학술대회 발표 연제 초록

학술대회 발표 연제 초록

발표형식 :	접수번호 - 990201 RHOP 8-4
CHANGES IN PRESCRIPTION PATTERNS AND DIAGNOSTIC OUTCOMES OF POLYSOMNOGRAPHY AFTER INSURANCE COVERAGE: A MULTICENTER RETROSPECTIVE STUDY
DEPARTMENT OF OTOLARYNGOLOGY, AJOU UNIVERSITY SCHOOL OF MEDICINE1, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, KONKUK UNIVERSITY SCHOOL OF MEDICINE2, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, ST. VINCENT'S HOSPITAL, COLLEGE OF MEDICINE, THE CATHOLIC UNIVERSITY OF KOREA3, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, COLLEGE OF MEDICINE, KYUNG HEE UNIVERSITY HOSPITAL AT GANGDONG4, DEPARTMENT OF OTORHINOLARYNGOLOGY, GYEONGSANG NATIONAL UNIVERSITY COLLEGE OF MEDICINE5, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, GURO HOSPITAL, KOREA UNIVERSITY COLLEGE OF MEDICINE6, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, KOREA UNIVERSITY ANSAN HOSPITAL, KOREA UNIVERSITY COLLEGE OF MEDICINE7, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, NOWON EULJI MEDICAL CENTER, EULJI UNIVERSITY SCHOOL OF MEDICINE8, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, PUSAN NATIONAL UNIVERSITY SCHOOL OF MEDICINE, PUSAN NATIONAL UNIVERSITY HOSPITAL9, DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY, BUSAN ST. MARY’S HOSPITAL10, DEPARTMENT OF OTORHINOLARYNGOLOGY, BUNDANG JESAENG GENERAL HOSPITAL, DAEJIN MEDICAL CENTER11, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, BUCHEON HOSPITAL, SOONCHUNHYANG UNIVERSITY COLLEGE OF MEDICINE12, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, ASAN MEDICAL CENTER, UNIVERSITY OF ULSAN COLLEGE OF MEDICINE13, DEPARTMENT OF OTORHINOLARYNGOLOGY, YONSEI UNIVERSITY WONJU COLLEGE OF MEDICINE14, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, UIJEONGBU EULJI MEDICAL CENTER, EULJI UNIVERSITY15, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, INHA UNIVERSITY HOSPITAL16, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, DONGGUK UNIVERSITY COLLEGE OF MEDICINE, ILSAN HOSPITAL17, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, ILSAN PAIK HOSPITAL, INJE UNIVERSITY COLLEGE OF MEDICINE18, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, CHUNGNAM NATIONAL UNIVERSITY COLLEGE OF MEDICINE19, DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, CHUNGNAM NATIONAL UNIVERSITY SEJONG HOSPITAL, COLLEGE OF MEDICINE20
DO-YANG PARK, DO-YANG PARK1, JAE HOON CHO2, CHAN-SOON PARK3, KUN HEE LEE4, SANG-WOOK KIM5; HEUNG-MAN LEE6, SEUNG HOON LEE7, JEON GANG DOO8, KYU-SUP CHO9, SOO KWEON KOO10, SANG HYEON AHN11; JI HO CHOI12; YOO-SAM CHUNG13, EUN JUNG LEE14, YOUNG JOON JUN15, MARN JOON PARK16, SEOK-WON PARK17, ICK SOO CHOI18, YONG MIN KIM19, SOO KYOUNG PARK20
목적: This study aimed to evaluate the impact of insurance coverage on the prescription patterns and diagnostic outcomes of polysomnography (PSG) across multiple institutions in South Korea. By analyzing changes in medical utilization and diagnostic trends, we sought to assess how expanded coverage has influenced clinical decision-making in sleep medicine. 방법:A retrospective multicenter study was conducted using data from 20 institutions. We analyzed PSG prescriptions before and after the introduction of insurance coverage, assessing changes in the volume of PSG tests performed, patient demographics, diagnostic outcomes, and associated treatment patterns. Statistical comparisons were made to determine significant shifts in clinical practice. 결과:Following the expansion of insurance coverage, the number of PSG prescriptions increased significantly across all participating institutions. The proportion of patients diagnosed with obstructive sleep apnea (OSA) also showed a notable rise. Additionally, there was a shift in the severity distribution of diagnosed cases, with a higher proportion of mild-to-moderate OSA cases being identified post-coverage. Changes in subsequent treatment decisions, such as increased prescriptions for continuous positive airway pressure (CPAP) therapy, were also observed. 결론:The inclusion of PSG under insurance coverage has led to a substantial increase in test utilization and a shift in diagnostic outcomes, particularly in the identification of OSA cases. These findings highlight the significant role of insurance policies in shaping medical practice and patient care in sleep medicine. Further research is warranted to evaluate the long-term impact on treatment adherence and clinical outcomes.