요양병원 유형에 따른 65세 이상 노인의 입원 의료이용 현황과 특성 : 2018년 건강보험심사평가원 고령환자데이터셋(HIRA-APS)을 사용하여
Current Status and Characteristics of Inpatient Medical Use for Elderly People Aged 65 and Over by Type of Long-Term Care Hospital: Using the 2018 Elderly Patient Data Set of Health Insurance Review and Assessment Service
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Objectives: This study aimed to provide basic data for policies related to the classification of long-term care hospitals admitting the elderly, according to receipt or otherwise of specialized rehabilitation treatment, and to analyze the status and characteristics of medical use. Methods: The Health Insurance Review and Assessment Service 2018 Elderly Patient Data was used to analyze 33,821 inpatients who had applied for the daily flat-rate system for long-term care hospitals. Results: The ratio of the paralysis group, cerebrovascular disease group, and musculo-skeletal system group was higher for the rehabilitative long-term care hospital, and the ratios of medical high, medical middle, physical function low, fee-for-service, and medical low groups were also higher than those of general long-term care hospitals. The long-term hospitalization rates were low for patients admitted to rehabilitative long-term care hospitals. Conclusions: It is necessary to establish policies so that patients in need of specialized rehabilitation treatment are not admitted to general long-term care hospitals, which delays their recovery.
Abstract
Objectives: This study aimed to provide basic data for policies related to the classification of long-term care hospitals admitting the elderly, according to receipt or otherwise of specialized rehabilitation treatment, and to analyze the status and characteristics of medical use. Methods: The Health Insurance Review and Assessment Service 2018 Elderly Patient Data was used to analyze 33,821 inpatients who had applied for the daily flat-rate system for long-term care hospitals. Results: The ratio of the paralysis group, cerebrovascular disease group, and musculo-skeletal system group was higher for the rehabilitative long-term care hospital, and the ratios of medical high, medical middle, physical function low, fee-for-service, and medical low groups were also higher than those of general long-term care hospitals. The long-term hospitalization rates were low for patients admitted to rehabilitative long-term care hospitals. Conclusions: It is necessary to establish policies so that patients in need of specialized rehabilitation treatment are not admitted to general long-term care hospitals, which delays their recovery.
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