서울지역 일개 지역응급의료센터에 내원한 환자의 보험급종별 응급실 이용행태 분류
Classification of emergency room usage patterns according to the type of insurance in patients visiting an emergency medical center in Seoul, Korea
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: We analyzed the characteristics and differences in patients’ medical benefits and health insurance based on disease severity classification. Methods: We examined 29,139 patients who visited the emergency medical center of K Hospital from January 1,2016 to December 31, 2016. Survey items included the Korean Triage and Acuity Scale (KTAS) classification of emergency and non-emergency situations ratio and type of insurance. Results: According to KTAS classification, 76.2% of patients exhibited an emergency condition and 23.8% exhibited a non-emergency condition. Emergency patients exhibited more trauma than non-emergency patients. According to the type of insurance coverage, the duration of stay in the emergency room was longer for patients with medical care than for patients with health insurance. Additionally, 119 ambulances use was significantly higher among patients with medical care. Conclusion: Policy discussions should address alternative ways to replace the 119 ambulances used by patients in this study. Additionally, health care administrators should identify alternative care agencies as potential alternatives to emergency room visits.
Abstract
Purpose: We analyzed the characteristics and differences in patients’ medical benefits and health insurance based on disease severity classification. Methods: We examined 29,139 patients who visited the emergency medical center of K Hospital from January 1,2016 to December 31, 2016. Survey items included the Korean Triage and Acuity Scale (KTAS) classification of emergency and non-emergency situations ratio and type of insurance. Results: According to KTAS classification, 76.2% of patients exhibited an emergency condition and 23.8% exhibited a non-emergency condition. Emergency patients exhibited more trauma than non-emergency patients. According to the type of insurance coverage, the duration of stay in the emergency room was longer for patients with medical care than for patients with health insurance. Additionally, 119 ambulances use was significantly higher among patients with medical care. Conclusion: Policy discussions should address alternative ways to replace the 119 ambulances used by patients in this study. Additionally, health care administrators should identify alternative care agencies as potential alternatives to emergency room visits.
참고문헌 (10)
- 이용재, "건강보험과 의료급여 노인환자의 의료이용량 : 요양기관종별 분석", 한국콘텐츠학회 논문지, 17(4), pp.585~595 (2017), 한국콘텐츠학회[DOI]
- "Introduction"[URL]
- Soril LJ, "Characteristics of frequent users of the emergency department in the general adult population : a systematic review of international healthcare systems", Health Policy, 120(5), pp.452~461 (2016)[DOI]
- Kim MH, "Reliability and validity of the Korean triage and acuity scale", Master, pp.2017
- "Minister notice"[URL]
- 주성용, "환자의 보험급종에 따른 일개 권역응급의료센터의 내원양상", 대한응급의학회지, 27(4), pp.360~366 (2016), 대한응급의학회
- 신태건, "응급실 다방문환자의 임상적 특성에 관한 연구 - 응급실 다방문환자의 응급실 과밀화 및 중증도와의 관련성 -", 대한응급의학회지, 22(1), pp.86~92 (2011), 대한응급의학회
- 이정찬, "응급실 다방문 결정 요인: 종합병원급 이상 권역응급의료센터를 중심으로", 대한보건연구, 44(3), pp.129~146 (2018), 사단법인 대한보건협회[DOI]
- 김수정, "만성질환자의 예방가능한 입원 및 질병으로 인한 응급실 방문: 의료급여 수급여부를 중심으로", 보건사회연구, 35(2), pp.405~428 (2015), 한국보건사회연구원[DOI]
- 김경옥, "응급실 체류시간과 중증도와의 관계", 석사, 보건학, pp.2005