Chronic obstructive lung disease-related health care utilisation in Korean adults with obstructive lung disease

J. Y. Jung, youngae kang, M. S. Park, Y. M. Oh, Euncheol Park, H. R. Kim, S. D. Lee, S. K. Kim, J. Chang, Young Sam Kim

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVES: The numbers of nationwide epidemiological surveys about chronic obstructive pulmonary disease (COPD) prevalence and prospective cohort studies for health care utilisation are limited. We investigated COPD-related health care utilisation in adults with obstructive lung disease in the second Korean National Health and Nutritional Survey (KNHANES II) in 2001 using Korean national medical insurance claim data. METHODS: Among people aged >40 years, obstructive lung disease (OLD) is defined according to Global Initiative for Chronic Obstructive Lung Disease criteria. Data from a total of 1942 subjects were linked with Korean national medical insurance claims data, and we investigated their COPD-related out-patient visits from 2002 to 2005. RESULTS: Among the 1942 subjects, 256 (13.2%) had airflow obstruction. COPD-related out-patient visits were reported for 8.2% of patients without airway obstruction, 18.1% of those with mild airway obstruction, and 33.9% of those with moderate to very severe airway obstruction. Multivariate analysis revealed that previous COPD diagnosis by a physician (OR 2.54; P = 0.02) and lower socio-economic status (OR 0.45; P = 0.02) were independent predictors of COPD-related out-p atient visits in subjects with OLD. CONCLUSIONS: Of the subjects with airway obstruction, those with poor financial status utilised COPD-related health care services less frequently, and those previously diagnosed as having COPD by a physician utilised the services more frequently.

Original languageEnglish
JournalInternational Journal of Tuberculosis and Lung Disease
Volume15
Issue number6
DOIs
Publication statusPublished - 2011 Jun 1

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Patient Acceptance of Health Care
Obstructive Lung Diseases
Chronic Obstructive Pulmonary Disease
Airway Obstruction
Insurance
Outpatients
Physicians
Nutrition Surveys
Health Surveys
Health Services
Cohort Studies
Multivariate Analysis
Economics
Prospective Studies
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

Jung, J. Y. ; kang, youngae ; Park, M. S. ; Oh, Y. M. ; Park, Euncheol ; Kim, H. R. ; Lee, S. D. ; Kim, S. K. ; Chang, J. ; Kim, Young Sam. / Chronic obstructive lung disease-related health care utilisation in Korean adults with obstructive lung disease. In: International Journal of Tuberculosis and Lung Disease. 2011 ; Vol. 15, No. 6.
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abstract = "OBJECTIVES: The numbers of nationwide epidemiological surveys about chronic obstructive pulmonary disease (COPD) prevalence and prospective cohort studies for health care utilisation are limited. We investigated COPD-related health care utilisation in adults with obstructive lung disease in the second Korean National Health and Nutritional Survey (KNHANES II) in 2001 using Korean national medical insurance claim data. METHODS: Among people aged >40 years, obstructive lung disease (OLD) is defined according to Global Initiative for Chronic Obstructive Lung Disease criteria. Data from a total of 1942 subjects were linked with Korean national medical insurance claims data, and we investigated their COPD-related out-patient visits from 2002 to 2005. RESULTS: Among the 1942 subjects, 256 (13.2{\%}) had airflow obstruction. COPD-related out-patient visits were reported for 8.2{\%} of patients without airway obstruction, 18.1{\%} of those with mild airway obstruction, and 33.9{\%} of those with moderate to very severe airway obstruction. Multivariate analysis revealed that previous COPD diagnosis by a physician (OR 2.54; P = 0.02) and lower socio-economic status (OR 0.45; P = 0.02) were independent predictors of COPD-related out-p atient visits in subjects with OLD. CONCLUSIONS: Of the subjects with airway obstruction, those with poor financial status utilised COPD-related health care services less frequently, and those previously diagnosed as having COPD by a physician utilised the services more frequently.",
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Chronic obstructive lung disease-related health care utilisation in Korean adults with obstructive lung disease. / Jung, J. Y.; kang, youngae; Park, M. S.; Oh, Y. M.; Park, Euncheol; Kim, H. R.; Lee, S. D.; Kim, S. K.; Chang, J.; Kim, Young Sam.

In: International Journal of Tuberculosis and Lung Disease, Vol. 15, No. 6, 01.06.2011.

Research output: Contribution to journalArticle

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T1 - Chronic obstructive lung disease-related health care utilisation in Korean adults with obstructive lung disease

AU - Jung, J. Y.

AU - kang, youngae

AU - Park, M. S.

AU - Oh, Y. M.

AU - Park, Euncheol

AU - Kim, H. R.

AU - Lee, S. D.

AU - Kim, S. K.

AU - Chang, J.

AU - Kim, Young Sam

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N2 - OBJECTIVES: The numbers of nationwide epidemiological surveys about chronic obstructive pulmonary disease (COPD) prevalence and prospective cohort studies for health care utilisation are limited. We investigated COPD-related health care utilisation in adults with obstructive lung disease in the second Korean National Health and Nutritional Survey (KNHANES II) in 2001 using Korean national medical insurance claim data. METHODS: Among people aged >40 years, obstructive lung disease (OLD) is defined according to Global Initiative for Chronic Obstructive Lung Disease criteria. Data from a total of 1942 subjects were linked with Korean national medical insurance claims data, and we investigated their COPD-related out-patient visits from 2002 to 2005. RESULTS: Among the 1942 subjects, 256 (13.2%) had airflow obstruction. COPD-related out-patient visits were reported for 8.2% of patients without airway obstruction, 18.1% of those with mild airway obstruction, and 33.9% of those with moderate to very severe airway obstruction. Multivariate analysis revealed that previous COPD diagnosis by a physician (OR 2.54; P = 0.02) and lower socio-economic status (OR 0.45; P = 0.02) were independent predictors of COPD-related out-p atient visits in subjects with OLD. CONCLUSIONS: Of the subjects with airway obstruction, those with poor financial status utilised COPD-related health care services less frequently, and those previously diagnosed as having COPD by a physician utilised the services more frequently.

AB - OBJECTIVES: The numbers of nationwide epidemiological surveys about chronic obstructive pulmonary disease (COPD) prevalence and prospective cohort studies for health care utilisation are limited. We investigated COPD-related health care utilisation in adults with obstructive lung disease in the second Korean National Health and Nutritional Survey (KNHANES II) in 2001 using Korean national medical insurance claim data. METHODS: Among people aged >40 years, obstructive lung disease (OLD) is defined according to Global Initiative for Chronic Obstructive Lung Disease criteria. Data from a total of 1942 subjects were linked with Korean national medical insurance claims data, and we investigated their COPD-related out-patient visits from 2002 to 2005. RESULTS: Among the 1942 subjects, 256 (13.2%) had airflow obstruction. COPD-related out-patient visits were reported for 8.2% of patients without airway obstruction, 18.1% of those with mild airway obstruction, and 33.9% of those with moderate to very severe airway obstruction. Multivariate analysis revealed that previous COPD diagnosis by a physician (OR 2.54; P = 0.02) and lower socio-economic status (OR 0.45; P = 0.02) were independent predictors of COPD-related out-p atient visits in subjects with OLD. CONCLUSIONS: Of the subjects with airway obstruction, those with poor financial status utilised COPD-related health care services less frequently, and those previously diagnosed as having COPD by a physician utilised the services more frequently.

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