total HV increased 1.7 times and DT almost doubled in 2008 compared to those in 2004. HV, DT, and TAIP showed linearly increasing patterns year by year. In a time series analysis, HV increased in winter and demonstrated seasonality in a 12-month cycle. In a Poisson regression analysis, the annual variations of HV, DT, TAIP, and PCIP were different by age groups. In patients older than 40 yr, HV significantly increased 1.10-1.16 times compared to that of the previous year. DT markedly increased in their 60s and 80s patients. The rate of increase in PCIP was steeper in patients 50 yr and older than in the others.Health care utilization due to BPH was rapidly increasing in Korea and it was remarkable in the elderly population. Seasonal variation of HV demonstrated that health care utilization increased in winter.
