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The Analysis on Annual Utilization Patterns of Inpatients in Korean Medical Hospitals for the Past 10 years

10년간 일개 한의대 부속 한방병원에 입원한 환자에 대한 연도별 이용실태 분석 : 침구의학과를 중심으로

  • Kim, Hye Su (Department of Acupuncture & Moxibustion, College of Korean Medicine, Daejeon University) ;
  • Kim, So Yun (Department of Acupuncture & Moxibustion, College of Korean Medicine, Daejeon University) ;
  • Kim, Jung Ho (Department of Acupuncture & Moxibustion, College of Korean Medicine, Daejeon University) ;
  • Kim, Young Il (Department of Acupuncture & Moxibustion, College of Korean Medicine, Daejeon University)
  • 김혜수 (대전대학교 한의과대학 침구학교실) ;
  • 김소연 (대전대학교 한의과대학 침구학교실) ;
  • 김정호 (대전대학교 한의과대학 침구학교실) ;
  • 김영일 (대전대학교 한의과대학 침구학교실)
  • Received : 2016.05.10
  • Accepted : 2016.06.07
  • Published : 2016.06.20

Abstract

Objectives : This study was designed to clarify population-social characteristics that influence the utilization patterns of hospitalized patients in a traditional korean hospital, thereby providing clinical data which would help further improvements of traditional korean medical service in particular the Acupuncture and Moxibustion. Methods : We investigated population-social characteristics and annual utilization patterns of all patients who were hospitalized for more than 24 hours in a Korean Medical Hospital from January 2005 to December 2014. The obtained data were recorded in the EMR chart and statistical analysis was performed using SPSS 21.0. Additionally, data from the patients admitted to the department of Acupuncture and Moxibustion were analyzed separately. Results : 1. All inpatients had a significant annual difference in age, gender, hospitalized department, and disease code annually but not in re-hospitalization number. Inpatients of the department of Acupuncture and Moxibustion also varied in their age, gender, and disease code annually, but not in re-hospitalization number. 2. Pearson correlation analysis on all inpatients showed that the mean days of hospital treatments had a negative correlation with all variables except medical care insurance. Total cost, cost per day per person and recuperation cost had a positive correlation with all variables except medical care insurance. There was no meaningful relationship between nonrecuperation cost and the variables. 3. Stepwise multiple regression analysis on all inpatients showed that the mean days of hospital treatments had a negative correlation with all variables except automobile insurance. The total hospitalization costs had a positive correlation with both general insurance and medical care insurance. Cost per day per person and recuperation cost had a positive correlation with the females. There was no meaningful relationship between non-recuperation cost and the variables. 4. Pearson correlation analysis on inpatients of the department of Acupuncture and Moxibustion inpatients showed that the mean days of hospital treatments had a positive correlation with all variables except general insurance and automobile insurance. Total cost and recuperation cost had a positive correlation with all variables except medical care insurance, and cost per day per person had a positive correlation with females and general insurance. There was no meaningful relationship between non-recuperation cost and the variables. 5. Stepwise multiple regression analysis on inpatients of the department of Acupuncture and Moxibustion inpatients, the mean days of hospital treatments, total cost, cost per day per person and recuperation cost had a positive correlation with general insurance. There was no meaningful relationship between non-recuperation cost and the variables. Conclusion : Population-social characteristics of inpatients annually varies, and the change influences the utilization pattern.

Keywords

References

  1. Andersen RM, Aday LA. Access to medical care in the US : realized and potential. Medical Care. 1978 ; 16(7) : 95-124, 533-46.
  2. Andersen RM. Revisiting the behavioral model and access to medical care : does it matter?. J Health Soc Behav. 1995 ; 36(1) : 1-10. https://doi.org/10.2307/2137284
  3. Yu SH, Cho WH, Sohn MS, Park CY. Changing patterns of ambulatory care utilization of a rural community in a regional medical insurance service. Korean J Prev Med. 1998 ; 21(2) : 419-30.
  4. Bae SS. Effects of regional health insurance on access to ambulatory care. Health Policy and Mangement. 1992 ; 2(1) : 167-203.
  5. Andersen RM, Newman JF. Societal and individual determinants of medical care utilization in the United states. Milbank Mem Fund Q Health Soc. 1973 ; 51(1) : 95-124. https://doi.org/10.2307/3349613
  6. Benjamin AE. Determinants of state variations in home health utilization and expenditures under medicare. Med care. 1986 ; 24(6) : 535-47. https://doi.org/10.1097/00005650-198606000-00008
  7. Feldstein PJ. Health Care Economics. 6th ed. New York : Delmar Publishers. 2012 : 245-6.
  8. Bombardier C, Fuchs CV, Lillard LA, Warner KE. Socioeconomic factors affecting the utilization of surgical operations. N Engl J Med. 1977 ; 297(13) : 699-705. https://doi.org/10.1056/NEJM197709292971305
  9. Sindelar JL. Differential use of medical care by sex. J Polit Econ. 1982 ; 90(5) : 1003-19. https://doi.org/10.1086/261105
  10. Ivanov LL, Flynn BC. Utilization and satisfaction with prenatal care services. Western Journal of Nursing Reserach. 1999 ; 21(3) : 372-86. https://doi.org/10.1177/01939459922043938
  11. Lee SK. A comparative study on utilization patterns by medical service types : 1998 and 2010 [dissertation]. Seoul : Yonsei Univ. 2013. Korean.
  12. Jang ES, Yu HJ, Kim HJ, Lee SW. The Research for the Present Status of Traditional Medical Service Market. Korean Journal of oriental medicine. 2007 ; 13(3) : 143-9.
  13. National Health Insurance Corporation, Health Insurance Review & Assessment Service. 2010 National Health Insurance Statistical Yearbook. Seoul : Sekwang Design Printing. 2011 : 610-5.
  14. Kim JW, Shin HK, Chu CN et al. A Clinical Study on Outpatients in Oriental Neuropsychiatry Clinic of an Oriental Medicine Hospital. J. of Oriental Neuropsychiatry. 2007 ; 18(3) : 123-34.
  15. Kim DS. Study on factors related to the use of oriental medical service among outpatients [dissertation]. Seoul : Yonsei Univ. 2013. Korean.
  16. Seo YJ, Kang SH, Kim YH, Choi DB, Shin HK. Customers' Utilization and Satisfaction in Oriental Medical Clinics. Journal of Korean Medicine. 2010 ; 31(2) : 124-36.
  17. Lee KS, Cho KS. A Study on Utilization Patterns of Oriental Medical Care. Health Policy and Mangement. 1999 ; 9(3) : 120-39.
  18. Lee CW, Lee SM, Jeon JH, Kim YI, Nam SK, Kim JH. A Statistical Study of the Patients Admitted to the Department of Acupuncture and Moxibustion Medicine. The Acupuncture. 2012 ; 29(5) : 139-49.
  19. Kwon JM, Park YS, Kim DC. A Review of Outpatients in Oriental Obstetric & Gynecology Clinic of the Oriental Hospital for 3 Years. The J of oriental obstetrics & gynecology. 2011 ; 24(4) : 163-73.
  20. Yoon KJ. Annual Utilization Patterns and perception of Koreans. Issue & Focus. 2012 ; 140 : 1-8.
  21. Health Insurance Review Agency. 2013 Medical cost statistics index. Seoul : Healthcare Data Management Division. 2014 : 2-4.
  22. KoreanAcupuncture& MoxibustionMedicineSociety Textbook Compilation Committe. Acupuncture and moxibustion medicine. Gyeonggi : Jipmoondang. 2012 : 506, 523.
  23. Park JE, Kwon SM. Determinants of the Utilization of Oriental Medical Services by the Elderly. Journal of Korean Medicine. 2011 ; 32(1) : 97-108.
  24. Yoo WK, Ryu KA. Utilization Patterns and Determinants of Oriental Medical Services : Focused on the Residents of Daegu City. Society of Preventive Korean Medicine. 2000 ; 4(2) : 1-24.
  25. Jeon GS, Choi ES, Lee HY. Gender-related Difference in the Utilization of Health Care Services by Korean Adults. J Korean Pubilc Health Nurs. 2010 ; 24(2) : 182-96.
  26. Kim SY, Park JY. The Utilization of Western and Oriental Medical Services by Outpatients with Musculoskeletal System Disorders and Its Related Factors. The Korean Journal of Health Service Management. 2012 ; 6(1) : 27-38.

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