ArticleJournal of Korean medical science2026
Technology-Dependent Children Living at Home in Korea: A Population-Based Analysis Using NHIS Claims Data.
Article in Journal of Korean medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAdvances in medical technology have improved the survival of critically ill children, resulting in a growing population of technology-dependent children (TDC). Given their substantial healthcare needs and often complex care, understanding the prevalence and healthcare utilization of TDC is crucial for informed decision-making for healthcare professionals and policymakers. This study aimed to investigate the prevalence, incidence, and healthcare utilization of TDC in Republic of Korea (South Korea).
methodsThis retrospective, population-level study analyzed the National Insurance Service claims data in Korea from 2018 to 2019. Children and adolescents aged 0-18 years living at home with technology dependence for respiratory (invasive/non-invasive ventilation, tracheostomy, or oxygen therapy) or nutritional support (nasoenteric or gastrostomy tube feeding) were included. We estimated 2-year prevalence, 1-year incidence, and healthcare utilization, including subgroup comparisons by complex chronic condition (CCC) status.
resultsIn total, 3,306 children were identified as TDC: 1,889 required respiratory support (21.5 per 100,000), and 2,036 required tube feeding (23.2 per 100,000). The mean age was 4.4 ± 5.4 years for respiratory-dependent and 6.2 ± 5.8 years for nutritional-dependent children. Most of the children had ≥ 1 CCC. Compared with non-CCC counterparts, children with CCC had longer hospital stays (125 vs. 35.8 days), more intensive care unit days (74.6 vs. 35.8), and higher annual healthcare costs per patient ($49,870 vs. $10,430). The overall 1-year mortality was 17.0%, with higher rates among patients with CCC.
conclusionTDC represent a relatively small but medically complex population with high healthcare needs and utilization. These findings highlight the importance of coordinated and multidisciplinary home-based care. Further studies are warranted to guide interventions and policies that support improved outcomes for TDC and their families.
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