Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Clinical Nutrition Service at Medical Centers in Seoul

서울지역 의료기관의 임상영양서비스 현황조사

  • Kim, Hye-Jin (Dept. of Nutrition, Yeouido St. Mary's Hospital, Catholic University) ;
  • Kim, Eun-Mi (Dept. of Nutrition, Kangbuk Samsung Hospital) ;
  • Lee, Geum-Ju (Dept. of Nutrition, Kyunghee Universitly Hospital at Gangdong) ;
  • Lee, Jung-Joo (Dept. of Nutrition, Kyunghee Universitly Hospital at Gangdong) ;
  • Lim, Jung-Hyun (Dept. of Nutrition, Seoul National University Hospital) ;
  • Lee, Jung-Min (Dept. of Nutrition, Severance Hospital, Yonsei University) ;
  • Jeon, Hyun-Jung (Dept. of Nutrition, Seoul Bukbu Geriatric Hospital) ;
  • Lee, Hae-Young (Dept. of Food & Nutrition, Sangji University)
  • 김혜진 (가톨릭대학교 여의도성모병원 영양팀) ;
  • 김은미 (강북삼성병원 영양팀) ;
  • 이금주 (강동경희대학병원 영양건강관리센터) ;
  • 이정주 (강동경희대학병원 영양건강관리센터) ;
  • 임정현 (서울대학교병원 영양팀) ;
  • 이정민 (연세대학교 신촌세브란스병원 영양팀) ;
  • 전현정 (서울시립북부노인병원 영양팀) ;
  • 이해영 (상지대학교 식품영양학과)
  • Received : 2011.03.02
  • Accepted : 2001.03.28
  • Published : 2011.05.02
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Abstract

The purpose of this study was to investigate the status of clinical nutrition services at various medical centers in Seoul, Korea. A questionnaire was distributed to the departments of nutrition at 44 hospitals in Seoul on July 2009. Nutritional screening carried out at a rate of 59.1% at the medical centers, and a significant difference was found according to the type of center, from 100% in tertiary hospitals to 18.8% in normal hospitals. On annual average, the numbers of inpatients, inpatients for malnutritional screening, inpatients with malnutrition, and inpatients for malnutrition management were 15,169.5, 10,870.9, 2,224.8, and 1,546.2, respectively. On average the group nutrition education was done 36.1 times/year for diabetes, 8.2 times/year for cancer, and 1.9 times/year for renal disease, and the numbers of participants 423.1, 95.1, and 31.5, respectively. On average the individual nutrition education of inpatients with diabetes was done 135.4 times/year for ordered-type, and 119.3 times/year for unordered-type, 106.2 times/year for paid-type, and 148.5 times/year for unpaid-type. The mean fee for education and counseling was the highest for peritoneal dialysis (73,090.9 won) but the lowest for heart disease (23,609.1 won). On average the individual nutrition education of outpatients with diabetes was done 234.6 times/year for ordered-type, and 2.5 times/year for unordered-type, 204.4 times/year for paid-type, and 32.7 times/year for unpaid-type. The mean fee for education and counseling was also the highest for peritoneal dialysis (63,500.0 won) but the lowest for heart disease (21,336.4 won). To implement more effective clinical nutrition service, a national medical insurance imbursement policy should be urgently instituted such that diseases left as unpaid are covered by health insurance, including all nutrition-related disease.

Keywords

References

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