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코로나19 가을철 재유행 대비 긴급점검 좌담회: 시립병원 대응 중심
임준,소예경,권영대,권용선,김병관,박찬병,송관영,윤상철,이병철,유창훈 서울시공공보건의료재단 2020 SEOUL HEALTH ON AIR 건강정책동향 Vol.1 No.7
서울시공공보건의료재단에서는 9월 24일 코로나19 가을철 재유행 대비 긴급 좌담회를 개최하였다. ‘시립병원’을 중심으로 현재까지의 경험을 평가하고 다가올 재유행에 대비하기 위해 (1) 코로나 시대 공공의료의 전략적 의미 (2) 코로나 시대 시립병원의 역할 및 발전방향에 대해 논의하였다. 임준 국립중앙의료원 공공보건의료센터장, 소예경 서울시공공보건의료재단 선임연구위원이 발표를, 권영대 가톨릭대학교 교수, 권용선 서울시 시립병원운영팀장, 김병관 서울특별시보라매병원장, 박찬병 서울특별시서북병원장, 송관영 서울특별시서울의료원장, 윤상철 갈렙앤컴퍼니대표, 이병철 서울특별시시립병원혁신센터 설립추진단 부단장이 함께 토론을 하였다. 본고는 논의된 핵심내용을 재정리한 것으로, 코로나 시대 서울시립병원은 병원별 실질적 협력체계 구축, 경증환자 대상 생활치료센터 확보, 경증환자 대상 새로운 치료방식의 도입 등의 과제를 제시하였다.
노진원,이예진,김재현,소예경,홍현석,이윤환 한국병원경영학회 2019 병원경영학회지 Vol.24 No.3
Purposes: Rapid aging and increase of high chronic diseases of the elderly are increasing the needs for expanding elderly care beyond the concept of treatment in medical institutions. This study is to discuss the core values, functions, and roles of municipal hospitals and suggest a suitable community care model. Methodology: The survey was collected twice derived from the domestic expert groups. This study analyzed experts' responses using Delphi method and Analytic Hierarchy Process, using Microsoft Excel 2016. Findings: Among the core values of the municipal hospitals, it was shown that community linkage had the highest priority. The publicity had the highest priority among the functions and roles of the municipal hospitals. In the community care models presented in this study, the model focused on ‘Community Care Integration Centerʼ showed highest relevance, suitability and applicability. Practical Implications: This study suggested three different community care models and derived the most suitable model for community care, which is focused on the municipal hospitals. It suggested effective application of the community care model to promote community care in each community.
지역사회 통합 케어서비스 방안 마련을 위한 시립병원 입원환자의 동반질환 분포와 재원일수 및 진료비와의 관련성
김재현,노진원,이윤환,소예경,홍현석 한국보건행정학회 2019 보건행정학회지 Vol.29 No.4
Background: This study is to investigate the association between the distribution of multimorbidity and length of stay and medical expenses among inpatients in a municipal hospital to achieve an integrated care setting. Methods: We used the exploratory factor analysis and the generalized estimating equation model to analyze the data from patients living in the northeast region of Seoul, who were hospitalized from January 2017 to December 2017 in a municipal hospital. Results: As a result of the factor analysis, seven types of multiple chronic diseases were classified. Among the elderly patients admitted to municipal hospitals, the burden of medical expenses was mainly influenced by the length of stay (B=310,719, p-value <0.0001), not the type of disease (all not significant). Length of stay were mainly due to psychiatric illness (factor 1: B=4.323, p-value <0.0001) related to the brain and metabolic diseases (factor 2: B=2.364, p-value=0.003). Conclusion: This study showed that the medical expenses of the elderly patients were largely due to prolonged hospitalization, not multimorbidity. Therefore, it is necessary to develop an integrated care paradigm strategy cope with the multimorbidity of the elderly in the community and to alleviate the socio-economic burden.