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요양병원의 입원급여 적정성 평가 결과에 미치는 영향 요인 분석

Factors influencing the composite quality score from the quality assessment program for long-term care hospitals

병원경영학회지 2020년 25권 3호 p.78 ~ 86
이상갑, 설진주, 이광수,
소속 상세정보
이상갑 ( Lee Sang-Kab ) - Health Insurance Review & Assessment Service
설진주 ( Seol Jin-Ju ) - Yonsei University Graduate School Department of Health Administration
이광수 ( Lee Kwang-Soo ) - Yonsei University Mirae Campus Department of Health Administration

Abstract


Purposes: This study purposed to identify factors influencing the composite quality score from the quality assessment program for long-term care hospitals

Methodology: The study variables was obtained from HIRA(Health Insurance Review and Assessment Service): the composite quality scores and hospital variables such as number of doctors, nurses, beds, medical technicians, medical equipments, administrative region, ownerships from 3rd (2010) to 7th (2018) quality assessment program. National Statistical Portal(www.kosis.go.kr) provided the number of senior citizens aged over 65 in city·county·district area. SAS 9.4 was used for the data processing and used to analyze the data.

Findings: The results showed that composite quality score increased past 9 years. Hospital variables such as number of doctor, nurse, medical technicians, bed and public hospitals had significant positive relationship with the composite quality score. Administrative region(district) showed higher scores compare to that of city. Compare to the score of quality assessment year(2010), as the assessment year move to 2012, 2013, 2015, 2018, results showed higher significant positive coefficients.

Practical Implication: Continuously improve the performance of long-term care hospitals, current quality assessment program are needed to update their system such as adopting indicators measuring the service process, or compensating the cost for quality assessment program. It will enable to provide more reasonable and accurate performance assessment scores.

키워드

long-term care hospitals; quality assessment; composite quality score

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