필수의료 지원강화를 위한 집중치료실 확충 모형 개발
- Type
- Research report
- Issued Date
- 2024-06
- Publisher
- 건강보험심사평가원
- Table Of Contents
- 제1장 서론 ······························································ 1
1. 연구배경 및 목적 ··················································································· 3
가. 연구배경 ···································································································· 3
나. 연구 목적 ·································································································· 8
2. 연구 내용 및 방법 ·················································································· 9
가. 연구 수행체계 ···························································································· 9
나. 연구 내용 ·································································································· 9
제2장 국내 및 국외 준중환자실 고찰 및 문헌검토 ······························································ 11
1. 국외 준중환자실 ··················································································· 13
가. 일본 ········································································································ 13
나. 프랑스 준중환자실 ···················································································· 19
다. 독일 ········································································································ 24
라. 영국 ········································································································ 27
마. 호주 ········································································································ 30
바. 질환별 준중환자실 ···················································································· 33
2. 국내 준중환자실 ··················································································· 35
가. 국내 준중환자실 문헌고찰 ·········································································· 35
나. 중환자실 및 현행 집중치료실 법령 ····························································· 36
다. 국내 집중치료실 병실운영 현황 ·································································· 45
제3장 연구 방법 ······························································ 55
1. 유사 준중환자실 운영 실태조사 ······························································ 57
가. 서베이 조사 ····························································································· 57
2. 청구 데이터 분석 ················································································· 59
가. 연구 목적 ································································································ 59
나. 연구 내용 ································································································ 59
다. 자료원 ····································································································· 59
3. 포커스 그룹 인터뷰 ·············································································· 60
4. 델파이 조사 ························································································· 61
가. 대상자 선정 ····························································································· 61
나. 세부 계획안 ····························································································· 61
제4장 연구결과 ······························································ 63
1. 유사 준중환자실 운영 실태조사 ······························································ 65
가. 서베이 조사 결과 ····················································································· 65
나. 서베이 조사 결과 요약 ·············································································· 77
2. 청구데이터 분석 ··················································································· 79
가. 유사 준중환자실 운영 현황 ········································································ 79
나. 기존 준중환자실(뇌졸중, 고위험임산부 집중치료실) 이용여부에 따른 건강결과 및
의료이용 ·································································································· 81
다. 기존 준중환자실(뇌졸중, 고위험임산부 집중치료실) ······································· 93
3. 포커스 그룹 인터뷰 ············································································ 110
가. 의사 ······································································································ 110
나. 간호사 ··································································································· 119
4. 델파이 조사 ······················································································· 127
가. 1차 델파이 조사 결과 ············································································· 127
나. 2차 델파이 조사 결과 ············································································· 135
제5장 준중환자실 확충 모형 설정 ······························································ 153
1. 준중환자실 도입 필요성 ······································································ 155
가. 준중환자실 도입 필요성 도출 ··································································· 155
2. 준중환자실 확충 모형 설정 ·································································· 157
가. 준중환자실 운영 형태 ·············································································· 157
나. 인력 기준 ······························································································ 163
다. 준중환자실 장비 및 시설 기준 ································································· 163
라. 준중환자실 설치 인정 기준 예시 ······························································ 166
3. 준중환자실 역할 설정 ········································································· 168
가. 준중환자실 위치 설정 ·············································································· 168
4. 준중환자실 단계적 적용방안 ································································· 175
가. 준중환자실 단계적 적용 방안 ··································································· 175
제6장 준중환자실 수요예측 및 재정 추계 ······························································ 177
1. 준중환자실 수요예측 ··········································································· 179
가. 준중환자실 수요예측 ··············································································· 179
나. 준중환자실 수요예측 결과 ········································································ 181
2. 준중환자실 재정추계 ··········································································· 186
가. 준중환자실 재정추계 방법 ········································································ 186
나. 준중환자실 재정추계 결과 ········································································ 189
제7장 종합 및 제언 ······························································ 195
1. 종합 및 제언 ····················································································· 197
가. 준중환자실 확충 관련 방향 ······································································ 197
◾ 참고 문헌 ····················································································· 202
◾ 부 록 ··························································································· 206
- Publisher
- 건강보험심사평가원
- Location
- KOR
- Citation
- 장석용. (2024-06). 필수의료 지원강화를 위한 집중치료실 확충 모형 개발.
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