계명대학교 의학도서관 Repository

원저 : 암 사망자의 의료이용 변이

Metadata Downloads
Author(s)
홍월란이원재윤경일
Keimyung Author(s)
Yoon, Kyung Il
Department
Dept. of Medical Humanities (의료인문학)
Journal Title
병원경영학회지
Issued Date
2007
Volume
12
Issue
3
Keyword
Utilization of medical serviceCancerCoefficient of variation
Abstract
This study focused on finding the variation of medical service utilization and medical payments of the patients died by three cancers, stomach, breast, and colon cancer. For this study, data of the one-year episodes of the health insurance subscribers died in 2004 were selected. The frequency of medical visits, the lengths of stays, the days of outpatient visits, the total period of medical services and the total medical payments were compared by the characteristics of the suppliers and utilizers. The data of the patients died by cerebrovascular diseases and cancer in 2004 were selected. To select the dead by cerebrovascular diseases and cancer in 2004, we matched the 2004 reimbursement data of all medical institutions to the data of funeral fee payment by the National Health Insurance Corporation from January 2004 to May 2005 for the death in 2004. The results of the analysis were as follows. The current study found that the variation of medical care utilization was influenced by the factors of suppliers, such as types and locations of medical institutions and the factors of users, such as sex and age. It was suspected that the reimbursement by fee-for-service contributed to the variation quite a lot, but we could not compare the variation between the different reimbursement systems in Korea. The results of the study suggested that the factors of suppliers and utilizers should be reviewed to reduce the under use and over use expressed by variations of medical service utilization. The processes of care, effective communication and management system should be investigated for the equity of medical service utilization. Additionally, prospective payment could be recommended to reduce the high variation of medical service use. To find the variation caused by under use and over use, further study need to control the severity of diseases, socio-economic status of the users and the system factors.
Alternative Title
Variation of the Medical Service Utilization of the Dead by Cencers
Keimyung Author(s)(Kor)
윤경일
Publisher
School of Medicine
Citation
홍월란 et al. (2007). 원저 : 암 사망자의 의료이용 변이. 병원경영학회지, 12(3), 1–19.
Type
Article
ISSN
1226-6299
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36495
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Medical Humanities (의료인문학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.