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뇌사 장기 기증자 가족의 의료 비용 부담과 국가 보조금 / 이재헌, 이원정, 이나경, 이재명

19 장기 조직 이식 조회 수 445 추천 수 0 2015.11.20 14:10:02
nibp *.72.22.112
발행년 : 2015 
구분 : 국내학술지 
학술지명 : 대한이식학회지 Vol.29 No.1 
관련링크 : http://www.riss.kr/link?id=A100411906 

뇌사 장기 기증자 가족의 의료 비용 부담과 국가 보조금 = Original Articles : Medical Expenses of the Family Members of Brain Dead Organ Donors and National Assistance


  • 제어번호 : 100411906
  • 저자명 : 이재헌 ( Jae Heon Lee ) ,이원정 ( Won Jung Lee ) ,이나경 ( Na Kyung Lee ) ,이재명 ( Jae Myeong Lee )
  • 학술지명 : 大韓移植學會誌(The Journal of the Korean Transplantation Society)
  • 권호사항 : Vol.29 No.1 [2015]
  • 발행처 : 대한이식학회
  • 발행처 URL : http://www.ksot.org
  • 자료유형 : 학술저널
  • 수록면 : 23-27(5쪽)
  • 언어 : Korean
  • 발행년도 : 2015년
  • 주제어 : 뇌사 ,장기기증 ,의료비용 ,Brain death ,Tissue and organ procurement ,Health expenditures



초록 (Abstract)

  • Background: Analyzing the medical expenses of the family members of brain dead organ donors would be helpful in ascertaining better ways of applying national assistance, which is important for promotion of brain dead organ donation. Methods: We collected data regarding the medical expenses of 119 brain dead organ donors from January 2009 to December 2013 at a single institution that specializes in organ donation. Donation year, cause of brain death, age, and admission days were deemed factors affecting medical expenses, and these were analyzed. Medical expenses were compared with national assistance (maximum of 1.8 million Korean won [KRW]). Results: Average age of donors was 42.7 years, and, in the older age group, there was a lower average for medical expenses (P=0.025). Brain dead organ donations that were consented to within 2 days after the brain death comprised 41.2%, and medical expenses increased as the consent days were delayed (P＜0.001). Average medical expense for donor families was 2,161,297 KRW, and the average national assistance to the families was 577,056 KRW. The medical expenses of 73 donors (61.3%) were below the national assistance maximum; 19 (16.0%) had no charges of their own with other insurance coverage. Conclusions: National assistance for medical expenses to family members of brain dead organ donors is necessary in Korea, where the rate of brain dead organ donation is very low. As 61% of donors were covered below the maximum assistance amount, there could be additional ways to utilize the remaining budget.



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