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General Health Status and Physical Care Burdens of Patients Groups in Long-Term Care Hospitals

요양병원 환자분류군별 전반적 건강수준 및 육체적 수발부담 차이

  • 진영란 (청운대학교 간호학과) ;
  • 이효영 (동서대학교 보건행정학과)
  • Received : 2018.01.24
  • Accepted : 2018.03.07
  • Published : 2018.03.31

Abstract

Objectives : This cross-sectional study aims to investigate the differences in general health status (GHS) and physical care burdens (PCB) of inpatient groups in long-term care hospitals (LTCH). Methods : The data of 228 patients were analyzed by integrating the electronic medical record (EMR) data of 2016, recorded by the nurses of hospitalized patients in the hospital. Results : There was a statistically significant difference in the GHS between the high-medical demand group and the other groups, but there was no difference in the GHS among other groups. The overall PCB was higher in the high-medical demand group than in the middle-medical demand, and cognitive impairment groups, but not in the problem behavioral group. Conclusions : The current classification of patient groups has shown limitations in terms of the basis of differential benefits of the groups. In particular, the PCB of the problem behavior group was not different from that of any group; hence, it should be adjusted through further study. To control the surge of medical care costs, it is necessary to improve the irrationality of the LTCH pay system in terms of the integration and continuity for elderly care.

Keywords

References

  1. Statistics Korea(2017), Korea Statistical Yearbook, pp.1-100.
  2. Statistics Korea(2015), Life Tables for Korea, pp.1-51.
  3. National Health Insurance Cooperation(2017), 2016 Health Insurance Statistics Yearly, pp.1-30.
  4. J. H. Kim(2015), Problem Analysis for the Improvement of Long-term Care Hospital Payment System, HIRA Policy Trends of Hearth Insurance Review & Assessment Service, Vol.9(3);52-65.
  5. Y.B. Kim(2011), A Study on Evaluation and Improvement of Long-term Care Hospitals for Changing Long-term Care Hospital Fee System, The Korean Journal of Health Service Management, Vol.5(2);105-117. https://doi.org/10.12811/kshsm.2011.5.2.105
  6. O.H. Roh, C.H. Lee, A. Park, K.H. Kim(2016), A Study on Characteristics of Medical Expenses and the Hospitalization Period of Hospitalized Patients Using Diem Payment System at Convalescent Hospitals, Journal of the Korea Academia-Industrial cooperation Society, Vol.17(8);407-414. https://doi.org/10.5762/KAIS.2016.17.8.407
  7. N.E. Kim(2006), Comorbidity Measures for Predicting Resource Utilization in Patients with Stroke in Long Term Care Hospitals, Thesis of Master Degree, Yensei University, pp. 1-150.
  8. T.Y. Kim, S.Y. Kim, B.H. Lim, O.Y. Kwon, N.C. & Choi(2002), Estimating the Validity and Reliability of the Geriatrics Global Support Scale(GGSS) and the Geriatrics Physical Support Scale(GPSS), Geriatrics, Vol.6(4);293-298.
  9. H.D. Kim(2017), Analysis on Differences in Medical Expenses by Characteristics of Long-term Care Hospital - Focusing on Hospital Bed Size, Medical Personnel, Accreditation. Thesis of Master Degree, Seoul National University, pp.1-176.
  10. Health Insurance Review & Assessment Service (2016), 2016 The Costs of National Health Insurance Benefits, pp.1-27.
  11. E.Y. Hwang(2013), The Change of the Health Care Utilization by the Change of Coinsurance Rate of the Inpatients in the Bodily Functional Deterioration Group in Long-Term Care Hospitals, Thesis of Master Degree, Kyoung-buk National University, pp.5-130.
  12. Y.K. No(2011), The Need for Role Establishment of Long-term Care Hospital Care and Long-term Care Hospitals for the Elderly Long-term Care, HIRA Policy Trends of Health Insurance Review & Assessment Service, Vol.5(3);23-33.
  13. H.J. Song(2011), The Status and Policy Tasks of Long-term Care Hospital, HIRA Policy Trends of Health Insurance Review & Assessment Service, Vol.5(3);5-13.
  14. OECD(2016), Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives www.oecd.org/health.
  15. B. Fong, A. Ng, & P. Yuen(2018), Sustainable Health and Long-Term Care Solutions for an Aging Population, IGI global. Hongkong, pp.4-20.
  16. http://www.mohw.go.kr/react/al/sal0301vw.jsp? PAR_MENU_ID=04&MENU_ID=0403&CONT_SE Q=343336&page=1
  17. http://medicalworldnews.co.kr/bbs/board.php?bo _table=pds&wr_id=2500&sfl=&stx=&sst=wr_hit&s od=asc&sop=and&page=162.
  18. H.J. Song(2012), Long-term Care Hospital System in Developed Countries and the Implications for Korea, Annals of geriatric medicine and research, Vol.16(3);114-120.
  19. L. Tesio(2018), Inpatient Rehabilitation Units: Age and Comorbidities Are Not Relevant if Admission Fits the Mission. In: Masiero S., Carraro U. (eds) Rehabilitation Medicine for Elderly Patients. Practical Issues in Geriatrics. Springer, Cham pp.521-529 https://doi.org/10.1007/978-3-319-57406-6_54.
  20. N. Stadhoudersa, X. Koolmanb, M. Tankea, H. Maarsec, P. Jeurissena(2016), Policy options to contain healthcare costs: a review and classification. Health Policy 120, pp.486-494 http://dx.doi.org/10.1016/j.healthpol.2016.03.007.
  21. Australian Department of Health(2017), Commonwealth Home Support Programme, pp.8-113.
  22. http://medicalworldnews.co.kr/bbs/board.php?bo _table=pds&wr_id=2500&sfl=&stx=&sst=wr_hit&s od=asc&sop=and&page=162.
  23. National Health Insurance Cooperation(2017), Unpublished Data by Chang-won Branch, pp.1-15.
  24. D.H. Kim, H.J. Song(2013), Effect of Acute Hospital and Nursing Home Supplies on Inpatient Expenditure of Long-term Care Hospitals: Implications for the Role of Long-term Care Hospital, Journal of the Korean Gerontological Society, Vol.33(3);647-659.

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