7개 질병군 포괄수가제 도입에 따른 일개 대학병원의 진료행태 변화 모의실험
분야
의약학 > 예방의학및보건학
저자
신삼철 ( Sam Chul Shin ) , 강길원 ( Gil Won Kang ) , 김상원 ( Sang Won Kim )
발행기관
한국보건행정학회
간행물정보
보건행정학회지 2013년, 제23권 제2호, 103~111페이지(총9페이지)
파일형식
2c301010.pdf [무료 PDF 뷰어 다운로드]
  • ※ 본 자료는 참고용 논문으로 수정 및 텍스트 복사가 되지 않습니다.
  • 구매가격
    4,500원
    적립금
    135원 (구매자료 3% 적립)
    이메일 발송  스크랩 하기
    자료 다운로드  네이버 로그인
    영문초록
    Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospi­tals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pat­tern were predicted based on clinicians` opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total rnedical payrnent was reduced by 1 4.4%. The drug payrnent change (8.8%) took rnost of total payrnent reduction. The followings are the change of treatrnent rnaterial cost (3.2%), the change of laboratory tests cost (1.8%), the change of roorn charge (0.5%), and other payrnent change (0.1%), respectively. Second, rnost of the reduction in total rnedical payrnent re­sulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve qualityofcare.
    사업자등록번호 220-87-87785 대표.신현웅 주소.서울시 서초구 방배로10길 18, 402호 대표전화.070-8809-9397
    개인정보책임자.박정아 통신판매업신고번호 제2017-서울서초-1765호 이메일 help@reportshop.co.kr
    copyright (c) 2009 happynlife. steel All reserved.