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Jin Yong Lee 2 Articles
An epidemic of cataract surgery in Korea: the effects of private health insurance on the National Health Insurance Service
Hyejin Lee, Soo-Hee Hwang, Choon-Seon Park, Seol-Hee Chung, Catherine Lee Chen, Jin Yong Lee, Jin Soo Lee
Epidemiol Health. 2024;e2024015.   Published online January 6, 2024
DOI: https://doi.org/10.4178/epih.e2024015    [Accepted]
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  • 38 Download
AbstractAbstract PDF
Abstract
OBJECTIVES
In Korea, the National Health Insurance Service (NHIS) covers essential healthcare expenses, including cataract surgery. To address concerns that private health insurance (PHI) might have inflated the need for such procedures, we investigated the extent of the PHI-attributable increase in cataract surgery and its impact on NHIS-reimbursed expenses.
METHODS
This retrospective, observational study uses nationwide claims data for cataract surgery from 2016 to 2020. We examined trends in utilization and cost, and we estimated the excess numbers of 1) cataract operations attributable to PHI and 2) types of intraocular lenses used for cataract surgery in 2020.
RESULTS
Between 2016 and 2020, a 36.8% increase occurred in the number of cataract operations, with increases of 63.5% and 731.8% in the total healthcare costs reimbursed by NHIS and PHI, respectively. Over a 5-year period, the surgical rate per 100,000 people doubled for patients aged <65 years (from 328 in 2016 to 664 in 2020). Among the 619,771 cases in 2020 of cataract surgery reimbursed by the Korean diagnosis-related group system, more non-NHIS-covered intraocular lenses were used for patients aged <65 years than ≥65 years (68.1% vs.14.2%). In 2020 alone, an estimated 129,311 excess operations occurred, accounting for an excess cost of $115 million.
CONCLUSIONS
A dramatic increase in the number and cost of cataract operations has occurred over the last 5 years. The PHI-related increase in operations resulted in increased costs to NHIS. Measures to curtail the non-indicated use of cataract surgery should be implemented regarding PHI.
Summary
The general public’s perspectives on telemedicine during the COVID-19 pandemic in Korea: analysis of a nationwide survey
EunKyo Kang, Hyejin Lee, Ki Jeong Hong, Jieun Yun, Jin Yong Lee, Yun-Chul Hong
Epidemiol Health. 2022;44:e2022020.   Published online February 4, 2022
DOI: https://doi.org/10.4178/epih.e2022020
  • 8,859 View
  • 472 Download
  • 1 Web of Science
  • 2 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
We investigated the awareness, experience, approval, intention to use, and the desired type of telemedicine among Korean general public.
METHODS
From November to December 2020, we conducted an online self-reported survey on awareness, experience, approval, and intent to use telemedicine services among Korean residents aged 20 years or older. A total of 2,097 participants completed the survey.
RESULTS
Of the 2,097 participants, 1,558 (74.3%) were aware of, 1,198 (57.1%) approved of, and 1,474 (70.3%) had the intention to use telemedicine. Participants from regions other than the Seoul metropolitan area and Daegu–Gyeongbuk Province (adjusted odds ratio [aOR], 1.29; 95% confidence interval [CI], 1.02 to 1.63), households with a monthly household income of US$6,000 or more (aOR, 1.44; 95% CI, 1.01 to 2.08), participants who had a college/university or associate’s degree (aOR, 1.35. 95% CI, 1.04 to 1.75) or a master’s degree or above (aOR, 1.73; 95% CI, 1.20 to 2.50), and housewives (aOR, 1.30; 95% CI, 1.03 to 1.64) had higher odds of approval. Elderly participants, those with a chronic disease (aOR, 1.26; 95% CI, 1.04 to 1.54), those who had experienced delays of healthcare services (aOR, 1.94; 95% CI, 1.27 to 2.96), and those who had experience with telemedicine (aOR, 4.28; 95% CI, 1.69 to 10.82) were more likely to intend to use telemedicine services. Regarding types of telemedicine, teleconsultation between doctors showed the highest approval rate (73.1%).
CONCLUSIONS
In the context of the coronavirus disease 2019 pandemic, more than 70% of participants had already used or intended to use telemedicine at some point. Groups with a substantial need for telemedicine were more in favor of telemedicine.
Summary
Korean summary
대표성 있는 대상자에 대해 설문조사를 시행하였을 때, 74.3%가 원격의료에 대해 알고 있었다. 코로나19 유행지역, 소득이 높은 군, 대졸자 혹은 그 이상, 주부는 원격의료에 찬성할 가능성이 높았으며만성질환이 있는 고령자, 의료이용에 지연을 겪었던 사람, 원격의료를 이용해 본 사람은 원격의료 사용 의향이 더 높았다.
Key Message
We conducted an online self-reported survey on awareness, experience, approval, and intent to use telemedicine services among Korean residents aged 20 years or older. In the context of the coronavirus disease 2019 pandemic, more than 70% of participants had already used or intended to use telemedicine at some point.

Citations

Citations to this article as recorded by  
  • A comparison of the characteristics of adult medicine patients seeking telemedicine consultations versus in-person consultations in a Philippine public hospital
    Fatima Ericka S. Vista, Diana R. Tamondong-Lachica
    Baylor University Medical Center Proceedings.2024; 37(1): 80.     CrossRef
  • Factors Influencing the Behavioral Intentions and Use Behaviors of Telemedicine in Patients With Diabetes: Web-Based Survey Study
    Huige Shao, Chaoyuan Liu, Li Tang, Bian Wang, Hebin Xie, Yiyu Zhang
    JMIR Human Factors.2023; 10: e46624.     CrossRef

Epidemiol Health : Epidemiology and Health