협력기관 간 진료의뢰·회송 시범사업 효과 평가
- Type
- Research report
- Issued Date
- 2024-12
- Publisher
- 건강보험심사평가원
- Table Of Contents
- 요약 ··································································································· ⅰ
제1장 서론 1
1. 연구 배경 및 목적 ·················································································· 3
2. 연구 내용 및 방법 ·················································································· 5
제2장 국내외 진료의뢰·회송 제도 및 동향 7
1. 협력기관 간 진료의뢰·회송 시범사업 ························································· 9
가. 시범사업 개요 ···························································································· 9
나. 진료의뢰·회송 방법 ··················································································· 12
다. 진료회송 관련 평가 제도 ··········································································· 14
라. 진료의뢰·회송 시범사업 관련 선행연구 ························································ 15
2. 국외 진료의뢰·회송 제도 및 동향 ··························································· 18
가. 일본 ········································································································ 18
나. 대만 ········································································································ 20
다. 영국 ········································································································ 21
라. 미국 ········································································································ 23
3. 소결 및 시사점 ···················································································· 24
제3장 진료의뢰·회송 시범사업 현황 27
1. 진료의뢰·회송 시범사업 현황 분석 개요 ·················································· 29
2. 진료의뢰·회송 시범사업 현황 분석 결과 ·················································· 31
제4장 진료의뢰·회송 시범사업 효과평가 63
1. 진료의뢰·회송 시범사업 효과평가 틀 개발 및 방법 ··································· 65
가. 효과평가 틀 ····························································································· 65
나. 효과평가 방법 ·························································································· 69
2. 진료의뢰·회송 시범사업 효과평가 결과 ···················································· 72
가. 의뢰·회송 효과평가 ··················································································· 72
나. 정보 충실도 효과평가 ··············································································· 87
제5장 협력기관 간 진료의뢰·회송 시범사업 개선방안 95
1. 단기 개선방안 ······················································································ 98
가. 진료의뢰 수신기관 종별에 따른 의뢰료 차등 인상 ········································ 99
나. 비수도권 동일 지역 내 의뢰를 위한 보상 강화 및 기준 지역 확대 ·············· 100
다. 의뢰환자 신속진료(패스트트랙) 및 회송환자 진료 수가 도입 ························ 101
라. 진료의뢰료 본인부담 면제 ········································································ 102
마. 의뢰·회송환자의 수신기관 방문 여부를 확인할 수 있는 시스템으로 개선 ······· 103
2. 중장기 개선방안 ················································································· 104
가. 의뢰·회송 성과평가 결과에 따른 사후 보상체계 마련 ·································· 104
나. 진료의뢰·회송 중계시스템 고도화 ······························································ 106
제6장 결론 및 제언 109
◾ 참고 문헌 ····················································································· 115
◾ 부록 ····························································································· 119
◾ Abstract ······················································································ 127
- Publisher
- 건강보험심사평가원
- Location
- KOR
- Citation
- 김수민. (2024-12). 협력기관 간 진료의뢰·회송 시범사업 효과 평가.
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