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農漁村住民의 醫療費支出에 關한 調査

A Survey on Medical care Expenditure in Rural Area

공중보건잡지 1974년 11권 1호 p.154 ~ 161
李喆玉, 박영수, 허정,
소속 상세정보
李喆玉 (  ) - 서울대학교 보건대학원
박영수 (  ) - 서울대학교 보건대학원
허정 (  ) - 서울대학교 보건대학원

Abstract


In order to survey on medical care expenditure spent by rural areas in Korea, the survey were conducted on 1,700 households consisting of 16,655 persons during the one-month period from August 1 to 31, 1973. As a result, the following conclusions have been reached:
1. Socio-demographic characteristics
1) In the surveyed areas, the average number of persons per household was 5.43 persons.
2) Agedness population (60 years or above) constituted 5.3 per cent of the total population in the surveyed areas.
3) Of the total population at age of five and above (excluded children below the school age). illiterates occupied 17.8 per cent. Those who received college education constituted 1.9 per cent only.
4) Of the total population at the age of 15 and above, those engaged in farming and fishery constituted 18.5 percent. Jobless people including unemployed persons, those engaged in housekeeping, and students occupied 60.0 per cent.
5) In surveyed areas, 79.9 per cent of the population did not practice religion.
2. Morbidity
6) As of August 1,1973 (the first day of survey), point prevalence rate at the beginning was 46.3 per 1,000 capita.
7) Monthly prevalence rate was 115.0 (106.0 for male and 124.7 for female) per 1,000 capita.
8) Rate of sick call to sickness was 85.1 per cent (89.5 per cent for male and 81.0 per cent for female).
9) The average day of sick was 7.8 days per case, 9.3 days per treatment case, 0.9 days per capita.
3. Medical care expenditure10) Medical care expenditure was classified into direct medical cost and indirect medical cost. Direct medical cost constituted 70.6 per cent of the total amount of medical care expenditure. Supply cost constituted 38.5 per cent of the total amount of indirect cost, nursing cost 26.2 per cent, traffic cost 35.3 per cent.
11) The average amount of medical care expenditure was ₩1,315 per treated case and ₩151 per capita.
12) The amount of medical care expenditure varied by age groups. (Refer table 13)
13) The higher the educational level was, the greater amount was spent in medical care expenditure.
14) No significant difference was noted of medical care expenditure among different occupation.
15) Medical care expenditure by type of medical care amounted ₩3,178 for hospitalization, ₩2,345 for herb drug store, ₩1,683 for herb clinic and ₩1,685 for Dr´s home visit.
16) During the survey period, 45.8 percent of sick persons were "completely cured, 37.9 per cent" undergoing treatment, 8.6 per cent "no charge" and 6.5 per cent "improvement".
17) As reasons for uncurability, 51.5 per cent of uncured patients cited financial reasons.

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