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한국의 의료기관 외래진료 민감질환 입원율: 의료이용 효율성 지표로의 활용 가능성?
정건작 ( Keon Jak Jeong ),김진경 ( Jin Kyung Kim ),강혜영 ( Hye Young Kang ),신의철 ( Eui Chul Shin ) 한국보건행정학회 2016 보건행정학회지 Vol.26 No.1
Background: Hospital admissions for ambulatory care sensitive conditions (ACSCs), which are widely used as an indicator of poor access to primary care, can be used as an efficiency indicator of healthcare use in countries providing good access to health care. Korea, which has a national health insurance (NHI) system and a good supply of health care resources, is one such country. To quantify admission rates of ACSC and identify characteristics influencing variation in Korean health care institutions. Methods: By using NHI claims data, we computed the mean ACSC admission rate for all institutions with ACSC admissions. Results: The average ACSC admission rate for 4,461 institutions was 1.45%. Hospitals and clinics with inpatient beds showed larger variations in the ACSC admission rate (0%-87.9% and 0%-99.6%, respectively) and a higher coefficient of variation (7.96 and 2.29) than general/tertiary care hospitals (0%-19.1%, 0.85). The regression analysis results indicate that the ACSC admission rate was significantly higher for hospitals than for clinics (β=0.986, p<0.05), and for private corporate institutions than public institutions (β=0.271, p<0.05). Conclusion: Substantial variations in ACSC admission rates could suggest the potential problem of inefficient use of healthcare resources. Since hospitals and private corporate institutions tend to increase ACSC admission rates, future health policy should focus on these types of institutions.
정두채,정건작 남서울대학교 보건의료개발연구소 2007 보건의료개발연구 논집 연제집 Vol.4 No.1
Since the National Health Insurance Act was enacted at the year of 2000, remibursement system for medical care fee has been RBRVS(resource_based relative value scale). Various researches have been conducted by health insurance body and by association of medical care institutions. The purpose of this study in to find out reasonable research approach through analyzing research methods which has conducted. In order to attain the purpose this study collected 12 research reports and analyzed those research method. Major results of this study are so follows. Researches conducted by health insurance body usually used national economy indices and/or SGR(sustainable growth rate) method, while researches conducted by association of medical care institutious usually used cost-finding method and/or break-even point basis of revenue and expense. And almost researches have some weak points in pursuing mutual agreement. On the basis of research result, this study would suggest that more accurate resonable approaches and in depth study to search better methodology are required.