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건강보험 환자와 비교한 산재환자의 의료이용 행태와 재원일수 결정요인 : 일부 골절환자를 중심으로

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Author(s)
윤경일
Alternative Author(s)
Yoon, Kyung Il
Issued Date
2015
Keyword
Workers' compensation insuranceLength of stayFracturesMoral hazardDischarge summary
Abstract
Objectives : This study investigated the health care utilization patterns and length of stay (LOS) determinants of fracture patients with workers' compensation insurance (WCI) and national health insurance (NHI). Methods : The discharge summary data of 4,394 WCI fracture patients were compared to 28,874 NHI patients. Health care utilization characteristics were compared with a logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the WCI fracture patients was 2.4 times higher than that of the NHI patients. WCI patients used more small or medium sized hospitals, and were more frequently admitted through the emergency room. Females, older patients and patients admitted through emergency room had a significant positive impact on LOS. Conclusions : Healthcare utilization by the WCI fracture patients may include medically unnecessary hospital stays. Therefore, policy makers need to respond appropriately to the inefficient use of health resources by WCI patients.
Alternative Title
Comparison of Health Care Utilization Patterns and Length of Stay Determinants between Fracture Patients with Workers’ Compensation Insurance and National Health Insurance
Department
Dept. of Medical Humanities (의료인문학)
Publisher
School of Medicine
Citation
보건의료산업학회지, Vol.9(4) : 131-144, 2015
Type
Article
ISSN
2093-5986
DOI
10.12811/kshsm.2015.9.4.131
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33085
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Medical Humanities (의료인문학)
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