보건의료산업학회지 (The Korean Journal of Health Service Management)

  • 제12권1호
  • /
  • Pages.81-93
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  • 2018
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  • 2093-5986(pISSN)
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  • 2288-0666(eISSN)
보건의료산업학회 (Korea Society of Health Service Management)
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요양병원 환자분류군별 전반적 건강수준 및 육체적 수발부담 차이

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

  • 진영란 (청운대학교 간호학과) ;
  • 이효영 (동서대학교 보건행정학과)
  • 투고 : 2018.01.24
  • 심사 : 2018.03.07
  • 발행 : 2018.03.31
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초록

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.

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피인용 문헌

  1. Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR vol.21, pp.2, 2018, https://doi.org/10.17079/jkgn.2019.21.2.61
  2. 요양병원과 종합병원 간호사의 프리젠티즘의 융합적 비교연구 vol.10, pp.5, 2018, https://doi.org/10.22156/cs4smb.2020.10.05.036