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종합병원 진료과의 구조적 복잡성과 기술적 숙련도가 치료결과에 미치는 영향

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Author(s)
윤경일
Keimyung Author(s)
Yoon, Kyung Il
Department
Dept. of Medical Humanities (의료인문학)
Journal Title
보건정보통계학회지
Issued Date
2016
Volume
41
Issue
2
Keyword
Structural complexityTechnical proficiencySurgeryMortalityLength of stay
Abstract
Objectives: The purpose of this study is to analyze the effects of structural complexity and technical proficiency on treatment outcome of the clinical
departments in general hospitals and to verify the conceptual independency of the two variables. Methods: Discharge summary data of 4,528 cerebrovascular
diseases patients who underwent surgery during a month period between 2008 and 2011 were analyzed. The analytic model included the independent
variables such as surgery volume and number of disease diagnosis in a neurosurgery department. The dependent variables were length of stay
and mortality rate. Hierarchical logistic regression and poisson regression model were applied to test the hypothesis. Results: Results showed a high
level of complexity departments have a low length of stay and mortality. Also, a high level technical proficiency had a significant negative relationship
with the length of stay and mortality rate. In addition, a conceptual independency between the two variables was verified. Conclusions: The studies
that intend to analyze surgery volume and mortality rate relationship should consider structural complexity as well as technical proficiency for more rigorous
study design.
Alternative Title
Effects of Structural Complexity and Technical Proficiency on the Treatment
Outcome of the Clinical Departments in General Hospitals
Keimyung Author(s)(Kor)
윤경일
Publisher
School of Medicine
Citation
윤경일. (2016). 종합병원 진료과의 구조적 복잡성과 기술적 숙련도가 치료결과에 미치는 영향. 보건정보통계학회지, 41(2), 184–193. doi: 10.21032/jhis.2016.41.2.184
Type
Article
ISSN
2465-8014
DOI
10.21032/jhis.2016.41.2.184
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33359
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Medical Humanities (의료인문학)
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