Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Study on the Characteristics of the Patient Group in a Convalescent Hospital Inpatients: Based on the Medical Record Information

일개 요양병원 입원환자의 환자분류군 특성에 관한 연구 : 의무기록 정보를 바탕으로

  • Lim, Bo-Ra (Dept. of Hospital Management, The Graduate School of Public Health & Welfare, Konyang University) ;
  • Ahn, Sang-Yoon (Dept. of Hospital Management, Konyang University) ;
  • Kim, Kwang-Hwan (Dept. of Hospital Management, Konyang University)
  • 임보라 (건양대학교 보건복지대학원 병원경영학과) ;
  • 안상윤 (건양대학교 병원경영학과) ;
  • 김광환 (건양대학교 병원경영학과)
  • Received : 2019.06.26
  • Accepted : 2019.11.01
  • Published : 2019.11.30
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Abstract

This study investigates the characteristics of patients hospitalized at a convalescent hospital, by considering patient groups based on their medical record information. It further analyzes and correlates the factors, thus providing basic data required to improve the patient classification system at convalescent hospitals. The data includes total information of 213 medical records of patients discharged from a convalescent hospital in the Jeonbuk region during a period of one year, from January to December 2016. The study examines and correlates the days of hospitalization and the number of diseases, revealing a positive correlation having a correlation coefficient, thereby indicating that infliction with a greater number of diseases results in longer hospitalization. Based on these findings, the study raises the need to revise and supplement items on the patient assessment report to help determine the patient groups and identify medical efforts to be actually provided to patients. In addition, a proper care service system for each patient group based on their respective problems that are intensively managed according to the patient groups will be an essential element in the efficient management of convalescent hospitals. Furthermore, an important task addressed will be in managing the health of the elderly population at the national level.

본 연구는 일개 요양병원 입원 환자들의 의무기록 정보를 바탕으로 환자분류군에 따른 입원 환자 특성을 파악하고, 각 요인 간의 상관 관계를 분석하여 요양병원 환자분류 체계 개선에 필요한 기초 자료를 제공하고자 시행하였다. 연구 대상은 2016년 1월부터 12월까지 1년간 전북 지역 일개 요양병원에서 퇴원한 환자들의 의무기록 정보 총 213건으로 선정하였다. 재원일수와 상병 개수의 상관계수는 양의 상관 관계를 보여 환자가 가지고 있는 상병이 많을수록 재원일수가 길어지고 있음을 알 수 있었다. 이와 같은 연구 결과를 기반으로 환자분류군을 결정하는 환자평가표의 항목들을 실제로 환자에게 제공되는 의학적인 노력이 반영될 수 있도록 수정·보완하는 것이 필요하다. 또한 각 환자분류군별로 중점적으로 관리해야 할 문제점을 파악하여 각 분류군에 적합한 케어 서비스 체계를 수립하는 것이 효율적인 요양병원 운영을 위한 필수 요소이자 나아가 국가적 차원에서도 노인 인구의 건강을 관리하는 데 중요한 과제임을 알 수 있다.

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