입원 질 향상을 위한 입원전담전문의 제도 성과평가 연구용역(3단계)
- Type
- Research report
- Issued Date
- 2022-10
- Publisher
- 건강보험심사평가원
- Table Of Contents
- 제 1장 서 론·················································································································1
1. 연구 배경 및 필요성·········································································································1
가. 연구 배경 ·······················································································································1
나. 연구의 필요성··················································································································4
다. 연구의 목적·····················································································································4
2. 입원전담전문의 시범사업 시행 개요··············································································5
가. 입원전담전문의 제도 도입 과정··················································································5
나. 입원전담전문의 시범사업 추진 방향···········································································7
제 2장 선행 입원전담전문의 시범사업 운영 및 평가 결과 ·······························9
1. 한국형 호스피탈리스트 시범사업 운영·평가 연구························································9
가. 한국형 호스피탈리스트 시범사업 운영·······································································9
나. 한국형 호스피탈리스트 시범사업 평가 결과···························································16
다. 한국형 호스피탈리스트 모형 및 수가 제안·····························································22
2. 입원질 형상을 위한 입원전담전문의 시범사업 운영 및 평가·································24
가. 입원전담전문의 시범사업 운영··················································································24
나. 입원전담전문의 시범사업 평가··················································································25
다. 입원전담전문의 시범사업 평가지표 분석 방법·······················································27
라. 입원질 향상을 위한 입원전담전문의 시범사업 평가지표 분석 방법··················30
3. 입원전담전문의 제도 비용 추계 연구··········································································35
가. 입원전담전문의 제도 비용 추계 연구 내용·····························································35
나. 입원전담전문의 제도 비용 추계 연구 결과·····························································37
다. 본 사업화 방안 및 연간 소요 재정 추계································································40
4. 입원전담전문의 국내외 연구 현황················································································49
가. 국외 입원전담전문의 연구 결과 및 결과································································49
나. 국내 입원전담전문의 연구 결과 및 결과································································51
제 3장 입원전담전문의 본 사업 성과평가 내용 및 연구 방법·························53
1. 연구 내용···························································································································53
가. 입원환자 전담전문의 관리료 관련 기초 현황분석·················································53
나. 입원전담전문의 제도 정규수가 도입에 따른 성과평가·········································53
다. 성과평가 결과에 따른 입원전담전문의 제도 개선 방안 제안·····························54
2. 연구 방법···························································································································55
가. 입원환자 전담전문의 관리료 관련 기초 현황 분석···············································55
나. 입원전담전문의 제도 정규수가 도입에 따른 성과 분석·······································56
다. 성과평가 결과에 따른 입원전담전문의 제도 개선 방안 제안·····························59
3. 연구수행체계·····················································································································60
제 4장 연구 결과·······································································································61
1. 입원전담전문의 현황 분석······························································································61
가. 입원전담전문의 근무 현황··························································································61
나. 입원전담전문의 제도 운영 기관 현황······································································78
다. 입원환자 전담전문의 관리료 청구현황 ··································································86
라. 입원전담전문의 인력 수급 현황················································································92
2. 입원전담전문의 제도 정규수가 도입에 따른 성과평가·············································94
가. 입원전담전문의 제도 비용편익 효과 분석·······························································94
나. 입원전담전문의 제도 환자 안전 및 임상적 효과 연구·······································109
다. 입원전담전문의 제도 환자 만족도 조사································································119
제 5장 연구 결과 해석 및 제언············································································133
1. 입원전담전문의 현황 분석 결과 해석········································································133
2. 입원전담전문의 제도 성과평가 결과 해석································································135
3. 입원전담전문의 제도 환자 만족도 조사 결과··························································136
제 6장 제도 개선 방안 제안··················································································137
1. 선행 연구의 제도 개선 방안 검토··············································································137
가. 근무 형태에 따른 수가 구분····················································································137
나. 병상당 의사 근무 시간에 따른 수가 구분····························································138
다. 기준 수가 수준···········································································································139
라. 수가 제안 안···············································································································140
2. 입원전담전문의 제도 현황 및 개선 관련 연구회 자문···········································145
가. 입원전담전문의 제도 확산의 한계점······································································145
나. 입원전담전문의 제도의 개선 제시 안····································································147
다. 제도 개선안 종합·······································································································150
3. 제도 개선 방안 제안·····································································································153
가. 지불 관련 개선 방안·································································································153
나. 제도 운영 관련 개선 방안························································································155
다. 중장기 제도 개선 방향·····························································································156
참고문헌·····················································································································159
부록·····························································································································165
1. 입원전담전문의 입원 건당 해당 전체 상병(ICD-10) 및 청구 빈도·····················166
2. 입원전담전문의 환자 만족도 조사 양식····································································178
3. 대한내과학회 내과계 입원의학연구회 입원전담전문의 고시안 개정 의견··········179
4. 대한외과학회 외과계 입원의학연구회 입원전담전문의 고시안 개정 의견··········184
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- 장성인. (2022-10). 입원 질 향상을 위한 입원전담전문의 제도 성과평가 연구용역(3단계).
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