한국병원경영학회지 (Korea Journal of Hospital Management)

한국병원경영학회 (Korean Society of Hospital Management)
권호 표지

요양병원 치매노인의 장기입원 관련 요인

Factors Associated with the Long-Stay Admissions in Geriatric Hospitals - Focused on Dementia's Inpatients -

  • 이윤진 (건강보험심사평가원) ;
  • 이상규 (연세대학교 의과대학 예방의학교실) ;
  • 유창훈 (서울특별시 공공보건의료재단) ;
  • 김봄결 (연세대학교 의과대학 보건학과) ;
  • 김태현 (연세대학교 보건대학원)
  • Lee, Yun Jin (Health Insurance Review & Assessment Service) ;
  • Lee, Sang Gyu (Department of Preventive Medicine, College of Medicine, Yonsei University) ;
  • You, Chang Hoon (Seoul Health Foundation) ;
  • Kim, Bomgyeol (Department of Public Health, College of Medicine, Yonsei University) ;
  • Kim, Tae Hyun (Graduate School of Public Health, Yonsei University)
  • 투고 : 2020.05.04
  • 심사 : 2020.08.26
  • 발행 : 2020.09.30
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초록

Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features. Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis. Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups. Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.

키워드

참고문헌

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