Evidence map›Paper›PMID 37287202›Full record

ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2023

Trends in the Quality of Primary Care and Acute Care in Korea From 2008 to 2020: A Cross-sectional Study.

Yeong Geun Gwon, Seung Jin Han, Kyoung Hoon Kim

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Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Yeong Geun GwonReview and Assessment Research Division, Health Insurance Review & Assessment Service, Wonju, Korea.
Seung Jin HanPrimary Care Improvement Division, Health Insurance Review & Assessment Service, Wonju, Korea.
Kyoung Hoon KimInternational Policy Research Division, Health Insurance Review & Assessment Service, Wonju, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMeasuring the quality of care is paramount to inform policies for healthcare services. Nevertheless, little is known about the quality of primary care and acute care provided in Korea. This study investigated trends in the quality of primary care and acute care.

methodsCase-fatality rates and avoidable hospitalization rates were used as performance indicators to assess the quality of primary care and acute care. Admission data for the period 2008 to 2020 were extracted from the National Health Insurance Claims Database. Case-fatality rates and avoidable hospitalization rates were standardized by age and sex to adjust for patients' characteristics over time, and significant changes in the rates were identified by joinpoint regression.

resultsThe average annual percent change in age-/sex-standardized case-fatality rates for acute myocardial infarction was -2.3% (95% confidence interval, -4.6 to 0.0). For hemorrhagic and ischemic stroke, the age-/sex-standardized case-fatality rates were 21.8% and 5.9%, respectively in 2020; these rates decreased since 2008 (27.1 and 8.7%, respectively). The average annual percent change in age-/sex-standardized avoidable hospitalization rates ranged from -9.4% to -3.0%, with statistically significant changes between 2008 and 2020. In 2020, the avoidable hospitalization rates decreased considerably compared with the 2019 rate because of the coronavirus disease 2019 pandemic.

conclusionsThe avoidable hospitalization rates and case-fatality rates decreased overall during the past decade, but they were relatively high compared with other countries. Strengthening primary care is an essential requirement to improve patient health outcomes in the rapidly aging Korean population.

Indexed as

COVID-19Cross-Sectional StudiesHospitalizationHumansPrimary Health CareRepublic of KoreaAcute careAvoidable hospitalizationCase-fatality rateNational Health Insurance Claims DatabasePrimary care

Identifiers

PMID37287202
PMCPMC10248101

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