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[A study on estimation of early discharge day for home health care and medical expense for inpatients]. [家庭保健提前出院日估算与住院患者医疗费用的研究]。
Pub Date : 1993-01-01
M I Kim, E S Kim, H S Ryu, S K Chu, K S Lee, C K Lee

This report was done mid way through the study "A Demonstration-Cum-Research on the Reimbursement system and cost-effectiveness of Home Health Care Program in Korea". It focused on developing an estimation of early discharge day to home health care based on analysis medical records and on an analysis of medical expenses based on a detailed statement of treatment for inpatients who were hospitalized at S General Hospital in 1991. Two research methods were adopted for estimation of the early discharge day. One was micro-analysis from the medical records and the other was macro-analysis to clarify the estimated early discharge day to home health care for patients with four diseases judged from need assessment to be candidates for this type of program, namely patients with, Cesarean Section, Hypertension, Diabetes Mellitus, Chronic Obstructive Pulmonary Disease (COPD). Estimation of early discharge day to home health care were developed through many aspects of analysis of the signs and symptoms by disease in a micro-analysis in addition to a decrease in the amount of treatment, drugs, tests and changes in the test consistency, drug methods, and client's condition in the macro-analysis. Accordingly, an early discharge day for inpatients was finally estimated through the analysis of the client's conditions and treatment, drugs, tests, and nursing care activities that the patient received during hospitalization. From the research findings, the following summarized conclusions have drawn. First, for patients with Cesarean Sections, after assessing each items using the two analysis methods, the mean period of hospitalization was 8.8 days, but the mean period of hospitalization was estimated at 4.1 days if early discharge to home health care could be done. Second, for patients with Hypertension, the same method as for the patients with the Cesarean Sections was used and the result was reduction from a mean period of the hospitalization of 9.9 days to a mean period of the hospitalization of 5.2 days. Third, for patients with Diabetes Mellitus there was a decrease from a mean period of the hospitalization of 11.7 days to a mean period of hospitalization of 8.4 days if early discharge to home health care could be done. Fourth, for patients with Chronic Obstructive Pulmonary Disease, the mean period of the hospitalization was 14.3 days, but the mean period of the hospitalization could be 8.1 days if early discharge to home health care could be done.(ABSTRACT TRUNCATED AT 400 WORDS)

本报告是在“韩国家庭保健项目报销制度和成本效益的实证研究”研究的中途完成的。它的重点是根据分析医疗记录和根据1991年在S总医院住院病人的详细治疗说明分析医疗费用,对家庭保健的提前出院日作出估计。采用两种研究方法估算提前出院天数。一种是对病历进行微观分析,另一种是进行宏观分析,以明确根据需求评估判断的四种疾病(剖宫产、高血压、糖尿病、慢性阻塞性肺疾病(COPD))患者预计提前出院到家庭保健的时间。在微观分析中,通过对疾病体征和症状的分析,在宏观分析中,通过减少治疗量、药物、测试以及测试一致性、药物方法和患者状况的变化,对家庭保健的早期出院日进行了估计。据此,通过分析患者在住院期间的病情和治疗、药物、检查和护理活动,最终估算出住院患者的提前出院日。从研究结果中,总结得出以下结论。首先,剖宫产患者在采用两种分析方法对各项目进行评估后,平均住院时间为8.8天,但如果能够早日出院到家庭保健,平均住院时间估计为4.1天。其次,对于高血压患者,采用与剖宫产患者相同的方法,结果从平均住院时间9.9天减少到平均住院时间5.2天。第三,糖尿病患者的平均住院时间从11.7天减少到8.4天,如果可以提前出院到家庭保健。慢性阻塞性肺疾病患者的平均住院时间为14.3天,如果能够尽早出院到家庭保健,平均住院时间为8.1天。(摘要删节为400字)
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引用次数: 0
[Perspectives on home health care policy in Korea]. [对韩国家庭保健政策的看法]。
Pub Date : 1993-01-01
T S Kim
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引用次数: 0
[Health promotion. Recapturing the concept for the new era]. 健康促进。重新抓住新时代的概念]。
Pub Date : 1993-01-01
I S Kim
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引用次数: 0
[Operation and education in home health care service. A study on home health care services in a hospital: Wonju Christian Hospital]. 家庭保健服务的运作与教育。某医院家庭保健服务研究:原州基督教医院[j]。
Pub Date : 1993-01-01
M Storey
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引用次数: 0
[Operation and education in home health care service. Operational research on the development of a hospital based home health care program]. 家庭保健服务的运作与教育。以医院为基础的家庭保健项目发展的运筹学研究[j]。
Pub Date : 1993-01-01
E S Kim, W J Cho, C J Kim, M Storey, S Chun
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引用次数: 0
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Kanhohak t'amgu
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