대형병원 중증도 중심 의료이용 분석 및 모니터링 체계 마련 연구

Abstract

Persistent hindrance factors that impeded development of health delivery system include duplicated roles and functions of health service providers, health resource oversupply, intensifying competition among providers, and concentration of patients to larger hospitals in the Seoul Metropolitan areas. In response, through a continued discussion with stakeholders, the government announced a short-term measures to improve health delivery system and formed a consultative body for a mid and long-term plan. As such, an evidence collection system was required to support short-term policy monitoring and improvement as well as execution of mid and long-term plans. As a matter of urgency, this study examined the monitoring system of tertiary hospitals to strengthen their roles. Two major perspectives were deployed : i) current status analysis system that evaluates current status and produce items to monitor, and ii) anomaly detection that detects unusual patterns due to policy implementation or social phenomenon. Monitoring items were defined for roles of tertiary hospitals based on current status assessment using literature review and data analysis. Monitoring group selection system was established for a specific point of time using unit analysis of medical service use. The application feasibility of anomaly detection model was assessed within the current health service use system, and a draft is proposed.