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상급종합병원 지정평가를 위한 환자구성상태 개선 연구

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Type
Research report
Author(s)
최지숙강경림이근우채송이
Publication Year
2021-01
Keyword
상급종합병원지정기준환자구성상태 평가Tertiary Hospital DesignationTertiary Hospital RequirementsSeverity assessmentcase-mixKDRG
Abstract
This has two purposes. Firstly, it explores how to apply treatment type scores for evaluating whether cases are appropriate for tertiary level of care. Secondly, it proposes improvement of a system of case-mix assessment by developing a method for severity assessment.
For these purposes, we conducted literature reviews on designation standards of tertiary medical institutions in other countries. We convened an advisory council consisting of members of medical societies, healthcare service experts and policy makers, and developed a method for case-mix assessment for impatients of tertiary hospitals. The assessment method either adopted an average admission treatment type score or developed scores with scaling from 60 to 100 for each medical institution. KDRG(Korea Diagnosis Related Group) corresponding to mental health and rehabilitation cases were excluded from the analysis. A severity assessment score was given between 0.6 to 1 point based on the ratio of severe emergency cases and severe-ill cases. We found that in case of the improvement measures being in place, some of current tertiary hospitals are expected to lose the designation status as tertiary hospitals while three new applicants are likely to be granted tertiary hospital designation.
In the future, Items on the severity assessment list are needed to be expanded. A follow-up research is required to develop a patient-based assessment model which integrates inpatients and outpatients, who received medical services from tertiary hospitals.
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/2520
Alternative Title
Study on improving the case-mix assessment system for designation of tertiary hospital
Table Of Contents
요약
제1장 서론
1. 연구 배경
2. 연구 목적
3. 연구 내용 및 방법
제2장 국내외 3차 의료기관의 기능과 현황
1. 국내 상급종합병원의 기능과 지정기준
2. 국외 3차 의료기관의 기능과 현황
제3장 진료유형점수 적용방안
1. 상급종합병원의 환자구성상태 평가체계 변천
2. 입원진료유형점수 적용방안
3. 외래진료유형점수 적용방안
제4장 환자구성상태 평가체계 개선방안
1. 개선방향
2. 중증도 평가방법 개발
3. 환자구성상태 평가체계 개선(안)
제5장 결론 및 제언
참고문헌
ABSTRACT
부록
Publisher
건강보험심사평가원
Location
KOR
Citation
최지숙. (2021-01). 상급종합병원 지정평가를 위한 환자구성상태 개선 연구
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