Background:This study aimed to measure the opportunity income by identifying the economic length of stay (ELOS) which is the intersection point of daily revenue and cost on appendectomy and pneumonia cases. Methods: The research subjects were 460 patients of appendectomy and 606 patients of pneumonia, discharged from a general hospital between July 1, 2009 and June 30, 2010. ELOS calculated with both of total revenue on diagnosis-related group (DRG) and fee-for service (FFS). The cost is calculated by activity-based costing system of the hospital. Results: Average length of stay (ALaS) of appendectomy was 4.48 days and its average revenue per case were 1,710,215 (1,989,105) won by DRG (FFS). The variable cost was 491,262 won which was 28.7% (24.7%) of DRG (FFS) total revenue. And 97.2% of the total variable cost was incurred within 2 days from admission. The ELOS was 4 (5) days in DRG (FFS). Shortening three days (two days) would increase opportunity income 52.0% (82.2%) in DRG (FFS). ALaS of pneumonia case was 4.86 days and its average revenue per case were 489,448 (761,426) won by DRG (FFS). The variable cost was 27,230 won which was 5.6% (3.6%) ofDRG (FFS)total revenue. Thirty-eight point nine percent olthe daily variable cost was incurred in discharge date. The ELOS was 2 (4) days in DRS (FFS). Shortening three days (one day) would increase opportunity income 27.6% (37.2%) in DRG (FFS). Conciusion:The ELOS would be used by strategic index for achieving minimum profit and developing thewaysto get there. But we also should not pass overthat the opportunity income obtained by the reducing ALaS may cause some problem of quality.
[DRG지불제도] DRG 도입 후 나타난 진료비 및 진료행위의 변화
[국민건강보험제도] 국민건강보험제도의 문제점, 재정위기와 국민건강보험제도의 정부종합대책 및 국민건강보험제도 재정위기 극복 방안
[병원통계] 병원통계(통계월보 : 건강지표, 생명표, 사망률, 영아사망률 등)
건강보험론 B형, 우리나라 진료비 지불제도에 대하여 알아보시오.
[질환(질병)]질환(질병)과 구강질환, 호흡기질환, 대사질환, 순환계질환, 질환(질병)과 근골격계질환, 심혈관계질환, 질환(질병)과 근골격계질환, 골반염증성질환, 질환(질병)과 만성폐쇄성폐질환, 관상동맥질환
[사회보장론] 진료보수 지불제도의 개선방안