Challenges in Pediatric Facial Laceration Management Amid the Health Care Crisis in South Korea

Abstract

Background:Pediatric facial lacerations present unique challenges due to anatomic complexity and the need for age-appropriate patient management. Recent health care policy changes in South Korea have exacerbated these challenges, particularly impacting specialized services like pediatric facial trauma care. This study aims to evaluate the current state of pediatric facial laceration management, focusing on financial, systemic, and workforce challenges.Methods:This study analyzed 2023 Health Insurance Review and Assessment data for patients under 10 years of age treated for facial lacerations. Data included case numbers, costs, and insurance contributions by facial region. In addition, a survey was conducted among emergency physicians at a South Korean university hospital to assess clinical practices, sedation methods, and perceptions of insurance policies.Results:In 2023, 123,788 children received treatment for facial lacerations, with total costs of $12.8 million. While periorbital injuries represented the second most common type, they incurred disproportionately higher medical costs compared with other regions. Survey results showed 88.9% of cases were managed by emergency physicians, with ketamine being the most used sedative (43.8%). Most respondents (88.9%) found current insurance reimbursement inadequate, and 75% found sedation fees insufficient.Conclusions:Pediatric facial laceration management in South Korea faces significant systemic and financial barriers, compounded by workforce shortages and political instability. Addressing these challenges requires reforms in reimbursement policies, structured training programs for general practitioners and emergency physicians, and evidence-based workforce planning. These findings provide actionable insights to improve pediatric emergency care in South Korea and offer lessons for other nations confronting similar health care challenges.