• Title, Summary, Keyword: admission cost

Search Result 76, Processing Time 0.066 seconds

Experience of Surgical Treatment through Ambulatory Care Unit (일 병원에서 통원병실을 이용한 수술적 치료의 경험)

  • Sohn, Jong-Min;Ha, Nan-Kyung
    • Quality Improvement in Health Care
    • /
    • v.8 no.1
    • /
    • pp.84-94
    • /
    • 2001
  • Background : in order to adapt to changes of the medical environm interests that is drawn in ambulatory surgery are increased as a method of approaching a patients' satisfaction and cost-effective management. The purpose of this study is to a assess the operation which is able to perform through ambulatory care unit, to identify the problem in ambulatory surgery, and to increased the opportunity of ambulatory surgery with safety. Methods : Between May 13th, 1998 and June 30th, 2000, we performed surgical treatment through ambulatory care unit, and evaluate the results of them. The sorts of operation, duration of stay in the hospital, total cost of treatment, satisfaction of patients and safety if anesthesia were assessed. Results : We performed ambulatory surgery without serve complications and the patients were satisfied with surgical treatment through ambulatory care unit. In comparison of ambulatory and admission surgery, there was a reduction of cost to 16.7~25.3% in ambulatory surgery. Also, the duration of admission was 2 days shorter than admission surgery. Conclusions : According to our results, the surgical treatment through ambulatory care unit is safe and useful method that increase the quality of medical service, satisfaction of patients and reduce the cost of treatments.

  • PDF

A Case Study and Its Implications on the Admission Officer System of Colleges and Universities in USA (미국대학 입학사정관제도의 운영사례와 시사점)

  • Chung, Ilhwan;Kim, Byoungjoo
    • Korean Journal of Comparative Education
    • /
    • v.18 no.4
    • /
    • pp.113-139
    • /
    • 2008
  • The purpose of this study is to analyze the operating case of admission officer system of colleges and universities in USA, and to deduce its implications to Korean colleges and universities. In order to accomplish the purpose of this study, following methodologies were adopted: review on the related literatures, statistical data, and previous studies concerning admission officers of colleges and universities in USA, and in-depth interview with them. Historical and cultural background of university admission system of USA was analyzed. Case study on USA colleges and universities was divided with four parts such as determining factors of admission and admission methods, organization for admission affairs and its number of persons, work of admission officer and admission process, and cost of admission and salary. Implications to Korean colleges and universities were presented with three points such as overall implication, implication on materials for admission process, and implication on managing system of admission. Based on the analysis, discussion and implications, the conclusion and further suggestion of this study are as follows: First, actual authority of admission should be grant to admission officer. Second, not only non-curricular factors but also scholastic factors should be emphasized in role of admission officer. Third, education and training about work of admission officer and unification of criteria for admission should be held. Fourth, admission officers with various occupation background are needed. Fifth, work of admission officers should be extended to various work concerning university entrance. Sixth, cross-checking on marks of over two admission officers is needed. Seventh, in order to stabilize admission process, status of admission officer should be stabilized. Eighth, part-time admission officers are need to employ in season of admission. Ninth, authority of weighting high schools should be grant to admission officers in long term perspective.

A Study on the Informal Cost Burden of the Patients Admitted to the Hospital (입원환자의 비공식적 의료비용 부담에 관한 연구)

  • Han, Mi-Hyun
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.7 no.1
    • /
    • pp.5-14
    • /
    • 2001
  • To estimate total burden of hospital admission over patient of gamily, we need to know the unofficial private expenses in addition to explicit hospital admission fees. This study was conducted from June 29, 2,000 to August 10, 2,000. Subjects were 104 patient at university hospital located at chungnam province. After thorough explanation of purpose and procedures, notebooks are given to each patient or guardian. They are requested to recorded all relevant expenditures occurred during hospital stay. Incomplete records were filled-up by direct personal contact or phones. Datas were summarized and analyzed using SAS statistical package. P-value less than 0.05 was considered significant. The results of the study are as follows: 1. In 96.1% of the patient, guardians stayed at hospital to take care of patients. In 38,8% one of the family members get work-leave or temporary resting from job. Average date of leave was 7.5days. 2. Average informal cost burden per patient was 204,467 won (14,330 won${\sim}$1,594,870 won). Average hospital cost paid by the patient was 1,061,807 won. The ratio of informal cost burden to hospital cost paid by the patient was 0.327. 3. According to the regression analysis, the relevant factors affection informal cost burdens were distance from home to hospital(p=0.018), and duration of hospitalization(p=0.0001). 4. Informal cost burden was composed of expenses for personal expense of care giver (126, 720 won/patient), meal (86,924 won/patient), transportation (77,648 won/patient), necessaries of life (18,789 won/patient), tests and treatments not covered by insurance (17,289 won/patient), medical supplies not covered by insurance (15,280 won/patient), treat for visitors (14,757 won/patient), TV coin (8,247 won/patient), and others (7,582 won/patient). In addition to the hospital cost paid by the patient for hospital admission, the informal cost burdens should be recognised explicitly because it is not small. Significant proportion of informal cost burden is composed of care-giver's personal expense, transportation, meal. It is suggested that some polices are to be devised and implemented enabling that this portion of informal expenses be directed to formal professional nursing care. Thus we can improve the quality of care and decrease discomfort of patient's relatives.

  • PDF

Estimation of cost by unnecessary readmission of the tertiary hospitals (불필요한 재입원 비용 추정에 관한 연구)

  • Shin, Min Sun;Lee, Won Jae
    • Journal of the Korea Convergence Society
    • /
    • v.8 no.12
    • /
    • pp.149-157
    • /
    • 2017
  • Unnecessary readmissions could be the result of the inadequate and unnecessary treatments. Adequate quality indicators for readmission are important because they can identify inadequate spending by inpatients as well as quality screening. This study attempted to estimate the cost incurred by unnecessary readmissions. The Health Insurance Claims Data of 18 years or older who were admitted in the tertiary hospitals in 2014 were analyzed. Admissions and readmissions were sorted and readmissions were classified into planned and unplanned readmissions. We adopted 28 days as a criteria for the classification of the readmission. Proportion of the patients were higher in readmissions among cancer, accompanied diseases, and special rehabilitation patients. Cost of the readmissions were 50% of the total cost of the admission among the patients of same diseases, same departments, and same hospitals. Almost 1,000billion Won were used by the unnecessary readmissions. We need to reduce the readmissions in regions, departments, and diseases studying the pattern of the readmissions. National level efforts are required to improve quality of care and reduce cost by the unnecessary readmissions.

The study of Health Care Utilization and Direct Medical Cost in the Diabetes Mellitus Client (당뇨병 질환자의 의료이용 및 직접의료비 연구)

  • Yoo, In Sook
    • The Journal of the Convergence on Culture Technology
    • /
    • v.1 no.4
    • /
    • pp.87-101
    • /
    • 2015
  • This study was aimed to make data how much spent money of medical utilization and direct medical cost. In order to research we were using Korea Health panel 2012 Statistics which data contained Diabetes mellitus client 812 people in age 19. The method of this study was emergency cost, admission medical cost, out patient department cost(client own due, National Health insurance service due, not insurance fee). The result of this study, Diabete Mellitus client were using 198 times during 1 year per 100, total medical direct cost were 859,942 won, 447,359 won, 363,255,508. And admission times were 5.6 times per year, total direct cost was 772,240 won, 4,061,982 won, and 3,298,329,384 won, and out patient clinic using number was 10 times, medical cost total direct cost containing total direct cost was 11,978 won, 26,020 won, and 21,129,240 won. From this research we conclusion that the occurrence of diabetes mellitus can be increased medical cost and direct medical cost and it can be huge burden to client including their family and quality of life in the future. We suggest that in order to prevention and management of diabetes mellitus healthy diet, activity, blood sugar, and blood management should be encouragement.

A basic study on the Design of Institutional Household for Infants (영아전담공공가정 설계를 위한 기초연구)

  • Doo Kyung Ja
    • Journal of the Korean Home Economics Association
    • /
    • v.42 no.9
    • /
    • pp.213-235
    • /
    • 2004
  • This study investigated the Infant Institutional Household (IIH) for the care of infants. The purpose was to provide basic information needed to raise Korea's birth rate and to design higher level nursing facilities which can satisfy working mothers who are presently offered few facilities. To achieve this purpose. IIM was divided into 7 sub-functional stations : planning-management, marketing, materials-management, business-management, man power-management, financial-management and control etc. The results are as follows : 1. Kind of facilities : Infants'(full responsibility) Institutional Household. 2. Number of infants : total 19 babies. 3. Ratio of infants to teachers : one to one (Contained assistance teachers) 4. Installing region : convenient traffic place - in Seoul. 5. Building site and kind : the first floor space of 60pyung (198㎡) in the Apartment complex which . contained many apartments of small size. 6. Nursing time : 24-hour day care in weekdays Age of object : age from 1month to 24months old babies(after his/her birth). 7. Kind of services and Cost : mother-like care, cost includes nursing-fee, a deposit and admission-fee. 8. Economic Condition and managing direction : pursuit limited profits with nursing-fee, admission-fee, a loan and national (or self -government of direct) supplementary funds.

A Study on the Optimal All-IP Network Design for Adopting IPTV Traffic (All-IP 네트워크에서 IPTV 트래픽 수용을 위한 최적의 설계 방안 연구)

  • Kim, Hyoung-Soo;Cho, Sung-Soo;Seol, Soon-Uk;Jun, Yun-Chul
    • 한국정보통신설비학회:학술대회논문집
    • /
    • /
    • pp.68-71
    • /
    • 2009
  • All-IP network requires change of the existing IP network engineering methods as the convergence service market between communication and broadcasting industries using IP network is growing rapidly. Especially the video services like IPTV require more strict transmission quality and higher bandwidth than the existing data services. So it is difficult to design All-IP network by the over-provisioning method which used to be used for the existing IP network design. It also requires a heavy investment which becomes one of big obstacles to the IPTV service expansion. In order to reduce the investment costs, it is required to design an optimized network by maximizing the utilization of the network resources and at the same time maintaining the customer satisfaction in terms of service quality. In this paper, we first analyze the effects of IPTV traffic on the existing internet. Then we compare two traffic engineering technologies, which are dimensioning without admission control and dimensioning with admission control, on the All-IP network design by simulation. Finally, we suggest cost effectiveness of traffic engineering technologies for designing the All-IP network.

  • PDF

Effect of private health insurance on health care utilization in a universal health insurance system: A case of South Korea (민간 의료 보험 가입이 의료 이용에 미치는 영향)

  • Lee, You Jin;Lee, Jinhyung
    • Korea Journal of Hospital Management
    • /
    • v.23 no.2
    • /
    • pp.42-53
    • /
    • 2018
  • Purpose: this study investigates the effect of private health insurance on healthcare utilization. Methodology: For the analysis, we employed the three level nested two part model. Findings: the private health insurance adoption was associated with higher health care utilization. In particular, indemnity and fixed insurances adoption was associated with higher probability of outpatient visit, the number of outpatient visit and outpatient cost. While indemnity insurance adoption was associated with higher inpatient admission probability and inpatient days, fixed insurance adoption was associated only with higher inpatient admission probability. Practical Implications: indemnity and fixed insurance adoption were related with the adverse selection as well as moral hazard.

Changes in Providers' Behavior after the Reviewer Unification of Auto Insurance Medical Benefit Claims (자동차보험 진료비심사 일원화 이후 의료기관 진료행태 변화)

  • Kim, Jae Sun;Suh, Won Sik
    • Health Policy and Management
    • /
    • v.27 no.1
    • /
    • pp.30-38
    • /
    • 2017
  • Background: This study aims to analyze the behavioral changes of healthcare providers and influencing factors after the reviewer unification of auto insurance medical benefit claims by an independent review agency. Methods: The comparison data were collected from the second half of 2013 and the same period of 2014. The key indicators are the number of admission days, the number of outpatient visits, inpatient ratio, inpatient medical expenses, and outpatient medical expenses. Results: Four indicators (number of admission days, number of outpatient visits, inpatient ratio, and outpatient medical expenses) showed statistically significant drops, while one indicator (inpatient medical expenses) showed no significant change. Conclusion: The reviewer unification of auto insurance medical benefit claims by an independent review agency showed significant reduction in cost and patient days.

Trend and Characteristics of High Cost Patients in Health Insurance (건강보험 고액진료비 환자의 추이 및 특성 분석)

  • Jeong, Seo Hyun;Jang, Ho Yeon;Kang, Gil Won
    • Health Policy and Management
    • /
    • v.28 no.4
    • /
    • pp.352-359
    • /
    • 2018
  • Background: The purpose of this study is to propose an analysis of trends and characteristics of high-cost patients who take over 40% of total national health insurance medical expenses. Methods: It has been analyzed the tendency of high-cost patients by open data based on the medical history information of 1 million people among national health insurance subscriber from 2002 to 2015. To conduct detailed study of characteristics of high-cost patients, multiple regression has been performed by sex, age, residence, main provider, and admission status based on the top 5% group. Results: The amount of medical expenses and the number of high-cost patients have gradually increased in decades. The number of high-cost patients for Korean won (KRW) 5,000,000 category has increased by 7.6 times, KRW 10,000,000 category has increased by 14.1 times in comparing of year 2002 and 2015. Top 5% medical expenses have increased by 4.6 times. In consideration of the characteristics of patients, the incidence of high medical expenses has been higher in female patients than male ones, the older patients than in the younger. Patients residence in Gyeonsang or Jeonla province have had a high incidence of medical expenses than other area. The disease including dementia, cerebral infarction, and cerebrovascular disease for high-cost patients has been also increased. Conclusion: The major increase factor for high medical expenses is the aging of population. The elderly population receiving inpatient care residing in the province that increases high medical costs have to management. There is an urgent need to develop a mechanism for predicting and managing the cost of high-cost medical expenses for patients who have a heavy financial burden.