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Association Between Medical Utilization And Death Of Patients With Cancer In The District Area | 107969
ISSN: 2161-0711
Journal of Community Medicine & Health Education
Open Access
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Background & Aim: Access to healthcare service can affect cancer incidence and mortality. The purpose of this study was to
identify the association between transfer and mortality among patients with cancer.
Method: Data were from a population-based cohort of National Health Insurance (NHI) claims. The study population was
comprised of patients living more than 200 km from Seoul with cancer diagnosed during a nine-year period (2004-2012). The
final sample included 8,197 patients with cancer: 3,939 males (48.1%) and 4,258 females (51.9%). A Cox proportional hazard
model was used to estimate the hazard ratio for death. Confounding variables including gender, age, type of social security,
income level and disability were incorporated into the model.
Results: Among cancer patients living in the province, 2,874 (35.1%) utilized healthcare services in Seoul. About 10% (n=834)
of patients died during the follow-up period. The Heart Rate (HR) for death of patients utilizing healthcare services in Seoul
(HR: 1.26, 95% CI: 1.09~1.45) was higher than for patients who did not utilize healthcare services in Seoul. Among patients not
utilizing healthcare services in Seoul, the survival probability of the rich was significantly higher than that of others.
Conclusion: Education and support are essential for cancer prevention and early detection, particularly for vulnerable social
groups. To remove cancer disparities, limited access to high-quality healthcare services must be addressed. High-quality
healthcare services should be equally distributed across rural markets.
Biography
Jung Kyu Choi has an expertise in evaluating the health insurance and analyzing healthcare big-data.