Estimating Nationwide Prevalence of Live Births with Down Syndrome and Their Medical Expenditures in Koreaopen access
- Authors
- Park, Gun Woo; Kim, Nam-Eun; Choi, Eun Kyoung; Yang, Hyeon-Jong; Won, Sungho; Lee, Yong Ju
- Issue Date
- 12-Aug-2019
- Publisher
- 대한의학회
- Keywords
- Down Syndrome; Live Birth; Health Expenditures; National Health Insurance Claims
- Citation
- Journal of Korean Medical Science, v.34, no.31
- Journal Title
- Journal of Korean Medical Science
- Volume
- 34
- Number
- 31
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4313
- DOI
- 10.3346/jkms.2019.34.e207
- ISSN
- 1011-8934
1598-6357
- Abstract
- Background: This study aimed to estimate the nationwide prevalence of live births with Down syndrome (DS) and its trends and compare the observed and model-based predicted prevalence rates. Further, we compared the direct medical expenditures among DS and non-DS patients. Methods: Using the health administrative data of Health Insurance Review and Assessment in Korea, we selected 2,301 children with DS who were born between 2007 and 2016 to estimate the prevalence of live births with DS, and 12,265 non-DS children who were born between 2010 and 2014 to compare the direct medical expenditures among patients. Results: The prevalence of live births with DS was 5.03 per 10,000 births in 9 years, and 13% of children with DS were medical aid recipients during the study period. The medical expenditure of children with DS was about 10-fold higher than that of non-DS children and their out-of-pocket expenditure was about twice as high. Conclusion: The prevalence of live birth with DS is high in the low socioeconomic group and the healthcare costs for the children with DS are significantly higher than those for non-DS children. Therefore, health authorities should help mothers at lower socioeconomic levels to receive adequate antenatal care and consider the cost of medical care for children with DS.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Pediatrics > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4313)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.