대한신장학회

논문분류	춘계학술대회 초록집
제목	Comparisons of Mental Health and Personal Medical Expenditure between Dialysis and Kidney Transplant Patients : using Korea Heatlh Panel Data
저자	Sun-Mi Shin*, Hee-Woo Lee
출판정보	2016; 2016(1):
키워드	Comparison, Dialysis Patients, Mental health, personal medical expenditure, Transplant, visit of emergency department
초록	Background: To investigate and compare the mental health and personal medical expenditure between dialysis and kidney transplant patients, using Korea Health Panel data. Methods: We received Korea Health Panel data officially and the subjects were the registered 158 kidney disabilities among about 7500 family from year 2008 to year 2013. We conducted Chi-Square and t-test to compare the mental health and personal medical cost between dialysis (the second degree of kidney disabilities) and kidney transplant patients (the fifth degree of kidney disabilities). Results: Subjects were 158 kidney disabilities including 135 of dialysis(85.4%) and 23 of kidney transplant patients(14.6%). Mean number of having chronic illness and proportion of taking health promotion drug in dialysis and transplant patients were no significant differences. But visit of emergency department were 31.1% in dialysis and 4.4% in transplant patients(p<0.007), and the proportion of admission were 47.4% and 26.1%(p=0.057), respectively. 'Very much' perceived stress due to illness were 42.5% in dialysis and 20.0%(p=0.409), depression 26.6% and 9.5%(p=0.093), and suicidal impulse 18.4% and 9.5%(p=0.323), respectively. In the medical expenditure, means of the direct personal expenditure including emergency visit, admission, outpatients visit and prescribed drug were 1,947,000 Won in dialysis and 2,080,000 Won kidney transplant patients(p=0.845). Means of direct personal expenditure plus indirect expenditure including transportation fee and private nursing care fee were 2,019,000 Won in dialysis and 2,134,000 Won in transplant patients(p=0.866). Conclusion: In mental health and medical expenditure, there is no significant difference between dialysis and kidney transplant patient. However, visit of emergency department in dialysis patients was more frequent than in kidney transplant patients. Table: Table 4. The characteristics of Personal Medical Expenditures in the Kidney Disabilities Personal medical expenditure 1 included direct expenditure (emergency, admission, outpatient and prescribed drug) *Personal medical expenditure 2 included Personal medical expenditure 1 and indirect expenditure (transportation expenses, and private nursing care fee)
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