Overlapping medication associated with healthcare switching among Korean elderly diabetic patients
Open accessAbstract
This study was performed to describe the patterns of healthcare switching with overlapping use of anti-diabetic medication in the elderly using the Korea Health Insurance Review and Assessment Service's claims data. The study subjects were ambulatory elderly diabetic patients (ICD-10, E10-14) receiving at least one oral anti-diabetic drug or insulin, and visiting healthcare facilities more than two times between January and December 2005. A total of 457,975 elderly diabetic ambulatory care patients were identified. The mean of visiting frequencies was 9.0 ( ± 3.6) and switching frequencies was 1.5 ( ± 0.8) during 2005. Switching group consisted of 33% of total study subject. Healthcare switching was common in female patients who were older, and had treated polytherapy more in rural areas. The movement among primary care medical services was very common among the patients in the switching group (52.6%). A statistically significant correlation was observed between the healthcare switching and concomitant drug use (rho = 0.96), and overlapping days (rho = 0.57). The use of overlapping anti-diabetic medication increased with the extent of healthcare switching. Further, frequent switching of healthcare between primary clinics was observed. Efforts should be made to establish continuity for the elderly diabetic patients with the identification of frequent switching with overlapping medication.
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Patients tend to visit different hospitals and may repetitively undergo similar HPV genotyping assays because of the relatively lower costs of national health insurance in Korea.
“Meanwhile, patients tend to visit different hospitals and may repetitively undergo similar HPV genotyping assays due to relatively lower costs of national health insurance in Korea [33–35].”
From Comparison of Seegene Anyplex II HPV28 assay with BD Onclarity HPV assay for human papillomavirus genotyping (2022) · cites this paper as [34]
The Introduction says patients in Korea can visit any healthcare provider, and the Results document switching between institutions among elderly diabetic patients. The paper does not address repeated HPV genotyping assays or show that relatively low National Health Insurance costs cause such visits. Page numbers are not available in our copy. (LLM, conf=0.84)
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Kim, M., Kim, J., Park, N. J.-Y., & Park, J. Y. (2022) · PLOS ONE · doi:10.1371/journal.pone.0267836 · Cited by 5 · see citing works
- Authors
- Shin, J.-Y., Choi, N.-K., Jung, S.-Y., Kim, Y.-J., Seong, J.-M., & Park, B.-J.
- Affiliations
- Seoul National University (KR)
- Seoul National University Hospital (KR)
- National Evidenc- based healthcare Collaborating Agency (KR)
- Corresponding author
- Park, Byung-Joo
- Venue
- Journal of Korean Medical Science
- Publisher
- Korean Academy of Medical Sciences
- Published
- 2011
- Volume
- 26
- Issue
- 11
- Pages
- 1461
- ISSN
- 1011-8934 (ISSN-L)
- 1598-6357
- PMC
- PMC3207049
- OpenAlex
- W2157201847
- Cited by
- 24
- References
- 1
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 5 · 2014: 2 · 2013: 2
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Korean Medical Science (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- antidiabetic drugs, insulin, elderly diabetic patients, polypharmacy, continuity of care, primary care, urban-rural differences, sex differences, Korean older adults
- MeSH terms
- Aged, Aged, 80 and over, Continuity of Patient Care, Delivery of Health Care, Diabetes Mellitus, Female, Humans, Hypoglycemic Agents, Male, Medication Errors, Practice Patterns, Physicians', Republic of Korea
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