동서간호학연구지 (Journal of East-West Nursing Research)

  • 제15권2호
  • /
  • Pages.63-70
  • /
  • 2009
  • /
  • 1226-4938(pISSN)
  • /
  • 2671-8448(eISSN)
경희대학교 동서간호학연구소 (East-west Nursing Research Institute, Kyung Hee University)
권호 표지
DOI QR코드

DOI QR Code

의료급여 1종 노인 수급권자의 입원이용

Hospital Services Utilization in Type-I Medicaid Elderly Beneficiaries

  • 임승주 (서울대학교 간호대학 지역사회간호학)
  • 발행 : 2009.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to evaluate hospital service utilization by the types of hospitals in Type I Medicaid claims frequently cited by elderly beneficiaries. Methods: Three frequently claimed inpatient diseases were selected: cerebral infarction, hypertension and diabetes mellitus. Relevant data were collected for the year 2008 from the computer database of the National Health Insurance Corporation. The data was analyzed using SPSS by descriptive statistics, ANOVA and coefficient of variation. Results: The coefficient of variance of hospitalization per episode was higher than daily hospital expenditure among hospitals for all three diseases. The coefficient of variance of hospitalization per episode was highest for cerebral infarction. The coefficient of variation of hospital expenditure per hospital day was highest for hypertension. Conclusions: Evaluating of the volume and pattern of hospital service utilization and the appropriateness for hospital admission for Type-I Medicaid elderly beneficiaries is important for Medicaid-based case management.

키워드

참고문헌

  1. Ahn, H. S. (1995). The effects of hospital and physician factors on hospital resource use. Unpublished doctoral dissertation, Seoul National University, Seoul, Korea.
  2. Hwang, I. K. (1995). An analysis of charges and length of stay of frequently claimed inpatient diseases. Inje Journal 11, 843-859.
  3. Jeon, B. Y. (2007). Discussion on the outcome and development challenges of the medicaid system. In proceedings of symposium celebrating the 30th anniversary of Korea medicaid. Seoul: Ministry of Health and Welfare Affairs, National Health Insurance Corporation, Health Insurance Review and Assessment service, and Korea Human Resource Development Institute for Health and Welfare.
  4. Kim, C. Y. (2003). Study on long-term development plan for national health security system for low-income people. Ministry of Health and Welfare Affairs and Seoul National University.
  5. Kim, D. H., & Lee, T. J. (2009). Effect of expansion of long-term care hospitals on elderly hospitalization in acute care hospitals. Korean Journal of Health Policy and Administration. 19, 81-96. https://doi.org/10.4332/KJHPA.2009.19.1.081
  6. Kim, E. S., Nam, J. J., Kim, M. Y., Ko, I. S., Lee, D. M., Kim, K. S., et al. (2007). Improvement and medical utilization pattern of medicaid. Ministry of Health and Welfare Affairs and Yonsei University.
  7. Kim, S. R. (1999). A study on the comparison of inpatients healthcare utilization between the medicaid recipients and the insured. Unpublished doctoral dissertation, Yonsei University, Seoul, Korea.
  8. Lee, I. S., Lee, Y. R., & Gang, H. G. (2004). A study on the evaluation of case management program for Medicaid. Ministry of Health and Welfare Affairs and Yonsei University.
  9. Lee, Y. J. (2009). A study on the spatial differences in cancer patients'health care utilization and treatment of medical institutions. The Korea Spatial Planning Review, 60, 97-114.
  10. Ministry of Health, Welfare and Family Affairs: MlHWAF. (2008). Unpublished document. Seoul: Author.
  11. Ministry of Health, Welfare and Family Affairs: MlHWAF. (2009). 2009 guidelines for the medicaid program in Korea. Seoul: Author.
  12. National Assembly Budget Office. (2006).2005 analysis of closing accounts of an annual revenue and expenditure. Retrieved November 8, 2009, from http://www.nabo.go.kr/korea/view/11search/search.jsp
  13. National Health Insurance Corporation: NHIC. (2009). 2008 medicaid statistics. Retrieved November 8, 2009, from http://www.nhic.or.kr/wbm/wbmc/wbmc0400/wbmc0403/wbmc 0403.html
  14. Oh, S. Y. (2005). The Syakaiteki Nyuin (hospitalization for the long-term care) as the increase factor of health expenditure for the elderly in Japan. Journal of Welfare for the Aged, 28, 207-230.
  15. Shin, H. R., Lim, S. J., & Cho, J. H. (2009). The support and evaluation of case management for medicaid: Report of 2008 institute of case management for medicaid. Seoul: Ministry of health, Welfare and Family Affairs, Korea Human Resource Development Institute for Health and Welfare, and Institute of Case Management for Medicaid.