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]

자연유산 환자, 30·40대가 대부분
입원은 줄고 외래는 유지…의원급 비중도 높아져

자연유산(O03)으로 의료기관을 찾은 환자는 2020년부터 2024년까지 매년 30대와 40대에 집중된 것으로 나타났다. 특히 30~39세 여성이 압도적 비중을 차지했고, 40~49세가 뒤를 이었다. 자연유산이 임신 가능 연령대에서 주로 발생하는 질환인 만큼, 연령별 분포가 뚜렷하게 드러난 셈이다.

연령별 분석을 보면 2024년 기준 자연유산 환자는 30~39세가 6427명으로 가장 많았다. 전체 연령대 환자 중 절반을 넘는 수준으로, 자연유산 진료의 중심 연령층이 여전히 30대라는 점을 보여준다. 이어 40~49세 1711명, 20~29세 1509명, 10~19세 70명, 50~59세 11명 순이었다.
2020년에도 30~39세가 7983명으로 가장 많았고, 40~49세 1658명, 20~29세 2601명, 10~19세 109명, 50~59세 7명이었다. 이후 2021년 7170명, 2022년 6424명, 2023년 6198명으로 감소하다가 2024년 6427명으로 소폭 반등했다. 40~49세 역시 2020년 1658명에서 2024년 1711명으로 큰 변동 없이 비슷한 수준을 유지했다.

20~29세는 2020년 2601명에서 2024년 1509명으로 줄었고, 10~19세도 같은 기간 109명에서 70명으로 감소했다. 반면 50~59세는 매년 한 자릿수에서 10명 안팎에 머물러, 자연유산 진료가 사실상 20~40대 여성에 집중돼 있음을 보여준다.

입원·외래 진료 추이를 보면 외래 환자가 입원 환자보다 압도적으로 많았다. 2024년 자연유산 외래 진료는 9366명, 입원은 617명으로 외래가 입원의 15배가 넘었다. 2020년에도 외래 1만1794명, 입원 959명이었고, 이후 외래는 2021년 1만662명, 2022년 9678명, 2023년 9185명, 2024년 9366명으로 유지됐다. 입원은 2020년 959명에서 2024년 617명으로 줄어드는 흐름이었다. 이는 자연유산이 상당수 외래 중심으로 관리되거나, 초기 진단·처치가 의원급에서 이뤄지는 경우가 많다는 점을 시사한다.

병원 등급별로는 의원급 비중이 높았다. 2024년 기준 의원급 자연유산 환자는 4109명으로 가장 많았고, 병원급 4357명, 종합병원 1018명, 상급종합병원 347명 순이었다. 2020년에도 의원급 5518명, 병원급 5208명으로 1·2위를 차지했다. 특히 상급종합병원은 2020년 480명에서 2024년 347명으로 줄어들며 중증 집중도가 높지 않은 질환 특성을 반영했다. 종합병원은 2020년 1263명에서 2024년 1018명으로 다소 감소했고, 보건기관 이용은 극히 적었다.

지역별로는 경기와 서울에서 환자가 가장 많았다. 2024년 경기 2741명, 서울 2100명으로 전국에서 두드러졌고, 부산 588명, 인천 461명, 경남 444명, 전북 406명 등이 뒤를 이었다. 2020년에도 경기 3434명, 서울 2673명으로 가장 많았다. 대구는 2020년 621명에서 2024년 499명으로, 부산은 792명에서 588명으로 줄었고, 제주와 세종은 상대적으로 적은 규모를 유지했다.

종합하면 자연유산 진료는 매년 30대가 핵심 연령층으로 자리 잡고 있으며, 40대가 뒤를 잇는 구조가 뚜렷했다. 진료 형태는 입원보다 외래가 훨씬 많았고, 실제 의료 이용은 의원급과 병원급에 집중됐다. 지역적으로는 인구가 많은 수도권에 환자가 몰리는 패턴이 확인됐다.