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Difference in Length of Stay and Treatment Outcome of Pulmonary Tuberculosis Inpatients between Health Insurance Types  

Kim, Sang Mi (Dept. of Medical Information, Korea Polytechnics)
Lee, Hyun Sook (Dept. of Health Administration, Kongju National University)
Hwang, Seul ki (Dept. of Health Administration, Suwon Women's University)
Publication Information
Korea Journal of Hospital Management / v.21, no.4, 2016 , pp. 45-54 More about this Journal
Abstract
The purpose of this study is to identify patient and hospital characteristics with pulmonary tuberculosis and to analyze factors which were influencing length of stay and treatment. The Korean National Hospital Discharge In-depth Injury Survey database from 2006 to 2012 was used for analysis. Study subjects were 4,704 patients and analyzed by using frequency, chi-square and logistic regression through using STATA 12.0. To avoid selection bias, we used propensity score matching. Analysis results show that the length of stay and treatment of pulmonary tuberculosis was different between insurance types. Patients characteristic(female, comorbidity, admission by outpatient department, medical insurance type) and hospital characteristic(500-999 beds, over 1000 beds) significantly influence length of stay. Admission by outpatient department and over 1000 beds are significantly influence treatment. Based on these findings, it is necessary to clarify between length of stay and treatment outcome by medical aids beneficiaries and audit hospitals follow discharge guidelines in pulmonary tuberculosis patients.
Keywords
Health insurance type; Length of stay; Treatment outcome; Propensity score matching; Selection bias; Pulmonary tuberculosis;
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Times Cited By KSCI : 8  (Citation Analysis)
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