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원저 : 결핵 입원환자의 치료결과에 영향을 미치는 환자 특성과 의료기관 특성

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Author(s)
윤경일
Alternative Author(s)
Yoon, Kyung Il
Issued Date
2014
Keyword
TuberculosisOutcome of hospital careMortalitySocioeconomic factorsOrganizational factors
Abstract
In spite of effective curative therapy, morbidity and mortality remain high for hospitalized patients with tuberculosis(TB) in Korea. The purpose of this study was to identify patient and hospital characteristics associated with hospital care outcome. Using annual patient survey data produced by Korea Institute for Health and Social Affair, we identified 8,562 hospital discharge with primary diagnosis of TB. Logistic regression analyses were performed on a model that included age, gender, residence area, insurance status, hospital admission source, length of stay, hospital ownership and class of hospital as the explanatory variables and outcome of treatments as the dependent variable. The results show that negative outcome was associated with the patients older than 65 years, medical aid beneficiary, admission through emergency department, and the patients admitted to public owned hospitals. On the other hand, the patients who were admitted to teaching hospitals were associated with positive outcome. To improve hospital treatment outcome of TB patients, more vigorous strategies should be implemented targeting the older and poor population in regard to social support as well as the clinical management and prevention.
Alternative Title
The Effects of Patient and Hospital characteristics on Hospital Care Outcome of the Patients with Tuberculosis
Department
Dept. of Medical Humanities (의료인문학)
Publisher
School of Medicine
Citation
병원경영학회지, Vol.19(2) : 44-54, 2014
Type
Article
ISSN
1226-6299
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/36501
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Medical Humanities (의료인문학)
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