보건의료생명과학 논문지 (Journal of the Health Care and Life Science)

한국의료정보교육협회 (The Korean Society of Medical Informatics Education)
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질병군에 따른 요양병원 노인 입원환자의 의료이용 현황: 건강보험심사평가원 고령환자데이터셋(HIRA-APS)을 이용하여

Status of Medical use of Elderly Inpatients in Nursing Hospitals According to Disease Groups: Using HIRA-APS

  • 장윤정 (한빛요양병원) ;
  • 박초열 (동서대학교)
  • Yun-Jeong Chang (Hanbith Long-Term Care Hospital) ;
  • Cho-Yeol Park (Department of Healthcare Administration Donseo University)
  • 투고 : 2023.10.31
  • 심사 : 2023.11.30
  • 발행 : 2023.12.31
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초록

건강보험심사평가원 2018년 고령환자데이터셋(HIRA-APS)을 이용하여 요양병원 입원환자 33,821명을 주요 질병군별로 구분하여, 의료이용 현황과 특성을 파악하여, 요양병원의 기능정립에 효과적인 정책 기초자료를 제공하고자 하였다. 첫째, 질병군에 따라 의료이용 특성에 차이를 보이고 있어, 환자의 질병군 특성에 맞는 치매 전문, 재활 전문, 호스피스 전문, 회복기 전문 등 특화된 요양병원 설립과 운영이 필요하다. 둘째, 요양병원 입원환자의 연간 입원일수에 영향을 미치는 요인 중 주상병별로는 마비군, 뇌혈관질환군, 치매군이 가장 길었으며, 환자분류군별로는 인지장애군이 가장 길어, 질병군별 장기 환자에 대한 의료 수요 및 질 관리가 필요하다. 셋째, 요양병원 입원환자의 치료결과 중 정상 퇴원에 영향을 미치는 요인 중 질병군별로는 근골격계질환군에서 가장 높았고, 마비군, 뇌혈관질환 순으로 퇴원 후 재가 프로그램 지원이 요구된다.

2018 aged patient dataset (HIRA-APS), 33,821 patients admitted to long-term care hospitals were classified by major disease groups to identify the characteristics of medical use and provide effective policy data. First, it is necessary to operate specialized long-term care hospitals such as dementia, rehabilitation, hospice, and recovery specialization tailored to the characteristics of the patient's disease group. Second, the paralysis group, cerebrovascular disease group, and dementia group were the longest LOS and the cognitive impairment group is the longest by patient classification group, requiring medical demand and quality management for long-term patients. Third, the musculoskeletal disease group was the highest normal discharge, and support for the post-discharge home program is required in paralysis and cerebrovascular disease.

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