질환군별 재택의료 시범사업 효과평가 연구
- Type
- Research report
- Issued Date
- 2023-11
- Publisher
- 건강보험심사평가원
- Table Of Contents
- 제1장 연구의 필요성 및 시범사업 개요 1
제1절 연구의 필요성 ··················································································· 3
제2절 재택의료 시범사업 개요 ····································································· 5
1. 재택의료 시범사업의 목적 ············································································· 5
2. 시범사업의 개요 ·························································································· 5
3. 재택의료사업에 참여하고 있는 의료기관 현황 ················································· 8
제2장 연구방법 11
제1절 연구방법의 개요 ·············································································· 13
제2절 청구자료 분석 ················································································· 15
1. 심장 재택의료 청구자료 분석 ······································································ 15
2. 재활 재택의료 청구자료 분석 ······································································ 17
3. 결핵 재택의료 청구자료 분석 ······································································ 18
4. 암(장루) 재택의료 청구자료 분석 ································································· 20
제3절 환자 만족도 조사 ············································································ 22
제4절 의료진 심층면접과 설문조사 ····························································· 24
제3장 심장질환자 재택의료 시범사업 25
제1절 시범사업 운영현황 ··········································································· 27
1. 시범사업 개요 ··························································································· 27
2. 시범사업 등록현황 ····················································································· 30
3. 수가별 점검서식 제출 건수 ········································································· 32
제2절 청구자료 분석 ················································································· 34
1. 심장질환자 재택의료 수가 발생현황 ····························································· 34
2. 전체 의료이용 ··························································································· 42
3. 전체진료비 ································································································ 47
4. 외래 의료이용 ··························································································· 52
5. 외래진료비 ································································································ 57
6. 입원 의료이용 ··························································································· 62
7. 입원진료비 ································································································ 75
8. 응급 의료이용 ··························································································· 80
9. 응급진료비 ································································································ 85
10. 합병증 ···································································································· 90
제3절 환자 만족도 조사 ·········································································· 107
1. 조사대상자 선정 및 설문 방법 ·································································· 107
2. 응답자 특성 ···························································································· 109
3. 효과성/반응성 ·························································································· 111
4. 효율성 ···································································································· 112
5. 수월성 ···································································································· 113
6. 삶의 질(EQ-5D) ····················································································· 115
제4절 의료진 심층 인터뷰 및 설문조사 ····················································· 116
1. 의료진 심층 인터뷰 ·················································································· 116
2. 의료진 설문조사 ······················································································ 122
제4장 재활환자 재택의료 시범사업 129
제1절 시범사업 운영현황 ········································································· 131
1. 시범사업 개요 ························································································· 131
2. 시범사업 등록현황 ··················································································· 134
3. 수가별 점검서식 제출 건수 ······································································· 137
제2절 청구자료 분석 ··············································································· 140
1. 재활환자 재택의료 수가 발생현황 ······························································ 140
2. 전체 의료이용 ························································································· 148
3. 전체진료비 ······························································································ 154
4. 외래 의료이용 ························································································· 160
5. 외래진료비 ······························································································ 166
6. 입원 의료이용 ························································································· 172
7. 입원진료비 ······························································································ 188
8. 응급 의료이용 ························································································· 194
9. 응급진료비 ······························································································ 200
10. 합병증 ·································································································· 206
제3절 환자 만족도 조사 ·········································································· 224
1. 조사대상자 선정 및 설문 방법 ·································································· 224
2. 응답자 특성 ···························································································· 226
3. 효과성/반응성 ·························································································· 228
4. 효율성 ···································································································· 230
5. 수월성 ···································································································· 231
6. 삶의 질(EQ-5D) ····················································································· 233
제4절 의료진 심층 인터뷰 및 설문조사 ····················································· 234
1. 의료진 심층 인터뷰 ·················································································· 234
2. 의료진 설문조사 ······················································································ 239
제5장 결핵환자 재택의료 시범사업 245
제1절 시범사업 운영현황 ········································································· 247
1. 시범사업 개요 ························································································· 247
2. 시범사업 등록현황 ··················································································· 250
3. 수가별 점검서식 제출 건수 ······································································· 253
제2절 청구자료 분석 ··············································································· 256
1. 결핵환자 재택의료 수가 발생현황 ······························································ 256
2. 전체 의료이용 ························································································· 262
3. 전체진료비 ······························································································ 268
4. 외래 의료이용 ························································································· 274
5. 외래진료비 ······························································································ 280
6. 입원 의료이용 ························································································· 286
7. 입원진료비 ······························································································ 302
8. 응급 의료이용 ························································································· 308
9. 응급진료비 ······························································································ 314
10. 합병증 ·································································································· 320
제3절 환자 만족도 조사 ·········································································· 328
1. 조사대상자 선정 및 설문 방법 ·································································· 328
2. 응답자 특성 ···························································································· 330
3. 효과성/반응성 ·························································································· 332
4. 효율성 ···································································································· 333
5. 수월성 ···································································································· 334
6. 삶의 질(EQ-5D) ····················································································· 335
제4절 의료진 심층 인터뷰 및 설문조사 ····················································· 336
1. 의료진 심층 인터뷰 ·················································································· 336
2. 의료진 설문조사 ······················································································ 338
제6장 암(장루)환자 재택의료 시범사업 343
제1절 시범사업 운영현황 ········································································· 345
1. 시범사업 개요 ························································································· 345
2. 시범사업 등록현황 ··················································································· 348
3. 수가별 점검서식 제출 건수 ······································································· 350
제2절 청구자료 분석 ··············································································· 352
1. 암(장루) 재택의료 수가 발생현황 ······························································· 352
2. 전체 의료이용 ························································································· 358
3. 전체진료비 ······························································································ 363
4. 외래 의료이용 ························································································· 368
5. 외래진료비 ······························································································ 373
6. 입원 의료이용 ························································································· 378
7. 입원진료비 ······························································································ 391
8. 응급 의료이용 ························································································· 396
9. 응급진료비 ······························································································ 401
10. 합병증 ·································································································· 406
제3절 환자 만족도 조사 ·········································································· 423
1. 조사대상자 선정 및 설문 방법 ·································································· 423
2. 응답자 특성 ···························································································· 425
3. 효과성/반응성 ·························································································· 426
4. 효율성 ···································································································· 428
5. 수월성 ···································································································· 428
6. 삶의 질(EQ-5D) ····················································································· 430
제4절 환자 집단심층면접 ········································································ 431
1. 조사대상자 선정 및 설문 방법 ·································································· 431
2. 응답자 특성 ···························································································· 432
3. 시범사업 경험 ························································································· 433
4. 시범사업에 대한 기대 ··············································································· 435
제5절 의료진 심층 인터뷰 및 설문조사 ····················································· 438
1. 의료진 심층 인터뷰 ·················································································· 438
2. 의료진 설문조사 ······················································································ 442
제7장 고찰, 제언 및 결론 447
제1절 청구자료 분석에 대한 고찰 ····························································· 449
1. 재택의료 시범사업의 수행 실적(performance) ··········································· 449
2. 재택의료 시범사업의 비용(cost) ································································ 450
3. 재택의료 시범사업의 효과와 편익 ······························································ 451
제2절 비용과 편익 관점에서의 고찰 ·························································· 456
1. 비용-편익 분석의 개요와 한계 ·································································· 456
2. 재택의료에 대한 비용과 편익 ···································································· 457
제3절 환자 만족도 조사에서의 고찰과 제언 ··············································· 462
제4절 의료진 심층면접에서 나타난 현황과 제안 ········································· 465
제5절 재택의료 활성화 방안 ····································································· 466
제6절 결론 ····························································································· 469
- Publisher
- 건강보험심사평가원
- Location
- KOR
- Citation
- 지영건. (2023-11). 질환군별 재택의료 시범사업 효과평가 연구.
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