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의무기록 정보를 활용한 순사망환자 주호소 증상과 진단명과의 연관성에 관한연구

Study about the relationship between Chief complaint of pure death patients using medical record information

  • 투고 : 2014.11.17
  • 심사 : 2015.01.20
  • 발행 : 2015.01.28

초록

이 연구는 순사망환자의 주진단에 관한 특성에 대해 분석하여 병원 의료의 질 수준 향상을 위한 기초자료로 활용하고자 시행하였다. 대전광역시 소재 K 대학병원에서 2011년, 2012년, 2013년 3년 동안 사망한 환자 1992명 중 순사망한 428명을 조사대상으로 선정하였으며, 분석방법으로는 카이제곱검정 및 fisher의 정확한 검정과 정준상관분석을 사용하였다. 분석한 결과, 일반적 특성과 주진단 상위 4위의 정준상관분석 결과, 주진단 중 상세불명 병원체의 폐렴(J18)과 살충제의 독작용(T60)에서 유의한 것으로 나타났다. 상세불명 병원체의 폐렴(J18)에서는 자동차보험, 15-29세 사이, 건강보험, 의료급여 등의 순으로 나타났으며(p<0.001), 살충제의 독작용(T60)에서는 건강보험, 의료급여, 자동차보험, 45-59세, 세종충남 등의 순으로 유의하게 나타났다(p<0.05). 결론적으로 노인인구의 사망을 감소시키기 위해 의료서비스의 질적 향상과 응급의료전달의 체계적인 구축시켜 순사망환자를 감소시켜나가는 것이 매우 중요하다고 할 수 있다.

This study was executed to be used as the basic data for the improvement of hospital therapy by analyzing the characteristic of principal diagnosis of pure death patients. 428 pure death patients were selected as study subjects out of 1992 dead patients at K university hospital in Daejeon city for three years in 2011, 2012, 2013, and chi-squared test and fisher's correct tests and canonical correlation analysis were used as analysis methods. In the analysis results about general characteristic and top 4 canonical correlation analysis, pneumonia(J18) of organism unspecified and toxic action(T60) of pesticide showed significant results among the principal diagnosis. In the pneumonia of organism unspecified(J18), significant results were identified with the order of car insurance, ages from 15 to 29, health insurance and medical benefits, and in the toxic action of pesticide(T60), significant results were identified with the order of health insurance, medical benefits, car insurance, ages from 45 to 59, Sejong Chungnam. In conclusion, in order to reduce the death of elderly population, quality improvement in medical service and establishment of emergency medical service delivery system are very important to reduce pure death patients.

키워드

참고문헌

  1. Ju-Hyun Lee, A study on the Epidemiological Characteristics of mortality pattern among Koreans based on vital Registration Data, Seoul National University School of Public Health, 2000.
  2. Sung-Pil Jung, Study on Child Mortality Estimation of some areas, Korean Journal of Family Medicine, Vol. 13, No. 5, pp. 420-427, 1992.
  3. Statistics Korea, 2013 Causes of Death Statistics, 2014.
  4. Jun-Hyun Hong, Medical Record Information Management, Komoonsa, 2005.
  5. Korean Hospital Association, 2007 Survey of training hospitals and hospital accredited appraisal Guidelines, 2007.
  6. Ministry of Health & Welfare, Guidelines for evaluation of medical institutions, 2007.
  7. Kwang-Hwan Kim, Yong-Ha Kim, Sang-Tae Han, Hyun-Chul Kang, A Study on Features of Patients Died within 48 Hours by Using Hospital Information, Journal of The Korean Data Analysis Society, Vol. 9, No. 4, pp. 1653-1659, 2007.
  8. Sun-Won Seo, Kwang-Hwan Kim, Yoo-Kyung Pu, Jin-Sook Suh, Woo-Sung Park, Seok-Jun Yoon, Young-Sung Lee, Moo-Sik Lee, Hee-Yung Ghung, Evaluation of Coding Practices in 3 University Hospitals, Journal of Koream Society of Quality Assurancce in Health Care, Vol. 9, No. 1, 2002.
  9. Kwang-Hwan Kim, Sang-Tae Han, Hyun-chul Kang, A study on Finding of Hospitalization at Obstetrics and Gynecology Emergency Center by Using Health Information, Journal of the Korean Data Analysis Society, Vol. 8, No. 3, pp. 989-996, 2006.
  10. Su-Won Kang, Mi-sook Kim, Ok-Nam Kim, Jae-Young Kim, Byung-Ok Min, Sun-Won Seo, Jong-Yeon Sin, Hyun-Sill Lee, Eun-Hee Jo, Medical Record Information Management, 258-259, Korean Medical Record Association, 2007.
  11. Kwang-Hwan Kim, Yong-Ha Kim, Sang-Tae Han, Hyun-cheol Kang, Eun-Ju Jeon, Hyun-Sill Rhee, A Study in Character of Death Patients Using Medical Record Information, Journal of the Korean Data Analysis Society, Vol. 9, No. 5, pp. 2223-2232, 2007.
  12. Jung-Heum Han, Jong-Kuk Park, Gab Teug Kim, Impact of Interhospital Transfer in Mortality of Critically Ill Patients, Journal of The Korean Society of Emergency Medicine, Vol. 17, No. 2, pp. 146-153, 2006.