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소아응급의료 확충을 위한 수가 개선방안 연구(요약보고서)

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Type
Research report
Author(s)
류정민최승준정진희김미진이현정노현이진희김도균윤서희임택진서정호
Issued Date
2023-08
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/3222
Table Of Contents
제1장 연구개요 및 방법 ··········································· 3
1. 연구 배경 및 필요성 ····································· 3
가. 연구 배경 ··············································· 3
나. 연구의 필요성 ············································ 3
2. 연구 목적 ············································· 4
3. 연구내용 및 방법 ······································· 4
가. 국내ž외 소아응급의료체계 고찰 ······························ 4
나. 소아응급진료 현황 분석 ···································· 4
다. 소아응급의료 수가개선 및 소아응급의료 확충방안 ··············· 5

제2장 국내·외 소아응급의료체계 ··········································· 6
1. 국내 소아응급의료체계 ··································· 6
2. 미국의 소아응급의료체계 ································· 6
가. 소아응급의료체계 특징과 재정 ······························· 6
나. 미국 소아응급의료 체계 구성 요소 ··························· 7
다. 미국 소아응급의료체계 시사점 ······························· 8
3. 일본의 소아응급의료체계 ································· 9
가. 일본의 소아응급의료체계 특징 ······························· 9
나. 일본의 소아응급의료체계 단계 ······························· 9
다. 일본의 소아진료비 보험 수가 및 가산제도 ····················· 9
라. 일본 소아응급의료체계의 시사점 ···························· 10

제3장 소아응급진료 현황 ··········································· 12
1. 소아전문응급의료센터 청구 현황 분석 ······················ 12
가. 소아전문응급의료센터 청구건수 ····························· 12
나. 소아 중증응급상병군(가칭) 정의와 청구건수 분석 ··············· 12
다. 소아전문응급의료센터 심사결정요양급여비용 분석 ··············· 13
2. 전국 응급실 소아진료 현황 ······························· 15

제4장 소아응급의료 수가개선 및 소아응급의료 확충방안 ··········································· 17
1. 소아응급실 의료진 포커스그룹 면담 ························ 17
가. 포커스그룹 면담 대상과 방법 ······························· 17
나. 포커스그룹 면담 내용 ····································· 17
다. 포커스그룹 면담 결과 ····································· 18
라. 개별 행위에 대한 수가개선 의견 ···························· 21
2. 사후보상지불제도와 지방자치단체 소아응급 지원사례 ·········· 23
가. 소아전문응급센터 사후보상 지불방식 가능성 검토 결과 ·········· 23
나. 국내 지방자치단체 소아응급진료 지원 사례 검토 ··············· 24
3. 소아응급의료체계 개선을 위한 전문가 조사 ·················· 25
가. 전문가 조사 목적과 방법 ·································· 25
나. 전문가 조사 결과 ········································ 26

제5장 연구 결론 및 제언 ··········································· 30
1. 연구 결론 ············································ 30
가. 우리나라 소아응급의료 현황 ································ 30
나. 소아응급의료체계와 수가 개선방안 ·························· 31
2. 소아응급의료체계 구축을 위한 제언 ························ 33
가. 소아응급의료체계 개선을 위한 로드맵 ························ 33
나. 한국형 소아응급의료체계 구축 방안 ·························· 35
다. 소아응급진료 활성화 방안 ································· 42
Publisher
건강보험심사평가원
Location
KOR
Citation
류정민. (2023-08). 소아응급의료 확충을 위한 수가 개선방안 연구(요약보고서).
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