한국의료질향상학회지 (Quality Improvement in Health Care)
- 제17권1호
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- Pages.69-78
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- 2011
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- 1225-7613(pISSN)
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- 2288-078X(eISSN)
병원의 급성심근경색증 진료 결과 공개의 효과
Impact of public releasing of hospitals' performance on acute myocardial infarction outcomes
- 은상준 (서울대학교 의과대학 의료관리학교실) ;
- 김윤 (서울대학교 의과대학 의료관리학교실) ;
- 이은정 (충북대학교 의과대학 의료정보 및 관리학교실) ;
- 장원모 (건강보험심사평가원)
- Eun, Sang Jun (Department of Health Policy and Management, College of Medicine, Seoul National University) ;
- Kim, Yoon (Department of Health Policy and Management, College of Medicine, Seoul National University) ;
- Lee, Eun Jung (Department of Health Information and Management, College of Medicine, Chungbuk National University) ;
- Jang, Won Mo (Health Insurance Review & Assessment Service)
- 발행 : 2011.12.28
초록
Objectives : The purpose of this study was to determine whether the published AMI report card could reduce in-patient mortality, 7-day after discharge mortality, and length of stay (LOS). Methods : Interrupted time-series intervention analysis was used to evaluate the impact of the report card for AMI care quality in November 2005 in terms of risk-adjusted in-patient mortality, risk-adjusted 7-day after discharge mortality, and DRGs case-mix LOS using the claim data of Health Insurance Review and Assessment Service. Results : Public disclosure of AMI care quality decreased risk-adjusted in-patient mortality and DRGs case-mix LOS by 0.00050% per month and 0.042 days per month respectively, however there was no effect on risk-adjusted 7-day after discharge mortality. Patterns of effect of public disclosure on AMI outcomes were a fluctuating pattern on risk-adjusted mortalities and a pulse impact for 1 month on DRGs case-mix LOS. Conclusions : We found the public disclosure of AMI care quality had decreasing effects on risk-adjusted in-patient mortality and DRGs case-mix LOS, but the size of the effect was marginal.