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.