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재활의료기관 치료성과 평가체계 구축 방안 연구

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Type
Research report
Author(s)
김태우신형익신용일김현배이호준좌경림이자호천성민손동균김한결윤재홍정성훈김서주김근영
Issued Date
2023-12
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/3232
Table Of Contents
제1장 제1기 의료기관 운영 현황 분석

1. 분석 방법 ······································································································ p.6
2. 재활의료기관 지정제도 3개년 운영 개요 ······················································· p.10
1) 재활의료기관 지정제도 참여기관 소재지 ·················································· p.10
2) 회복기 재활치료 총 이용 환자 수 ····························································· p.12
3) 회복기 재활치료 청구 건수 ····································································· p.14
4) 회복기 재활치료 청구 금액 ····································································· p.15
3. 재활의료기관 투입요소 ················································································· p.16
1) 재활의료기관 허가 병상수 ········································································· p.16
2) 재활의료기관 인력 ···················································································· p.21
4. 재활의료기관 산출요소 ················································································· p.43
1) 회복기 재활치료 청구 추이 ······································································· p.43
2) 회복기 재활 수가별·종류별 청구 추이 ······················································· p.57
3) 재활치료료 II, III 청구 현황 ···································································· p.68
4) 회복기 재활 수가 분석 ············································································· p.72
5. 재활의료기관 이용 행태 ············································································· p.103
1) 회복기 환자의 인구학적·질환군별 특성 ···················································· p.103
2) 회복기 환자 질환군별·세부질환별 이용 행태 ············································ p.133
3) 회복기 환자 성별·연령·질환군별 재원기간 ·········································· p.155
4) 회복기·비회복기 환자 재활의료기관 이용 비교 ·································· p.170
5) 재활의료기관 입원 전·후 이동경로 ······················································ p.176
6. 결론 및 제언 ···························································································· p.194

제2장 제1기 재활의료기관 재활치료 성과 분석

1. 대상환자 특성 분석 ·················································································· p.197
1) 대상자 추출 및 특성 지표 산출방법 ························································ p.197
2) 환자 특성 ····························································································· p.202
2. 결론 및 제언 ···························································································· p.244

제3장 적정 재활의료기관 지정을 위한 재활 의료 인프라 등 분석

1. 재활 관련 자원 공급현황 검토 ··································································· p.246
1) 재활 의료 인프라 변화 검토 ··································································· p.246
2. 재활의료기관 수요대비 인프라 및 현황 추계 ·············································· p.260
1) 중추신경계 재활 분야에 대한 추계 ·························································· p.260
3. 결론 및 제언 ····························································································· p.307

제4장 재활의료기관 성과기반 평가체계 개발

1. 평가체계 검토 및 질지표 항목 선정 ························································· p.309
1) 국내 선행연구 ························································································ p.309
2) 일본 재활관련 의료질 평가 ··································································· p.314
3) 호주 재활관련 의료질 평가 ··································································· p.318
4) 그 외 해외 재활관련 평가 ····································································· p.320
5) 재활의료기관 인증평가 기준 ································································· p.321
6) 재활의료기관 지정기준 (인력관련) ························································ p.323
7) 재활의료기관의 역할 및 수가 (3단계 시범사업) ···································· p.325
8) 재활의료기관 질평가(임상질지표)의 목표 ·············································· p.332
2. 전문가 자문회의 및 수정안 ········································································ p.341
1) 전문가 자문회의 ····················································································· p.341
2) 전문가 자문회의후 변동사항 ································································· p.345
3. 모의분석 결과 ···························································································· p.348
1) 재활의료기관 실적에 대한 의료질 지표 모의분석 적용 ························· p.348
2) 구조지표 ································································································ p.348
3) 과정지표 ································································································ p.354
4) 결과지표 ································································································ p.359
5) 지표 수정 항목 및 추가 분석 ······························································· p.365
4. 최종 임상질지표 제안 ················································································ p.373
1) 최종 임상 의료질지표 항목 ································································· p.373
2) 항목에 대한 내용 ·················································································· p.374
3) 질평가 결과 조치사항 ··········································································· p.377
4) 차기예비지표 (추후 재분석 대상) ························································ p.382
5. 결론 및 제언 ····························································································· p.383
1) 결론 ······································································································ p.383
2) 제언 ······································································································ p.389

참고문헌 ······································································································· p.391
Publisher
건강보험심사평가원
Location
KOR
Citation
김태우. (2023-12). 재활의료기관 치료성과 평가체계 구축 방안 연구.
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