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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Characteristics and Death Risk Factors of Patients in Long-Term Care Hospital Connected to Special Hospital

일개 특수 요양병원 환자들의 특성 및 사망 위험요인

  • Park, Un Je (Health Information Management Department Service, Incheon Veterans Hospital)
  • 박운제 (인천보훈병원 보건의료정보관리과)
  • Received : 2020.07.27
  • Accepted : 2020.12.04
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

The objective of this study is to provide high-quality medical service, by understanding the characteristics and death risk factors of patients at V long-term care hospital, that has established and operated the cooperative treatment system in connection with a public institution, the S veterans hospital. A follow-up survey targeting a total of 850 discharged patients was conducted for the year 2017. Average age of patients was 79.2 years, with 86.4% belonging to the 70 years or over group. The men of national merit were 75.4%, which was more than three times higher than general patients. Hospitalization for 180 days or more was 46.4%, which was higher than general long-term care hospitals (37%). The major death risk factors were age and the number of hospitalized days. Our data indicate that transfer to S veterans hospital results in providing quicker treatment and higher effectiveness of the numerous recovery therapies. We therefore propose that the cooperative treatment system should be expansively operated to increase the quality of happy life, by alleviating the health of patients with chronic diseases in a long-term care hospital.

일 공공기관 S보훈병원과 상호 연계된 협진체제를 구축하여 운영하고 있는 V요양병원 환자들의 특성 및 사망위험요인을 파악하여, 양질의 의료서비스를 제공하는 것을 목적으로 한다. V요양병원에서 2017년 1년 동안 850명의 퇴원 환자를 대상으로 2020년 3월1일부터 5월31일까지 3개월 동안 추적조사를 하였다. 조사분석 결과 V요양병원 입원환자는 최저 37세에서 최고 100세로 평균연령은 79.2세, 70세 이상이 86.4%로서 타 선행연구보다 연령 비중이 높았다. 국가유공자가 75.4%로서 유가족이나 일반인 환자보다 3배 이상 높았다. 주진단명은 치매 질환이 22.2%로 가장 많았으며, 심혈관질환, 마비증후군 순이였다. 평균재원일수는 160일이였으며, 재원일수 180일 이상이 46.4%로서 일반 요양병원의 37% 보다 높은 것으로 나타났다. 남성 사망률이 여성보다 높고, 국가유공자는 사망이 생존보다 높은 것으로 나타났다. 사망위험요인은 연령과 재원일수 이었다. S보훈병원으로 전원이 높은 것은 응급센터/재활센터/심혈관센터 등의 진료 이용이 신속하고, 다양한 회복치료가 가능하기 때문이다. V요양병원 중증 만성질환자들에게 S보훈병원으로의 전원은 진료이용이 신속하고 다양한 회복치료의 효과가 높으므로 협진체계를 확대 운영하여 요양병원 만성질환자들에게 건강 회복을 통한 행복한 삶의 질을 높여야 할 것을 시사한다.

Keywords

References

  1. Y. Kim, S. J. Kim, U. J. Park. "Development Plan of Veterans Affairs Medical Center in consideration the specificity of the Veterans Hospital Patients": Korea Veterans Health Service, Daejeon Veterans Hospital, pp. 3-37, 2013.
  2. https://seoul.bohun.or.kr/000main/index.php
  3. http://www.mpva.go.kr/info/Ministry of patriots & veterances Affairs.
  4. Y. Kim. "American Veterans System & V.A Health Care System", Veterans Hospital Operation Strategy for National Merit, pp12-32, 2002
  5. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs. "2014 Survey on the elderly". Sejong: Ministry of Health and Welfare; 2014.
  6. K. W. Kim, S. G. Jang, "Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department", J Korean Acad Community Health Nurs, vol. 27, no. 4, pp. 327-336, 2016. DOI : http://dx.doi.org/10.12799/jkachn.2016.27.4327
  7. E. H. Oh. "Key Issues on Long-Term Care Hospitals in Korea", Korean Academy Health Policy and Management, vol .28, no. 3, pp. 257-262, 2018. DOI: http://doi.org/10.4332/KJHPA.2018.28.3.257
  8. B. R. Lim, S. Y. Ahn, K. H. Kim. "A study on the Characteristics of the Patient Group in a Convalescent Hospital Inpatients: Base on the Medical Record Information", Journal of the Korea Academia-Industrial Cooperation Society. vol. 20, No.11 pp.324-334, 2019 DOI: http://doi.org/10.5762/KAIS.2019.20.11.324
  9. O. H. No, C. H. Lee, A. R. M. Park, K. H. Kim. "A study on the hospitallzation days and the characteristics of medical expenses in inpatient hospital", Journal of the Korea Academia Industrial Cooperation Society. vol.17, No.8, pp.407-414, 2016. DOI: http://doi.org/10.5762/KAIS.2016.17.8.407
  10. B. Y. Jeon, H. S. Kim, S. M. Kwon. "Patient and Hospital Characteristics of Long-Stay Admissions in Long-Term Care Hospitals in Korea", Korean Academy Health Policy and Management, vol. 16, no, 1, pp. 39-50, 2016. DOI: http://doi.org/10.4332/KJHPA.2016.26.1.39
  11. Song H, Chae J, Park J. "Development of feasible payment model for long-term care hospital inpatient benefits". Wonju: Health Insurance Review and Assessment Service, 2013.
  12. Jung S. "OECD health policy studies: inpatient services", Health Insur Rev Assess Serv Poilcy Brief, vol 6, no. 2, pp. 69-78. 2012.
  13. J. M. Chae, H. J. Song. "Relationshop between Hospital Structure Characteristics and Decline in Activity of Daily Living among Elderly Inpatients in Long-term Care Hospitals". Korean Public Health Research, vol. 41, no. 3, pp. 101-110, 2015. https://doi.org/10.22900/KPHR.2015.41.3.008
  14. S. H. Park, S. K. Baek. D. C. Kim. "Efficiency Analysis of Public Long-term Care Hospitals". Journal of the Korean Institute of Plant Engineering. vol. 21, no. 2, pp. 43-55, June 2016.
  15. Y. H. Park. "Characteristics and ADL (Activities of Daily Living) Associated Factors of Elderly Inpatients in Long-Term Care Hospitals : A Survey of Patients (2013-2014)", The Korean Journal of Health Service Management. Vol.10 No.3 pp. 159-171, 2016 DOI: http://doi.org/10.12811/kshsm.2016.10.3.159
  16. M. S. Sohn, M. K. Choi. "Association between Efficiency and Quality of Health Care in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis". J Korean Acad Nurs, vol. 44, no. 4, pp. 418-427, 2018. DOI: https://org/10.4040/jkan/44.4.418
  17. M. J. Rantz, L. Hicks, V. Grando, G. F. Petroski, R. W. Madsen, D. R. Mehr. et al. "Nursing home quality, cost, staffing, and staff mix", The Gerontologist. v44, no, 1, pp. 24-38, 2004. DOI: http://doi.org/10.1093/geront/44.1.24
  18. Organization for Economic Cooperation and Development. OECD health statistics 2018 [Internet]. Paris: Organization for Economic Cooperation and Development; 2018 [cited 2018 Jun 2]. Available from: https://stats.oecd.org