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보훈의료전달체계 정립을 위한 인천권역 위탁병원 의료이용 분석 연구

A Study on the Medical Use Analysis of the Consigned Hospitals in Incheon Region to Establish the Veterans Healthcare Delivery System

보건정보통계학회지 2020년 45권 3호 p.240 ~ 246
김성수,
소속 상세정보
김성수 ( Kim Sung-Soo ) - Incheon Veterans Hospital Health Information Management Department Service

Abstract


Objectives: It contributes to establishing a veteran medical delivery system through efficient operation between the consigned hospital and the veterans hospital by analyzing the actual condition of medical use of patients in the consigned hospitals in the Incheon area.

Methods: The research subjects of the National Merit of Incheon area were 253,300, and 15 of the consigned hospitals were targeted at Incheon and 24 designated consigned hospitals.

Results: Analyses were conducted per outpatients from each regions, clinics, consigned hospitals, 10 most common diseases and total medical expenses. From 2016 to 2018, in terms of medical use of outpatient per consigned hospitals, I hospital took first place, H hospital is the second most followed by D hospital for last 3 consecutive years. When compared and analyzed total medical expense per consigned hospitals has increased 4% annually from 2016 to 2018. Based on this study, there are gaps of cases among 24 consigned hospitals, however, chronic diseases such as hypertension and diabetes mellitus were the most common cases. That is, consigned hospitals play a significant role in primary health care.

Conclusions: By improving the level of medical service centering on consigned hospitals in areas with low medical utilization rates, increasing the level of utilization and efficiently providing shortdistance regional convenience and proximity medical services to national merit in Incheon area, It will contribute to establishing a veteran medical delivery system.

키워드

Veterans; Veterans medical delivery system; Consigned hospitals; Veterans hospital

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