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급성기뇌졸중 적정성평가 실효성 강화방안 연구

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Type
Research report
Author(s)
신승훈김민영이기욱신세영오재상김영우전진평진성철이준원문광호박석규이은채노정아진성진
Issued Date
2023-12
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/3248
Table Of Contents
제1장 서론 ···························································· 1
1. 연구의 배경 및 필요성 ················································································· 1
2. 연구의 목적 ··································································································· 5

제2장 급성기뇌졸중 적정성평가 분석 ···························································· 6
1. 평가 현황 및 데이터 분석 ············································································ 6
2. 분석방법 및 도구 ·························································································· 8
3. 분석결과 ······································································································· 11
4. 고찰 및 제언 ······························································································· 35

제3장 국내 및 제외국 문헌 고찰 ···························································· 38
1. 선행연구에 대한 고찰 ················································································· 38
2. 일본의 급성기뇌졸중 진료지침 ··································································· 45
3. 미국의 자발성 뇌내출혈 진료지침 ······························································ 60
4. 미국의 뇌동맥류성 지주막하출혈 진료지침 ················································ 93
5. 국내 뇌졸중 재활치료 진료지침 ······························································· 104

제4장 전문학회 의견 조사 ···························································· 106
1. 의견 조사 개요 ························································································· 106
2. 의견 조사 결과 ························································································· 106

제5장 전문학회 토론회 ···························································· 119
1. 전문학회 토론회 개요 ··············································································· 119
2. 연구진 제안 지표 ······················································································ 120
3. 전문학회 주요 의견 ·················································································· 149

제6장 치료대응력 지표의 보완 및 개발 ···························································· 150
1. 치료대응력 지표의 필요성 ······································································ 150
2. 기존 치료대응력과 관련 지표의 고찰 ·················································· 151
3. 치료대응력 평가를 위한 현황 조사 ······················································· 151
4. 치료대응력 지표의 제안 ········································································· 164
5. 고찰 및 제언 ··························································································· 168

제7장 허혈성 뇌졸중 지표의 보완 및 개발 ···························································· 171
1. 허혈성 뇌졸중 지표 보완의 필요성 ························································· 171
2. 허혈성 뇌졸중 지표의 제안 ···································································· 172
3. 고찰 및 제언 ··························································································· 181

제8장 출혈성 뇌졸중 지표의 보완 및 개발 ···························································· 182
1. 출혈성 뇌졸중에 대한 이해 ······································································ 182
2. 출혈성 뇌졸중 지표의 제안 ······································································ 186
3. 고찰 및 제언 ····························································································· 195

제9장 사망률 지표의 보완 및 개발 ···························································· 196
1. 뇌졸중 사망률 지표의 보완 필요성 ························································· 196
2. 뇌졸중 사망률 지표의 제안 ······································································ 197
3. 고찰 및 제언 ····························································································· 200

제10장 뇌졸중 재활 지표의 보완 및 개발 ···························································· 201
1. 뇌졸중 재활 지표 보완의 필요성 ····························································· 201
2. 한국판 재활복잡도척도 ············································································· 205
3. 뇌졸중 재활 지표의 제안 ········································································· 210
4. 고찰 및 제언 ··························································································· 214

제11장 새로운 지표에 대한 PILOT 연구 ···························································· 216
1. 동맥 폐색에 의한 급성 허혈성 뇌졸중 환자 동맥내 재개통 치료에 대한 PILOT 연구 ················· 216
2. 자발성 뇌출혈 환자 치료에 대한 PILOT 연구 ······································· 222
3. PILOT 연구의 고찰 및 제한점 ································································ 231

제12장 결론 ···························································· 234
1. 결과 요약 ······························································································ 234
2. 평가발전을 위한 정책제언 ······································································ 235

◾ 참고 문헌 ····················································································· 250
Publisher
건강보험심사평가원
Location
KOR
Citation
신승훈. (2023-12). 급성기뇌졸중 적정성평가 실효성 강화방안 연구.
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