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Early outcome of the Korean Diagnosis-Related Groups payment system for appendectomy
Hyeyoung Kim,In Mok Jung,Keong Won Yun,Seung Chul Heo,Young Joon Ahn,Ki-Tae Hwang,Hae Won Lee,Do Hoon Koo,Eunyoung Ko,Hye Seong Ahn,Rumi Shin,Jung Kee Chung 대한외과학회 2015 Annals of Surgical Treatment and Research(ASRT) Vol.88 No.3
Purpose: The implementation of the Korean diagnosis-related groups (DRG) payment system has been recently introduced in selected several diseases including appendectomy in Korea. Here, we report the early outcomes with regard to clinical aspects and medical costs of the Korean DRG system for appendectomies in Seoul Metropolitan Government ? Seoul National University Boramae Medical Center throughout comparing before and after introduction of DRG system. Methods: The DRG system was applied since January 2013 at our institute. After the DRG system, we strategically designed and applied our algorithm for the treatment of probable appendicitis. We reviewed the patients who were treated with a procedure of appendectomy for probable appendicitis between July 2012 and June 2013, divided two groups based on before and after the application of DRG system, and compared clinical outcomes and medical costs. Results: Total 416 patients were included (204 patients vs. 212 patients in the group before vs. after DRG). Shorter hospital stays (2.98 ± 1.77 days vs. 3.82 ± 1.84 days, P < 0.001) were found in the group after DRG. Otherwise, there were no significant differences in the perioperative outcomes and medical costs including costs for first hospitalization and operation, costs for follow-up after discharge, frequency of visits of out-patient’s clinic or Emergency Department or rehospitalization. Conclusion: In the Korean DRG system for appendectomy, there were no significant differences in perioperative outcomes and medical costs, except shorter hospital stay. Further studies should be continued to evaluate the current Korean DRG system for appendectomy and further modifications and supplementations are needed in the future.
대전지역 남녀 대학생의 영양지식, 식습관, 생활습관 비교 연구
김미자(Kim Mi Ja),김기혁(Kim Kee Hyuk),김혜영(Kim Hyeyoung) 한국생활과학회 2013 한국생활과학회지 Vol.22 No.6
The purpose of this study was to investigate the university student’s dietary behaviors, lifestyle and nutrition knowledge. The survey were composed of 81 male and 64 female students at W University in Daejeon. Results of survey shown that BMIs of male students was 23.9 which is higher significant at p<0.001 than female students was 20.8. In lifestyle, dietary habit patterns of female students showed higher significant in meal if under stress and snack intake at p<0.05. In terms of dining-out, both female and male students like Korean food. However, female students like Western food and flour-based food than their male counterpart. While male liked Chinese and Japanese foods at p<0.05. A siginificant higher proportion of male students smoked (p<0.001); drink (p<0.01) and exercised (p<0.05) than their female counterpart. In terms of nutrition knowledge, males have higher scores (out of a possible 15 points) than female scores (p<0.01). The results of this study suggests that nutrition education can motivate and improve dietary management for dietary compliance. Therefore, a proper planned nutrition education programs for university students is an efficient and effective education method.