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건강보험 청구자료를 활용한 응급의료 이용현황

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Type
Article
Author(s)
조수진최윤정이재호김상현
Issued Date
2022-05-31
Keyword
Emergency patientsNational health insurance claims dataEmergency information system
Abstract
Background: The analysis of utilization trends in emergency patients is needed to set an efficient emergency medical system in Korea. We analyzed the number of utilization in emergency patients and their inter-hospital transfer rate.
Methods: We analyzed the National Health Insurance (NHI) claims data in the year of 2014. The 5,714,547 cases were constructed from 8,625,758 claims which were inpatient through the emergency room and outpatient for emergency medicine. The utilization and transfer rates are analyzed by the characteristics of patients and medical facilities.
Results: The transfer rate was 5.1% in total emergency patients and 8.4% in severe patients. The transfer rates were higher in patients with myocardial infarction (12.8%), stroke (13.9%), and severe trauma (11.6%). And 52.6% of transferred patients and 76.8% of transferred severe patients received main procedures at the transferred medical facilities. Patients who had not received main procedures at the first-visit medical facilities were transferred to the hospital located in the same region or Seoul.
Conclusion: As a result of analyzing NHI claims data, there was a difference in the utilization and transferred rate from the results analyzed National Emergency Department Information System (NEDIS) data. It is necessary to establish an information system that can complement the strengths and weaknesses of the NHI claims data and NEDIS.
Publisher
심사평가연구소
DOI
10.52937/hira.22.2.1.95
URI
https://repository.hira.or.kr/handle/2019.oak/2984
Alternative Title
Analysis of the Trends in Emergency Patients: Using the National Health Insurance Claims Data
Publisher
심사평가연구소
Location
KOR
Citation
[1]조수진, 최윤정, 이재호, and 김상현, “건강보험 청구자료를 활용한 응급의료 이용현황,” HIRA Research, vol. 2. 심사평가연구소, pp. 95–105, May 31, 2022. doi: 10.52937/hira.22.2.1.95.
ISSN
2765-6764
Appears in Collections:
HIRA 발간 > 1. HIRA Research
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