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大都市住民의 醫療費支出에 關한 調査

A Survey on Medical Expenditure in Urban Population

공중보건잡지 1973년 10권 2호 p.304 ~ 311
조동복, 朴榮洙, 許程,
소속 상세정보
조동복 (  ) - 서울대학교 보건대학원
朴榮洙 (  ) - 서울대학교 보건대학원
許程 (  ) - 서울대학교 보건대학원

Abstract


In order to study medical expenditure spent by urban residents on sicknesses, surveys were conducted on 1,700 households consisting of 7, 896 persons during a one-month period from August l to 31, 1973, and the following results have been obtained.
1. The average number of persons per household was 4. 64. Except for the male age group of 0 to 9 years, the distribution of population by sex and age group was generally in the shape of a pyramid.
2. Of all the persons surveyed, illiterates constituted 9.7 per cent, those barely reding Korean alphabet 10.2 per cent, primary school graduates 7.3 per cent, middle school graduates 20.8 per cent, high school graduates 29.6 per cent, and college graduates 22. 4 per cent.
3. Out of the surveyed persons, males at the age of 15 years or above were broken down by occupation into 20.1 per cent for students, 18.7 per cent for professional and technical occupations, 15.4 per cent for clerical workers, and 13.8 per cent for sales workers. The females in the same age groups were broken dowm into 53.4 per cent for housekeeping work, 19.9 per cent for students, 5.2 per cent for professional and technical occupations, 4.4 per cent for sales workers, and 4.2 per cent for clerical workers. Thus, more than a half of the females were engaged in housekeeping and a very small proportion had jobs.
4. During the survey period, prevalence rate per population of 1,000 persons was 200.2 (161.1 for males and 242.5 for females).
5. Patients wanted medical care in 1, 182 patients out of a total of 1,581 reported sick cases, thereby showing a medical care demand ratio of 74.8 per cent.
6. A greatest proportion or 48.0 per cent of patients utilized pharmacies. Those visiting hospitals or clinics constituted the second greatest proportion or 29.5 per cent, and hospitalized patients 10.1 per cent. Those utilizing such non-western therapies as oriental clinics, oriental pharmacies, and folk therapies occupied 9.9 per cent.
7. The total amount of medical expenditure spent by all the surrrveyed persons was broken down into 72.9 per ccent for direct medical cost and 27.1 per cent ofr indirect medical cost.
8. The average amount of medical expenditure spent per case was \1,983 (\2,155 for male and \1,860 for female). Medical expenditure spent per case of medical treatment amounted to \2,637 on the average (\2,935 for male and \2,433 for female).
9. Monthly per capita medical expenditure reached \397 (\347 for male and \451 for female). The average monthly amount of medical expenses per household was \1,842.
10. A greater amount of medical expenditure was spent by the age group of 0 to 9 years than that by any other age group. The smallest amount accounted for the age group of 10 to 19 years. The amount of medical expenditre tended to increase in propotion to age.
11. The average amount of medical expenditure spent by primary school graduates and those with lower educational standards stayed below \2,000. a smaller amount than that spent by middle school graduates and those with higher educational standards. Thus, the higher the educational standard was, the greater amount was spent in medical expenditure.
12. By occupation, an average of \4,218 was spent by craftsmen and manual laborers, a greater amount than that spent by any other occupational category of people. Clerical workers spent \4,218 was spent by craftsmen and manual laborers, a greater amount tham that spent by any other occupational category of pople. Clerical workers spent \3,292 on average, professional and technical workers \2, 762, and managerial workers \2. 787.
13. An average of \8,333 was spent in medical expenditure per case of blood and blood forming organ disease, \5,949 for neoplasms, \4, 662 for contagious and parasitic diseases, and \ 4, 369 for pregnancy, child delivery, and their complocations.
14. As reasons for failure to receive medical treatment for sickness, 47.4 per cent or the greatest proportion said, " I can endure now but will get medical treatment if it gets worse. " The second greatest proporton or 33.6 per cent was awaiting natural healing because the sickness was a mild case. Those who do not receive medical treatment for financial reasons constituted 14.3 per cent.
15. As for results of medical care, 20.3 per cent was completely cured, 33.2 per cent improving, and 13.4 per cent showing no improvement. During the survey period, five persons or 0.4 per cent of the population involved in the survey died.

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