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상세불명 병원체 폐렴의 중증도 보정 재원일수 모형 개발 및 적용

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Author(s)
윤경일
Alternative Author(s)
Yoon, Kyung Il
Issued Date
2014
Keyword
Length of StaySeverity AdjustmentPneumoniaDecision Tree analysis
Abstract
This study was conducted to propose an insight into the appropriateness of hospital length of stay(LOS) by developing a severity-adjusted LOS model for patients with pneumonia, organism unspecified. The pneumonia risk-adjustment model developed in this paper is based upon the 2006-2010 the Korean National Hospital Discharge in-depth Injury Survey. Decision tree analysis revealed that age, admission type, insurance type, and the presence of additional disorders(pleural effusion, respiratory failure, sepsis, congestive heart failure etc.) were major factors affecting the severity-adjusted model using the Clinical Classifications Software(CCS). Also there was a difference in LOS among the regional hospitals, especially the hospital LOS has not been efficiently managed in Gyeongsangbuk-do, Jeollanam-do, Jeollabuk-do, Daejeon, and Busan. To appropriately manage hospital LOS, reliable statistical information about severity-adjusted LOS should be generated on a national level to make sure that hospitals voluntarily reduce excessive LOS and manage main causes of delayed discharge.
Alternative Title
Development and Application of a Severity-Adjusted LOS Model for
Pneumonia, organism unspecified patients
Department
Dept. of Medical Humanities (의료인문학)
Publisher
School of Medicine
Citation
병원경영학회지, Vol.19(4) : 21-33, 2014
Type
Article
ISSN
1226-6299
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/36502
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Medical Humanities (의료인문학)
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