scholarly journals Analysis of Lumbar Herniated Intervertebral Disc Patients' Healthcare Utilization of Western-Korean Collaborative Treatment: Using Health Insurance Review & Assessment Service's Patients Sample Data

2021 ◽  
Vol 31 (4) ◽  
pp. 105-116
Author(s):  
Jun-Hyuk Ko ◽  
Ji-Woong Yu ◽  
Sang-Woo Seo ◽  
Joon-Won Seo ◽  
Jun-Hyuk Kang ◽  
...  
Keyword(s):  
Health Insurance ◽  
Intervertebral Disc ◽  
Healthcare Utilization ◽  
Sample Data ◽  
Herniated Intervertebral Disc

Postoperative Changes of Herniated Intervertebral Disc: Normal and Discitis MR Findings

1994 ◽  
Vol 31 (2) ◽  
pp. 223
Author(s):  
Seung Jae Lim ◽  
Yup Yoon ◽  
Ki Tack Kim ◽  
Kyung Nam Ryu ◽  
Woo Suk Choi
Keyword(s):  
Intervertebral Disc ◽  
Postoperative Changes ◽  
Herniated Intervertebral Disc

scholarly journals Inequalities in out-of-pocket health expenditure among women of reproductive age: after-effects of national health insurance scheme initiation in Ghana

2021 ◽  
Vol 96 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amadou Barrow
Keyword(s):  
Health Insurance ◽  
Healthcare Utilization ◽  
Health Expenditure ◽  
Concentration Index ◽  
Insurance Coverage ◽  
Healthcare Services ◽  
Socioeconomic Disadvantage ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Maternal Healthcare

Abstract Background Improvement in maternal healthcare is a public health priority. Unfortunately, in spite of the efforts made over time regarding universal coverage, there remain issues with accessibility and use of healthcare services up to now. In this study, we examined inequalities in out-of-pocket health expenditure among women of reproductive age in Ghana. We analyzed secondary data collected in Ghana Demographic and Health Survey (GDHS) - 2014. A total of 9,002 women of reproductive age were included in this study. Lorenz curves and the concentration index were used to examine neighborhood socioeconomic disadvantage inequalities in out-of-pocket expenditure for maternal healthcare utilization Results About two thirds (66.0%) of women of reproductive age in Ghana were covered by health insurance. In sum, women of high neighborhood socioeconomic disadvantage status had the least out-of-pocket expenditure for total healthcare utilization, laboratory investigations, antenatal care visits, post-natal care visits, care for new born for up to 3 months, and other healthcare services. The converse was however true for family planning service utilization. Using Concentration Index, we quantified the degree of neighborhood socioeconomic disadvantage inequalities in healthcare service utilizations. Conclusion This study showed a gap in health insurance coverage among women of reproductive age. There were also inequalities in out-of-pocket expenditure for healthcare services utilization. It is expedient for stakeholders in the healthcare system to make policies targeted at bridging the neighborhood socioeconomic differences in maternal healthcare use and develop programs to improve women’s financial protection. Moreover, enlightenment on health insurance availability and coverage should focus on women at risk of out-of-pocket expenditure.

scholarly journals Evaluation of use and cost of medical care of common lumbar disorders in Korea: cross-sectional study of Korean Health Insurance Review and Assessment Service National Patient Sample data

BMJ Open ◽  
2016 ◽  
Vol 6 (9) ◽  
pp. e012432 ◽  
Author(s):  
Yong-Jun Ahn ◽  
Joon-Shik Shin ◽  
Jinho Lee ◽  
Yoon Jae Lee ◽  
Me-Riong Kim ◽  
...  
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Medication Cost ◽  
Billing Data ◽  
Cross Sectional ◽  
Patient Sample ◽  
Significant Difference ◽  
Sample Data ◽  
National Patient ◽  
Surgery Rates

ObjectivesTo assess medical care and costs of the 3 highest prevalence lumbar disorders—non-specific low back pain (nLBP), intervertebral disc disorder (IDD) and spinal stenosis (SS)—from national billing data to provide basic information for standards of appropriate management.DesignRetrospective analysis of National Health Insurance National Patient Sample data provided by the Korean Health Insurance Review and Assessment Service (HIRA).Setting2011 claims data from all medical institutions which filed billing statements to HIRA.ParticipantsA total of 135 561 patients with lumbar disorder who received medical services during 2011.Outcome measuresPatient characteristics, medical procedures, medication, cost, injection and surgery.ResultsIn the nLBP and IDD groups, the 50–59 age range had the highest prevalence, whereas prevalence increased with age in SS. All 3 groups showed a higher percentage in women. The average treatment cost was 196 552 KRW in the nLBP and 362 050 KRW in the IDD group, and highest in the SS group at 439 025 KRW. While in the nLBP group women spent more on medical expenses, in the other 2 groups men showed higher expenditure. Expenditure grew with age in the nLBP and SS groups, whereas that of the IDD group peaked in their 40s. Analgesics were used in 73.43% of patients with nLBP, 82.64% of patients with IDD and 86.46% of patients with SS, and opioids in 4.12% of patients with IDD and 5.36% of patients with SS. Surgery rates were highest in the SS group at 4.85%, with 0.9% for nLBP and 4.59% for IDD. The most frequent injection code was lumbar/caudal epidural nerve block. Expenditure and surgery rates were higher in the injection than in the non-injection subgroup in all 3 groups.ConclusionsPatterns of medical care of most frequent lumbar disorders from HIRA data showed significant difference between groups and provide a basic standard for future usual care guidelines linked with health policy and budget appropriation.

The Long-term Reoperation Rate Following Surgery for Lumbar Herniated Intervertebral Disc Disease

Spine ◽  
2019 ◽  
Vol 44 (19) ◽  
pp. 1382-1389 ◽  
Author(s):  
Chi Heon Kim ◽  
Chun Kee Chung ◽  
Yunhee Choi ◽  
Min-Jung Kim ◽  
Dahae Yim ◽  
...  
Keyword(s):  
Intervertebral Disc ◽  
Reoperation Rate ◽  
Intervertebral Disc Disease ◽  
Disc Disease ◽  
Herniated Intervertebral Disc
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