어린이 재활의료기관 지정운영 시범사업 성과평가 및 지정규모 확충 방안 연구

Abstract

This study estimates the number of institutions needed to create a community -centered medical use environment for children's rehabilitation patients, and establishes performance evaluation and development plans for pilot projects introduced to expand children's rehabilitation medical care Estimating the number of institutions needed in 2023 by measuring the number of unmet hospital beds and the number of outpatients in consideration of demand and supply by region. As a result, as of now, there are a total of 11 areas requiring designation, a total of 12 hospitals and 4 clinics in the metropolitan area, 18 hospitals and 1 clinic outside the metropolitan area The performance evaluation of the children's rehabilitation medical institution pilot project was compared and analyzed by matching the participating and non-participating groups, focusing on the improvement of patients' medical use and function, and the institution's medical staff and treatment activities. In the case of children's rehabilitation medical use behavior, the number of visits to the hospital, the number of days of medical use, and the concentration of medical institutions improved, and among them, the improvement effect of new users was found to be high. In the case of cost accessibility, about 1 million won per person for speech therapy, manual therapy, and cognitive therapy can be saved through the application of existing non-insured health insurance. In the case of functional improvement, as a result of examining the clinical effect with a group of specialists along with before-and-after evaluation for patients who have undergone two or more evaluations, the improvement effect on the results of GMFM-66, pediatric balance scale, SELSI, and PRES is appeared to be high Through these achievements, it is expected that this pilot project will play a pivotal role in the children's rehabilitation medical network if the capacity improvement of the institution through the expansion of the pilot project institution and conversion to the main project and the improvement of patients' medical use and function are expanded in the future.