Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
권호 표지

The impact of admission decided by patients or their family on the length of stay and medical expenses of the elderly

노인 환자 및 보호자에 의한 입원서비스 결정 여부가 재원일수와 진료비에 미치는 영향

  • Son, Yehrhee (Dept. of Health Administration, Yonsei University) ;
  • Kim, Kyuna (Dept. of Health Administration, Yonsei University) ;
  • Seo, Youngjoon (Dept. of Health Administration, Yonsei University)
  • 손예리 (연세대학교 대학원 보건행정학과) ;
  • 김규나 (연세대학교 대학원 보건행정학과) ;
  • 서영준 (연세대학교 대학원 보건행정학과)
  • Received : 2021.12.16
  • Accepted : 2022.03.14
  • Published : 2022.03.30
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Abstract

Purposes: This study aims to investigate the changes in the length of stay and medical expenses by the impact of the admission decided by patients or their family. Methodology: The analysis was conducted using data from elder patients aged 65 or older who have used admission services more than once from year 6(2012) to year 12(2017) of the Korean Medical Panel Data(KOWEPS). The statistical analysis was performed through the Chi-square test, mean difference analysis, and generalized estimation equation analysis. Findings: Compared to the patients who used admission services decided by doctors, those who used admission services decided by patients or their family had a longer length of stay and a lower daily medical expense. Practical Implications: Inappropriate admission decided by patients or their family can increase the risk of hospital-acquired infections, impairing the health of elderly patients, and has a negative impact on the efficiency of health resources. Therefore, it is necessary to prevent and properly manage inappropriate admission decided by patients or their family

Keywords

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