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요양병원 치매노인의 장기입원 관련 요인

Factors Associated with the Long-Stay Admissions in Geriatric Hospitals - Focused on Dementia’s Inpatients

병원경영학회지 2020년 25권 3호 p.29 ~ 37
이윤진, 이상규, 유창훈, 김봄결, 김태현,
소속 상세정보
이윤진 ( Lee Yun-Jin ) - Health Insurance Review & Assessment Service
이상규 ( Lee Sang-Gyu ) - Yonsei University College of Medicine Department of Preventive Medicine
유창훈 ( You Chang-Hoon ) - Seoul Health Foundation
김봄결 ( Kim Bom-Gyeol ) - Yonsei University College of Medicine Department of Public Health
김태현 ( Kim Tae-Hyun ) - Yonsei University Graduate School of Public Health

Abstract


Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features.

Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis.

Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups.

Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.

키워드

long-stay hospitalization; geriatric hospitals; facility characteristics; dementia patients

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