정신과 외래환자들의 의료이용에 관한 연구
The Utilization of Health Service by Psychiatric Outpatients
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objective of the study represents experiences of medical utilization of Psychiatric Outpatients. This research draws on information obtained from the 2008 National-wide sampling study of the Korean Healthcare Panel(KHP) conducted. The results of our study suggest the significance of variables such as the gender(p<.001) in the social demographical characteristics, the medical security type(p<.016), medical institution utilization(p<.012) treatment type(p<.004) in the utilization factors. In the case of medical utilization cost, the financial support factor(p<.018) showed a significant relationship. Depending on the particularities of gender, medical security type, financial support, medical institution utilization, treatment type were determined through a multiple logistics regression analysis. Gender showed that, among Psychiatric outpatient age of 30-59 level was 5.358 times and 60 years and older, their the second medical examination level was 4.490 times higher than Psychiatric outpatients under the age of 29. Health insurance type showed for the others medical allowance was 6.712 times higher than job health insurance and the other treatment was 0.395 times lower than drug treatment. Psychiatric outpatients utilization are rooted in the thoughts and factor levels of the Psychiatric patients and must be understood from the Psychiatric outpatients's perspective. The point is not only to gauge the patients research during Psychiatric medical utilization. The important of social community mental healthcare services levels goes beyond the goal of enhancing healthcare.
Abstract
Objective of the study represents experiences of medical utilization of Psychiatric Outpatients. This research draws on information obtained from the 2008 National-wide sampling study of the Korean Healthcare Panel(KHP) conducted. The results of our study suggest the significance of variables such as the gender(p<.001) in the social demographical characteristics, the medical security type(p<.016), medical institution utilization(p<.012) treatment type(p<.004) in the utilization factors. In the case of medical utilization cost, the financial support factor(p<.018) showed a significant relationship. Depending on the particularities of gender, medical security type, financial support, medical institution utilization, treatment type were determined through a multiple logistics regression analysis. Gender showed that, among Psychiatric outpatient age of 30-59 level was 5.358 times and 60 years and older, their the second medical examination level was 4.490 times higher than Psychiatric outpatients under the age of 29. Health insurance type showed for the others medical allowance was 6.712 times higher than job health insurance and the other treatment was 0.395 times lower than drug treatment. Psychiatric outpatients utilization are rooted in the thoughts and factor levels of the Psychiatric patients and must be understood from the Psychiatric outpatients's perspective. The point is not only to gauge the patients research during Psychiatric medical utilization. The important of social community mental healthcare services levels goes beyond the goal of enhancing healthcare.
참고문헌 (23)
- 박재현, "우리나라 국민의 정신질환으로 인한 질병부담 추정", 예방의학회지, 39(1), pp.39~45 (2006), 대한예방의학회
- 조맹제, "한국 주요정신장애의 유병률 및 관련요인：2006 전국정신질환역학조사", 신경정신의학, 48(3), pp.143~152 (2009), 대한신경정신의학회
- 윤영원, "한국형 정신과 진료모델 개발에 관한 연구", 임상연구논문집, pp.73~86 (2001), 국립춘천병원
- I.Y. Noh, "Comparative Research of the Medical Cost, The Quality of Life, The Family burden of the Mentally 3 before and after the Community Mental Health Service", J of Korea Community Health Nursing Academic Society, 15(1), pp.56~72 (2001)
- 강병권, "건강보험 정신질환 진료비 변화추이", 석사, pp.2004
- "의료급여 정신과에 대한 적정성 평가, 연도별 정신과 정액 진료비 추이"[URL]
- Aday LA, "Indicators and predictors of health services utilization, In introduction to Health Services, 3 edition", pp.51~88 (1998), Delmar publishers
- C.K. Lee, "The Epidemiological Survey of Psychiatric Illnesses in Korea", pp.54~260 (2001), Ministry of Health and Welfare
- 우리나라 보건의료 실태분석 결과: OECD Health Data 2007를 중심으로, "보건복지부", 2~3 (2007)
- 장안기, "정신과 진료를 중심으로 한 정보시스템", 임상연구논문집, pp.213~224 (1992), 국립서울병원
- S.W. Son, "A Study on the Treatment Course of Chronic Schizophrenics", J Korean Neuropsychiatr Assoc, 33(6), pp.1253~1262 (1994)
- Cheung FM, "Situational variations of help-seeking behavior among Chinese patients", Comprehensive Psychiatry, 23, pp.252~262 (1982)
- S.H. Wang, "The Utilization of Health Service by Psychiatric Patients: In Yonchon Area of Kyung-gi Province", J Korean Neuropsychiatr Assoc, 35(4), pp.900~909 (1996)
- 김용호, "정신과와 내과 외래 환자의 대체 의료 이용", 신경정신의학, 42(2), pp.270~276 (2003), 대한신경정신의학회
- S.C. Shin, "A study of pattern of help-seeking behavior among psychiatric out-patients: centered on neurotic patients", J Korean Neuropsychiatr Assoc, 29(2), pp.289~305 (1990)
- 황성완, "초진환자 재방문 예측 모형 개발 : 일개 병원을 대상으로", 박사, pp.2008
- 권순범, "정신보건서비스 전달체계의 개선방안에 관한 연구 : 서울특별시 서부지역을 중심으로", 석사, 사회복지, pp.2002
- 유원섭, "정신분열증 상병 환자의 의료이용 양상 및 경로에 관한 연구", 박사, pp.2005
- 이형영, "정신과 환자의 입원 전 치료에 대하여 비교연구(Ⅱ)", 전남대의과대학 잡지, 17, pp.409~416 (1980)
- 서동우, "우리나라 국민의 생명존중 및 자살에 대한 태도조사 연구", 한국자살예방협회 심포지움 학술대회 발표 (2005), 한국자살예방협회
- 송현수, "CRM 경영혁명", pp.15~33 (2000), 새로운 제안
- K.J. Min, "A Study on the Characteristics of Prematurely Discharged Patients and the Model for Predicting Premature Discharge", J. of Korean Society of Quality Assurance in Health Care, 9(1), pp.18~32 (2002)
- 한달선, "보험환자의 의료이용 추구경로", 보건행정학회지, 2(1), pp.115~146 (1992)