Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Effect of a National Health Insurance Coverage Benefit Extension Policy on Long-Term Outcomes of Ventilated Patients with Severe Pneumonia: A Nationwide Cohort Study

Version 1 : Received: 22 April 2024 / Approved: 23 April 2024 / Online: 23 April 2024 (15:28:03 CEST)

How to cite: Yoo, W.; Jang, H.; Lee, M.K.; Park, H.; Kim, M.; Kim, Y.; Son, J.; Kim, J.; Lee, K. Effect of a National Health Insurance Coverage Benefit Extension Policy on Long-Term Outcomes of Ventilated Patients with Severe Pneumonia: A Nationwide Cohort Study. Preprints 2024, 2024041545. https://doi.org/10.20944/preprints202404.1545.v1 Yoo, W.; Jang, H.; Lee, M.K.; Park, H.; Kim, M.; Kim, Y.; Son, J.; Kim, J.; Lee, K. Effect of a National Health Insurance Coverage Benefit Extension Policy on Long-Term Outcomes of Ventilated Patients with Severe Pneumonia: A Nationwide Cohort Study. Preprints 2024, 2024041545. https://doi.org/10.20944/preprints202404.1545.v1

Abstract

Background/Objectives: The purpose of this study was to evaluate the relationship between 1-year mortality and health insurance benefit extension policy items in severe pneumonia pa-tients requiring mechanical ventilation using a South Korean nationwide cohort. Methods: A nationwide population-based retrospective study was conducted using the Korean National Health Insurance database. A total of 1,099 patients (542 patients in the health insurance benefit item group and 557 patients in the control group) were included. The primary outcome was 1-year mortality. Results: Among patients with health insurance benefit extension policy items, 203 patients (37.5%) were diagnosed with hemato-oncological disease, who were categorized as group A, and 339 patients (62.5%) were diagnosed with cerebrovascular, cardiovascular, or rare diseases, who were categorized as group B. Group B had lower 1-year mortality (50.7% vs. 62.5%, P

Keywords

health expenditures; health insurance; Pneumonia; mechanical ventilator; mortality

Subject

Medicine and Pharmacology, Pulmonary and Respiratory Medicine

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