대한한의학회지 (The Journal of Korean Medicine)

  • 제45권3호
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  • Pages.131-142
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  • 2024
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  • 1010-0695(pISSN)
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  • 2288-3339(eISSN)
대한한의학회 (The Society of Korean Medicine)
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한의진료서비스 제공여부에 따른 요양병원 현황 분석 - 2024년 1~3월 인증평가완료 요양병원을 중심으로

Analysis of the Status of Convalescent Hospitals Certified from January to March 2024: Focus on Korean Medicine Services

  • 윤해창 (황금요양병원) ;
  • 이선동 (행파한의원)
  • Hae-chang Yoon (Hwanggeum convalescent hospital) ;
  • Sundong Lee (Haengpa Korean Medicine clinic)
  • 투고 : 2024.07.22
  • 심사 : 2024.08.20
  • 발행 : 2024.09.01
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초록

Background: The Republic of Korea has maintained a stable number of convalescent hospitals; however, the presence of Korean Medicine(KM) doctors in such establishments has increased. Despite this trend, it is hard to find the recent researches on KM within convalescent hospitals. Objective: This study aimed to investigate the current status of convalescent hospitals, particularly focused on patient characteristics and the provision of KM. Method: Data were obtained from the Health Insurance Review&Assessment Service, relying on the Korea Institute Healthcare Accreditation, spanning from January to March 2024. Analysis was conducted through the categorization of in-patients and the provision of KM, utilizing R software. Results: Among the 143 convalescent hospitals, the majority(83.9%) provided KM, with 43.4% of them located near Seoul. Convalescent hospitals offering KM were characterized by a higher number of doctors(p=0.003) and a greater total bed number(p<0.001). The hospitals with KM specializing in dementia care located near Seoul and exhibited a higher proportion of doctors, total beds(p=0.010), uninsured beds, grade of certification evaluation(Gr) and supported activities of daily living(ADL)(p<0.001, respectively). However, the hospitals with KM specializing in cancer care had higher rate of doctors(p=0.036), total beds, uninsured beds, Gr, and average daily out-of-pocket per person and lower levels of self ADL(p<0.001, respectively). In addition, the hospitals with specialists in KM belonging to dementia care only located near Seoul(p=0.042) and exhibited a higher rate of total beds(p=0.007). Conclusion: These findings indicate significant differences among convalescent hospitals based on patient characteristics and the provision of KM. Consequently, such distinctions merit consideration in future studies.

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참고문헌

  1. Statistics Korea, 「Population census」. [cited 2024 Aug 10]. Available from: URL:https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1IN1503&conn_path=I2
  2. Statistics Korea, 「Future population estimation」. [cited 2024 Aug 10]. Available from: URL:https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA003&conn_path=I2
  3. Ga, H. (2017). Establishment of the Roles of Convalescent Hospitals and Nursing Homes. Healthcare policy forum, 15(2), 15-19.
  4. Article 3 of the Medical Law. Korea Ministry of Government Legislation [cited 2024 May 31]. Available from: URL:https://www.law.go.kr/lsInfoP.do?lsiSeq=251195&efYd=20240520#0000
  5. Kang, T.R. & Lee, S.R. (2015). A Study on the Position and Role of Korean Medicine Doctors Working at Long-Term Care Hospitals. J Soc Prevent Korean Med, 19(3), 77-90.
  6. National Health Insurance Service & Health Insurance Review and Assessment Service, 「Health insurance statistics」, Status of medical institutions by city and province [cited 2024 May 31]. Available from: URL: https://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_MIRE01&conn_path=I2
  7. National Health Insurance Service & Health Insurance Review and Assessment Service, 「Health insurance statistics」, Status of medical personnel by type of medical institutions [cited 2024 May 31]. Available from: URL: https://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_HIRA44&conn_path=I2
  8. Ga, H. (2016). Guidelines for Elderly Care in Covalescent Hospitals for Doctors and Nurses. Republic of Korea: Koonja.
  9. Lee, J.H., Choi, H.S., Kim, J.S., & Kim, S.H. (2017). Analysis of Western-Korean cooperative treatment in hospital-care of patients with dementia. J Acupunct Res, 34(3), 49-58. https://doi.org/10.13045/acupunct.2017092
  10. Moon J.S., & Shin H.T. (2013). A study on burn out of K.M.D.s (Korean medicine doctors) work at convalescent hospitals in Kwang-ju and Jeon-nam, Korea. Kor J Orient Prev Med Soc, 17(3), 115-128.
  11. Choi, H.S., Lee, Y.E., & Kim J.S. (2014) Analysis Study of the Korean Medical Treatments in Care Hospital. J Acupunct Res, 31(1), 23-33. https://doi.org/10.13045/acupunct.2014003
  12. Kim J.S., Kim S.J., & Lee H.J. (2013). Comparative Analysis Study of Oriental and Western Medical Insurance Fees in Long-Term Care Hospitals. J Korean Orient Med, 34(1), 35-51.
  13. Lee Y.J. (2007). The Relation between the kind of Medical institution and Utilization in National Health Insurance. Acad of Korean Soc Welf Adm, 9(2), 1-28. http://dx.doi.org/10.22944/kswa.2007.9.2.001
  14. Korean law information center. Ministry of Government legislation. Medical law. [cited 2024 Aug 10] Available from: URL: https://www.law.go.kr/lsInfoP.do?lsiSeq=255803&efYd=20240801#0000
  15. Korean law information center. Ministry of Government legislation. The Korea Centers for Disease Control and Prevention and its affiliated organizational enforcement regulations - The name and jurisdiction of the disease response center. [cited 2024 Aug 10] Available from: URL: https://www.law.go.kr/lsInfoP.do?lsiSeq=262675&efYd=20240514#0000
  16. Health Insurance Review and Assessment Service. Detailed Implementation Plan for Assessment of Inpatient Benefit Appropriateness in Nursing Hospital. [cited Aug 10 2024] Available from: URL: https://www.hira.or.kr/bbs/157/2024/04/BZ202404309928596.pdf
  17. Korea Institute Healthcare Accreditation. Certification Standards for 4th Cycle for Convalescent Hospitals. Korea Ministry of Health and Welfare. 2023.
  18. Lee Y.J. (2005). Regional Distribution and Characteristics of Health Care Resources. Acad of Korean Soc Welf Adm, 22(1):255-279.
  19. Subparagraph 3, Paragraph 2, Article 33 of the Medical Service Act. Korea Ministry of Government Legislation [cited 2024 May 31]. Available from: URL: https://www.law.go.kr/lsInfoP.do?lsiSeq=251195&efYd=20240520#0000
  20. Article 48 of the Medical Service Act. Korea Ministry of Government Legislation [cited 2024 May 31]. Available from: URL:https://www.law.go.kr/lsInfoP.do?lsiSeq=251195&efYd=20240520#0000
  21. Liu, K., Chen, Y., Lin, R., & Han, K. (2020). Clinical features of COVID-19 in elderly patients: a comparison with young and middle-aged patients. J Infect, 80, e14-8. https://doi.org/10.1016/j.jinf.2020.03.005
  22. Oh, J.H., & Park, K.H. (2022). Vaccination and consequential severity and case fatality rate of COVID-19 confirmed inpatients in outbreaks at nursing hospital from September to October 2021, in Gyeonggi Province, the Republic of Korea. Public Health Weekly Report, 15, 305-17.
  23. Lee S.W. (2010). Air-conditioning design for a Secondary infection in Hospital facilities. J Korean Institute of Healthc Archit, 16(4), 51-56.
  24. Ahn H.S. (2015). A Study on the Operational Status and Survey of Convalescent Hospitals. Healthcare policy forum, 12(3):100-104.
  25. Korean law information center. Ministry of Government legislation. Regulations on the training and recognition of qualifications, etc. of Korean Medicine doctors. [cited 2024 Aug 10] Available from: URL: https://www.law.go.kr/LSW/lsInfoP.do?lsId=005495&ancYnChk=0#0000
  26. Seo Y.K., You D.K., Kim H., Kim S.Y., Lee G.E., Kim S.H., Kang H.W., & Jung I.C. (2017). A Survey of the Recognition on the Practice Pattern, Diagnosis, and Treatment of Korean Medicine of Dementia and Mild Cognitive Impairment - Focusing on the Differences between Neuropsychiatrists of Korean Medicine and General Physicians -. J of Oriental Neuropsychiatry 2017;28(3):263-274. https://doi.org/10.7231/jon.2017.28.3.263
  27. Back S.J., Yu S.H., & Sohn T.Y. (2001). A Study on the optimum scale of the number of beds of both the standard and the high - class. Korean J hospital manag, 6(3), 109-129.
  28. Health Insurance Review & Assessment Service. Practical training materials for Covalescent hospital fees. Korea Ministry of Health and Welfare. 2021.