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
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**N73 기타 여성골반염증질환, 20~40대 여성에 집중…외래치료가 입원보다 압도적**

**2030·4050 여성 환자 비중 높아**
**의원급 진료 비중 절대적, 서울·경기 쏠림 이어져**

기타 여성골반염증질환(N73)은 2020년부터 2024년까지 여성 환자에서 주로 20대 후반과 30~40대에 집중되는 양상을 보였다. 연령별 분석에서 가장 높은 비중은 매년 20~29세와 30~39세, 40~49세가 차지했다. 특히 2024년 기준 20~29세 환자는 입원 2만7447명, 외래 5만534명으로 가장 많았고, 30~39세도 입원 2만8955명, 외래 5만3237명, 40~49세는 입원 2만8871명, 외래 5만8360명으로 뒤를 이었다. 이들 20~40대가 N73 환자 규모의 중심축을 형성한 셈이다.

세부적으로 보면 2020년에는 30~39세 입원이 4만8195명, 외래가 9만7658명으로 가장 많았고, 20~29세도 입원 4만7243명, 외래 9만6795명에 달했다. 40~49세 역시 입원 4만6089명, 외래 10만1989명으로 높은 수준을 보였다. 이후 전체 환자 규모는 감소세를 보였지만, 연령 분포의 중심이 20~40대에 머무는 구조는 2024년까지 유지됐다. 10대에서도 적지 않은 환자가 확인돼 2024년 10~19세는 입원 3069명, 외래 5958명으로 집계됐다. 반면 60대 이후로 갈수록 환자 수는 줄어드는 경향이 뚜렷했다. 2024년 60~69세는 입원 1만5254명, 외래 3만1064명, 70~79세는 입원 4708명, 외래 1만276명, 80~89세는 입원 1306명, 외래 3439명이었다.

입원과 외래 전체 흐름을 보면 외래 진료가 압도적으로 많았다. 2020년 여성 환자 기준 입원은 6358명, 외래는 19만2067명이었고, 2024년에도 입원 4131명, 외래 13만1073명으로 외래가 입원의 수십 배 수준을 유지했다. 기간 전반에 걸쳐 입원과 외래 모두 감소 흐름을 보였는데, 2020년 대비 2024년 입원은 감소했고 외래 역시 줄었다. 이는 중증 이환보다는 외래 중심 관리가 이뤄지는 질환 특성을 시사한다.

병원급별 분석에서도 의료 이용은 의원급에 집중됐다. 2024년 의원급 진료는 입원 10만8412명, 외래 20만263명, 외래일수 19만9262일로 가장 많았다. 같은 해 종합병원은 입원 1만396명, 외래 2만8347명, 상급종합병원은 입원 2300명, 외래 7275명에 그쳤다. 병원급은 입원 1만3223명, 외래 2만4633명으로 집계됐다. 2020년에도 의원급이 입원 15만486명, 외래 30만8440명으로 가장 높은 비중을 차지해, N73 환자들이 대형병원보다 1차 의료기관에서 더 많이 진료받는 구조가 확인된다.

지역별로는 서울과 경기, 인천 등 수도권 환자 규모가 컸다. 2024년 서울은 입원 2만4184명, 외래 5만971명으로 가장 많았고, 경기 역시 입원 3만4655명, 외래 6만6924명으로 높은 수준을 보였다. 인천은 입원 9575명, 외래 1만7424명으로 집계됐다. 비수도권에서는 경남, 충북, 충남, 강원 등이 상대적으로 많았다. 반면 울산, 세종, 제주, 대구 등은 다른 지역보다 적었다. 2020년부터 2024년까지 전 지역에서 환자 수가 완만히 줄거나 정체하는 흐름이 이어졌지만, 수도권 집중 현상은 지속됐다.

기타 여성골반염증질환은 여성 생식기 및 골반 부위 염증과 관련된 질환군으로, 20~40대 가임기 여성에서 특히 많이 나타났다. 이번 분석은 연령대별 집중 현상과 함께 외래 중심 진료, 의원급 쏠림, 수도권 편중이라는 특징을 동시에 보여준다. 20~40대 여성의 의료 접근성과 조기 치료 체계가 이 질환 관리의 핵심이라는 점이 다시 확인됐다.