입원/외래 데이터
질병코드|질병명|성별|입원/외래|환자수|내원일수|진료건수|보험자부담금|총진료비|연도
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연령별 데이터
질병코드|질병명|연령|성별|환자수|방문횟수|진료건수|보험자부담금|총진료비|연도
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병원별 데이터
병원등급|질병코드|질병명|환자수|방문일수|진료건수|보험자부담금|총진료비|연도
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지역별 데이터
지역|질병코드|질병명|환자수|방문일수|진료건수|보험자부담금|총진료비|연도
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[자료 = 건강보험심사평가원]

**여성불임, 30대가 압도적…2024년 외래 18만건 육박**

**의원급 이용 가장 많아, 서울·경기 집중도 두드러져**

여성불임(N97) 진료는 최근 5년간 30대에서 압도적으로 많이 발생한 것으로 나타났다. 2024년 기준 여성불임 진료 환자 가운데 **30~39세가 13만4924명**으로 가장 많았고, **40~49세 3만5178명**, **20~29세 1만7195명**이 뒤를 이었다. 불임 진료의 중심 연령대가 명확히 **가임력 저하가 본격화되는 30대와 40대 초반**에 집중된 셈이다. 반면 10대는 155명, 50대 이상은 극히 적어, 여성불임이 사실상 생식연령대 중심의 질환임을 보여줬다.

연도별 변화를 보면 30대 환자는 2020년 10만8918명에서 2024년 13만4924명으로 크게 늘었다. 같은 기간 40대도 2만5165명에서 3만5178명으로 증가했다. 20대는 2020년 1만8450명에서 2024년 1만7195명으로 다소 줄었지만 여전히 세 번째로 큰 비중을 차지했다. 10대와 50대 이상은 전 연도에서 미미한 수준에 머물렀다.

입원·외래 이용 양상을 보면 여성불임은 **입원보다 외래 중심 질환**의 성격이 분명했다. 2020년 입원은 692건, 외래는 14만9325건이었고, 2024년에는 입원이 467건, 외래가 **18만3776건**으로 늘었다. 외래 진료는 2021년 16만2913건, 2022년 15만6746건, 2023년 15만6231건을 거쳐 2024년에 다시 크게 상승했다. 불임 검진, 호르몬 치료, 배란 유도, 시술 전후 관리 등이 대부분 외래에서 이뤄지는 현실이 반영된 것으로 보인다.

병원 등급별로는 **의원급 의료기관** 이용이 가장 많았다. 2024년 의원급 진료는 **12만7969건**으로 가장 많았고, 병원급 5만3241건, 종합병원 2만3094건, 상급종합병원 2042건 순이었다. 2020년에도 의원급이 9만9284건으로 가장 많아 5년 내내 1차 의료기관 중심의 진료 구조가 이어졌다. 특히 의원급 진료는 2024년에 전년보다 큰 폭으로 증가해, 여성불임 관련 상담과 초기 진료가 지역 의원에서 활발히 이뤄지고 있음을 시사한다.

지역별로는 **서울과 경기**가 대체로 가장 높은 수치를 기록했다. 2024년 서울은 5만9427건, 경기는 5만3702건으로 전국에서 가장 많았다. 이어 대구 1만2168건, 부산 1만2593건, 인천 9701건, 광주 7409건 순이었다. 수도권 집중 현상이 두드러지는 가운데, 인천은 2024년 9701건으로 전년 대비 크게 늘었고, 경남도 6477건으로 증가세를 보였다. 반면 전남, 강원, 제주 등은 상대적으로 낮은 수준을 유지했다.

이번 수치는 여성불임 진료가 특정 연령대, 특히 **30대 중심으로 집중**되며, 진료는 **의원급 외래**에 의존하고, 지역적으로는 **수도권 쏠림**이 뚜렷하다는 점을 보여준다. 고령화와 만혼·늦은 출산이 맞물린 현실 속에서, 여성의 생식건강을 조기에 점검하고 치료 접근성을 높이는 체계가 필요하다는 지적이 나온다.