Evidence map›Paper›PMID 29848995›Full record

ArticleInternational journal of environmental research and public health2018

Primary Care Patients' Preference for Hospitals over Clinics in Korea.

Agnus M Kim, Seongcheol Cho, Hyun Joo Kim, Hyemin Jung, Min-Woo Jo, Jin Yong Lee, Sang Jun Eun

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Agnus M KimDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul 03080, Korea. agnus@snu.ac.kr.ORCID 0000-0002-6616-2534
Seongcheol ChoRegional Emergency Care Center, Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 03080, Korea. mdchosc@gmail.com.
Hyun Joo KimDepartment of Nursing Science, Shinsung University, Dangjin 31801, Korea. hyjkim2012@gmail.com.ORCID 0000-0001-5784-3576
Hyemin JungDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul 03080, Korea. hyeminjung82@gmail.com.
Min-Woo JoDepartment of Preventive Medicine, University of Ulsan College of Medicine, Seoul 05505, Korea. mdjominwoo@gmail.com.
Jin Yong LeePublic Health Medical Service, Boramae Medical Center, Seoul National University College of Medicine, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul 07061, Korea. jylee2000@gmail.com.ORCID 0000-0002-7752-2697
Sang Jun EunDepartment of Preventive Medicine, Chungnam National University College of Medicine, Daejeon 35015, Korea. zepplin7@cnu.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Korea is in a unique condition to observe whether patients, when equal access to the levels of health care facilities is guaranteed by the support of the national health insurance, choose the appropriate levels of health care facilities. This study was performed to investigate the primary care patients' preference for hospitals over clinics under no restriction for their choice. We used the 2011 National Inpatient Sample database of the Health Insurance Review and Assessment Service in Korea. A primary care patient was defined as a patient who visited as an outpatient in health care facilities with one of the 52 minor conditions defined by the Korean government. We found that approximately 15% of outpatient visits of the patients who were eligible for primary care in Korea happened in hospitals. In terms of cost, the outpatient visits in hospitals accounted for about 29% of total cost of outpatient visits. This arbitrary access to hospitals can lead to an inefficient use of health care resources. In order to ensure that health care facilities are stratified in terms of access as well as size and function, interventions to distribute patients to the appropriate level of care are required.

Indexed as

Health Services AccessibilityCross-Sectional StudiesDatabases, FactualFacilities and Services UtilizationHealth Care CostsHospitalsHumansNational Health ProgramsPatient Acceptance of Health CarePatient PreferencePrimary Health CareRepublic of Koreaaccessclinicshealth care facilitieshospitalsKoreapreferenceprimary care

Identifiers

PMID29848995
PMCPMC6025534

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.