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.
Hwancheol SonJuhyun ParkSang Hoon SongJung Yoon KangSung Kyu HongHyun Moo LeeSun-Hee KimByung Joo ParkHyung-Lae LeeKyung Seop LeePublished in: Journal of Korean medical science (2015)
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.
Keyphrases
- healthcare
- end stage renal disease
- health insurance
- benign prostatic hyperplasia
- public health
- ejection fraction
- chronic kidney disease
- newly diagnosed
- lower urinary tract symptoms
- prognostic factors
- peritoneal dialysis
- physical activity
- affordable care act
- middle aged
- cross sectional
- artificial intelligence
- patient reported
- electronic health record
- sensitive detection
- health information
- acute care
- solid state