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보훈병원 통합의료복지서비스가 의료이용과 의료비 절감에 미치는 효과 분석
구길환 ( Gilhwan Koo ),동재용 ( Jaeyong Dong ),이경화 ( Kyeonghwa Lee ),서영준 ( Youngjoon Seo ) 한국병원경영학회 2021 병원경영학회지 Vol.26 No.2
This study aims to examine the effect of integrated health and welfare(IHW) services on medical use and medical expenses in Korean Veteran Hospitals. Data on the volume of medical use and medical expenses were collected from two patient groups of 5 Veterans' Hospitals: the beneficiary group who has received IHW services and the non-beneficiary group who has not. Each group was composed of 265 patients respectively. The results of the study revealed that the volume of home nursing services, home rehabilitation services, ambulatory services have increased significantly, whereas the average length of stay, number of using emergency services, and average medical expenses have decreased after receiving integrated health services in the beneficiary group. In contrast, the non-beneficiary group showed much more increase both in the volume of inpatient and outpatient services, as well as the average medical expenses, compared to those of the beneficiary group. This results imply that the provision of IHW services have positive impacts on the enhancing the effectiveness of the medical resources utilization for the veteran patients.