건강보험과 산재보험 화상환자의 화상 특성 및 치료 결과 비교

This study aimed to compare treatment outcomes and the characteristics of burn patients between those covered by National Health Insurance (NHI) and Industrial Accident Compensation Insurance (IACI). The study conducted a retrospective analysis of the electronic medical records of adult burn patients aged 18 and older who were admitted for the first time due to burns at a certified burn hospital in Seoul from January 1, 2018, to December 31, 2022. The study included Industrial Accident Compensation Insurance (IACI) (N=498) and National Health Insurance (NHI) patients (N=1741). The study collected data on their demographic characteristics, burn characteristics, and treatment outcomes. The study found that patients covered by NHI predominantly had scald burns, flame burns, and contact burns. Those covered by IACI mainly had flame burns, scald burns, and electrical burns. Industrial accident patients had larger burn surface areas, deeper burns, and injuries to more body regions. These patients had longer treatment durations and more surgeries than NHI patients. After adjusting for age, gender, total body surface area, and degree of burn, the risk of death for industrial accident patients was significantly lower (Odds ratio 0.23, 95% confidence interval 0.13-0.42) compared to National Health Insurance patients. This observation suggests that the broader insurance coverage provided by IACI enabled burn patients from industrial accidents to engage more actively in their treatment, which might lead to better outcomes.