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논문 기본 정보

자료유형
학술저널
저자정보
Koh Hyeonseok (Department of Family Medicine, Seoul National University Hospital, Graduate School of Public Health, Seoul National University, Seoul, Korea) Kwon Soonman (Graduate School of Public Health, Seoul National University, Seoul, Korea) Cho Belong (Department of Human Systems Medicine, Seoul National University College of Medicine, Institute on Aging, Seoul National University College of Medicine, Seoul, Korea)
저널정보
대한가정의학회 Korean Journal of Family Medicine Korean Journal of Family Medicine Vol.45 No.2
발행연도
2024.3
수록면
105 - 115 (11page)
DOI
10.4082/kjfm.23.0156

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Background: Primary care physicians perform a comprehensive role by providing continuous, patient-centered, and accessible healthcare and establishing connections with specialized care. However, the association between the supply of primary care physicians and mortality rates in South Korea has not been thoroughly investigated.Methods: This study utilized data from 229 si-gun-gu in South Korea from 2016 to 2020. The densities of primary care physicians, physicians in functional primary clinics, specialists in primary care facilities, and active physicians per 100,000 people were independent variables. Age-adjusted all-cause mortality and cause-specific mortality rates per 100,000 individuals were the dependent variables. Negative binomial regression, negative binomial regression with a pseudo-panel approach, and geographically weighted regression were used to analyze the data.Results: Our study revealed a significant negative association between the density of primary care physicians and all-cause mortality. An increase in a primary care physician per 100,000 population was significantly linked to a 0.11% reduction in all-cause mortality (incidence rate ratio, 0.9989; 95% confidence interval, 0.9983–0.9995). Simi-lar associations have been observed between mortality rates owing to cardiovascular diseases, respiratory tract dis-eases, and traffic accidents.Conclusion: This study provides evidence that having a higher number of primary care physicians in South Korea is associated with lower mortality rates. Future research should consider better indicators that reflect the quality of primary care to better understand its impact on population health outcomes. These findings emphasize the signifi-cance of strengthening primary care in the South Korean healthcare system to improve the overall health and well-being.

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