입원/외래 데이터
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연령별 데이터
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병원별 데이터
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지역별 데이터
지역|질병코드|질병명|환자수|방문일수|진료건수|보험자부담금|총진료비|연도
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—————————————–

[자료 = 건강보험심사평가원]

**‘여성불임’ 진료, 30대 집중…2024년 환자·진료비 모두 늘었다**

**30대가 절반 안팎 차지, 40대도 빠르게 증가**
**의원급·수도권 쏠림 뚜렷, 입원은 소수에 그쳐**

여성불임(N97) 진료는 30대 여성에 가장 집중됐다. 2020년부터 2024년까지 연령별 데이터를 보면, 매년 **30_39세와 40_49세가 전체 진료의 대부분을 차지**했고, 특히 2024년에는 30대가 압도적인 비중을 유지했다.

2024년 여성불임 진료현황을 보면 30_39세는 **13만4,924명(입원 기준)**, **100만9,982명(외래 기준)**으로 가장 많았다. 같은 해 40_49세도 **3만5,178명(입원)**, **34만5,721명(외래)**로 뒤를 이었다. 20_29세는 **1만7,195명(입원)**, **10만2,100명(외래)** 수준이었고, 50대 이상은 상대적으로 적었다. 10대와 0~9세는 숫자가 매우 적어, 여성불임 진료가 사실상 가임기 중심 질환임을 보여줬다.

5년 흐름을 보면 30대와 40대의 부담이 점차 커졌다. 30_39세 외래 환자는 **2020년 79만1,471명에서 2024년 100만9,982명**으로 늘었고, 40_49세 외래도 **21만3,134명에서 34만5,721명**으로 증가했다. 같은 기간 20_29세는 11만4,079명에서 10만2,100명으로 다소 줄었지만, 30대 후반과 40대 초반까지 출산 계획이 늦춰지면서 진료 수요가 이동한 모습이다. 10~19세와 60대 이상은 전 기간 내내 매우 낮은 수준을 유지했다.

입원·외래로 나눠 보면, 여성불임 진료는 **외래가 절대적으로 많고 입원은 매우 적은 구조**였다. 2024년 기준 입원은 **467명**, 외래는 **18만3,776명**으로 차이가 컸다. 2020년부터 2024년까지 외래는 대체로 증가세를 보였고, 입원도 큰 폭은 아니지만 2024년에 소폭 늘었다. 불임 진단과 치료가 주로 외래 중심으로 이뤄진다는 점을 보여준다.

의료기관별로는 **의원급 쏠림이 가장 두드러졌다.** 2024년 의원급 진료는 입원 **12만7,969명**, 외래 **92만3,208명**으로 전체의 중심을 차지했다. 같은 해 종합병원은 입원 **2만3,094명**, 외래 **22만1,621명**, 병원급은 입원 **5만3,241명**, 외래 **30만1,906명**이었다. 상급종합병원은 입원 **2,042명**, 외래 **1만5,180명**으로 비교적 적었다. 여성불임 진료가 대형병원보다 동네의원과 중소병원에서 더 많이 이뤄지는 구조다.

지역별로는 서울과 경기가 가장 큰 비중을 차지했다. 2024년 서울은 외래 **47만4,083명**, 경기 **35만5,649명**으로 두 지역 합계만 해도 전국 진료의 상당 부분을 차지했다. 부산, 대구, 인천도 각각 **10만명 안팎**의 외래 환자를 기록했다. 수도권과 대도시에 환자와 의료자원이 집중된 현상도 뚜렷했다.

진료비도 늘었다. 2024년 여성불임의 총진료비는 입원과 외래 모두 증가했다. 입원 진료비는 **4억5,893만6천원**, 외래 진료비는 **18억6,310만2천원**으로 집계됐다. 외래 진료비가 전체를 압도했고, 2020년 이후 해마다 커지는 흐름을 보였다. 병원급과 의원급의 진료비 증가가 두드러져, 환자 수 증가와 함께 치료·검사·상담 수요가 확대된 것으로 해석된다.

여성불임은 특히 30대에 집중되고, 40대까지 이어지는 특성을 보였다. 결혼·출산 연령이 늦어지는 사회 변화와 맞물려 향후에도 가임기 여성의 불임 진료 수요는 높은 수준을 유지할 가능성이 크다. 동시에 의원급과 수도권 중심의 쏠림이 지속되고 있어, 조기 진단과 치료 접근성을 높이기 위한 지역·의료기관 간 대응이 필요하다는 지적이 나온다.