Reclassification of healthcare utilization of inpatients to estimate the demand for long-term care services

현 입원의료이용량의 급성기진료 및 장기요양 서비스 재분류

  • 장혜정 (경희대학교 정경대학 의료경영학과) ;
  • 김창엽 (서울대학교 의과대학 의료관리학교실) ;
  • 윤석준 (단국대학교 의과대학 예방의학교실)
  • Published : 2001.09.01

Abstract

With an economic development and epidemiologic transition, the burden of disease due to chronic diseases and accidents is increasing. However, in most of developing countries, long-term care facilities are not available, therefore acute care facilities should provide both acute and long-term care services. It is also true in Korea. The demand for long-term care services needs to be estimated to establish the adequate supply system of health resources. This article introduces the reclassification methodology of inpatients' healthcare utilization to acute and long-term care services. All discharged patients from hospitals for one month were analyzed. The distribution of inpatients' hospital days were fitted to Chi-squared distribution by ICD disease categories, and they were grouped in five clusters. For each cluster, the lower and upper limit of classification criteria to acute and long-term care services were chosen. Summarizing all hospital days corresponding to acute and long-term care respectively, 24 to 28 percent of inpatient services fumed out to be long-term care services. The study results are consistent with those of the existing studies. They can be used practically in the allocation of long-term care resources.

Keywords

References

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