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임신 출산 진료비 지원정책과 저체중아 및 미숙아 출산과의 관련성

Expansion of Health Insurance Coverage for Prenatal Care and Its Association with Low Birth Weight and Premature Birth

한국모자보건학회지 2019년 23권 4호 p.241 ~ 249
김은정 ( Kim Eun-Jung ) - 평택대학교 간호학과

박현정 ( Park Hyun-Jung ) - 평택대학교 간호학과

Abstract


Purpose: The purpose of this study was to investigate the relationship between the cost of medical care for pregnancy and childbirth and the birth outcome.

Methods: Using the Korean National Health Insurance Corporation cohort data, we compared the birth outcome of 2,198 subjects before policy (2005?2008) and after policy (2009?2012) costs related to pregnancy and childbirth.

Results: After the rate of application of the maternity care fee increased by 2.3%, the cesarean section rate increased by 15%. The incidence of low birth weight was significantly lower in women under 35 years of age, as well as in women over 35 years of age who had delivered a child through cesarean section.

Conclusion: After the policy implementation, the rates of low birth weight and premature childbirth decreased at all ages, for second or subsequent births. Considering the purpose of the pregnancy and childbirth care support policy, implemented to reduce the burden of medical expenses and to create a favorable environment for childbirth, it is necessary to expand coverage by converting nonpayment items, and to develop diverse and comprehensive policies that consider pregnant women’s characteristics.

키워드

Health policy; Program evaluation; Prenatal care; Low birth weight; Premature birth
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