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Comparison of Health Care Utilization Patterns and Length of Stay Determinants between Fracture Patients with Workers' Compensation Insurance and National Health Insurance
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 Title & Authors
Comparison of Health Care Utilization Patterns and Length of Stay Determinants between Fracture Patients with Workers' Compensation Insurance and National Health Insurance
Youn, Kyung-Il;
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 Abstract
Objectives : This study investigated the health care utilization patterns and length of stay (LOS) determinants of fracture patients with workers' compensation insurance (WCI) and national health insurance (NHI). Methods : The discharge summary data of 4,394 WCI fracture patients were compared to 28,874 NHI patients. Health care utilization characteristics were compared with a logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the WCI fracture patients was 2.4 times higher than that of the NHI patients. WCI patients used more small or medium sized hospitals, and were more frequently admitted through the emergency room. Females, older patients and patients admitted through emergency room had a significant positive impact on LOS. Conclusions : Healthcare utilization by the WCI fracture patients may include medically unnecessary hospital stays. Therefore, policy makers need to respond appropriately to the inefficient use of health resources by WCI patients.
 Keywords
Workers' Compensation Insurance;Length of Stay;Fractures;Moral Hazard;Discharge Summary;
 Language
Korean
 Cited by
1.
산재보험 진폐증 장기 입원환자의 의료이용 특성,윤경일;

보건의료산업학회지, 2016. vol.10. 1, pp.39-51 crossref(new window)
1.
Health Care Utilization Patterns of Workers’ Compensation Pneumoconiosis Patients with a Long Length of Stay, The Korean Journal of Health Service Management, 2016, 10, 1, 39  crossref(new windwow)
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