Earticle

초록

영어

Objectives: This study examined diffusion and de-adoption of cardiovascular devices in Korea. Methods: Nationwide claims data (2010–2024) from the Health Insurance Review and Assessment Service were analyzed for drug-eluting stents (DES), bare metal stents (BMS), percutaneuous transluminal angioplasty (PTA) ballon, and percutaneous transluminal coronary angioplasty (PTCA) ballon. Annual trends were estimated using linear regression, and segmented regression was use to test changes before and after the 2014 policy change which removed stent limits. Results: Use of DES, PTA ballons and PTCA balloons increased steadily, with PTA balloons showing the fastest growth (CAGR 12%). BMS declined sharply (–26% CAGR), nearly disappearing after 2020. Segmented regression showed no significant policy effect on DES, while BMS decline slowed and remained downward after 2014. Regional use was concentrated in Seoul and Gyeonggi, and clinics rapidly adopted PTA balloons from 2018. Conclusions: Healthcare institutions showed rapid diffusion of new medical devices and selective de-adoption of older varieties. The 2014 policy reinforced existing patterns rather than creating new shifts. These results highlight the need for reimbursement and technology assessment policies that reflect regional and institutional heterogeneity.

목차

Ⅰ. 서론
Ⅱ. 연구방법
1. 연구자료
2. 변수 정의 및 분석 방법
3. 윤리적 고려
Ⅲ. 연구결과
1. 치료재료별 청구량 및 성장 추이
2. 스텐트류 및 풍선 카테터류 치료재료 청구량의 시간적 추이
3. 스텐트 청구량의 2014년 정책 전후 변화
4. 스텐트 및 풍선 카테터류의 시도 단위 청구량 변화
5. 의료기관 종별 스텐트 및 풍선 카테터류 청구량 경향
Ⅳ. 고찰
Ⅴ. 결론
REFERENCES

키워드

저자

• 우건 [ Keon Woo | 연세대학교 융합보건의료대학원 바이오헬스산업학과 ]
• 김태현 [ Tae Hyun Kim | 연세대학교 융합보건의료대학원 바이오헬스산업학과 ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  보건의료산업학회지 [The Korean Journal of Health Service Management]

• 간기

  계간

• pISSN

  2093-5986

• 수록기간

  2007~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 517 DDC 613