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J Korean Soc Matern Child Health > Volume 19(1); 2015 > Article
Journal of The Korean Society of Maternal and Child Health 2015;19(1):82-94.
DOI: https://doi.org/10.21896/jksmch.2015.19.1.82    Published online January 31, 2015.
An Analysis on The Characteristics of Hospital Admission and Discharge for Vaginal Delivery and Cesarean Section and Their Medical Expenses -With Special Focus on Health Insurance Review Assessment Data, 2009 to 2011
송혜숙1, 정준식2, 이난희3, 이병현4, 김윤신5
1서영대학교
2국립환경과학원
3한국보건사회연구원
4한양대학교 대학원 보건학과
5한양대학교
자연분만과 제왕절개분만의 입·퇴원 특성 및 진료비 분석 -심사평가원 청구 자료를 중심으로, 2009~2011
송혜숙1, 정준식2, 이난희3, 이병현4, 김윤신5
1서영대학교
2국립환경과학원
3한국보건사회연구원
4한양대학교 대학원 보건학과
5한양대학교
Abstract
Purpose
Low birth rate is one of the major social problems in Korea. This study is aimed atproviding Korea’s birth promotion policy with evidence derived from the analysis of the deliverydata available from the Health Insurance Review & Assessment Service (HIRA).
Methods
We conducted an analysis on the characteristics of hospital admissions and dischargesby types of delivery using the data on claims for deliveries made to HIRA for the period of 2009to 2011.
Results
Of all deliveries analyzed, 64.3% were normal spontaneous vaginal deliveries and 35.7%were deliveries by cesarean section, and among women above the age of 35, the higher the age,the higher the rate of women who had cesarean sections. On average, those who had vaginaldelivery were hospitalized for 3.3 days while those who had cesarean section were for 6.7 days. At hospital discharge, 90.1% of those who had vaginal delivery received medicine while 65.4% ofthose who had cesarean section did so. These findings were never mentioned in the previousstudies. 60% of those who had vaginal delivery were prescribed medicine for less than 3 days’use, while 49.3% of those who had cesarean section were given medicine for the same period. Interms of disease code classification, 83.3% of vaginal deliveries were categorized as single spontaneousdelivery (O80), and 49.2% of c-section deliveries were categorized as optional c-sectiondelivery with 35.7% as emergency c-section delivery. 72.7% of vaginal deliveries were includedin sub-diagnosis while 82.7% were included for cesarean section. As to the medical expensesincurred, the total medical fee and the co-payment by patients were ₩828,571 and ₩16,423 respectively for vaginal delivery and ₩1,173,769 and ₩235,522 respectively for cesarean sectionwith the expenses incurred for c-section were ₩345,198 higher for the total medical fee and₩219,099 higher for co-payment than for vaginal delivery.
Conclusion
In conclusion, policy efforts should be made to support fertility raising, promotion ofvaginal delivery, and child care expansion, for example, a task force or a committee organized bythe government.
Key Words: birth rate, normal spontaneous vaginal delivery, cesarean section, medical fee
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