Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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Difference in Length of Stay and Treatment Outcome of Pulmonary Tuberculosis Inpatients between Health Insurance Types

의료보장유형에 따른 폐결핵 입원환자의 재원기간과 치료결과 차이분석

  • Kim, Sang Mi (Dept. of Medical Information, Korea Polytechnics) ;
  • Lee, Hyun Sook (Dept. of Health Administration, Kongju National University) ;
  • Hwang, Seul ki (Dept. of Health Administration, Suwon Women's University)
  • 김상미 (한국폴리텍대학 의료정보과) ;
  • 이현숙 (국립공주대학교 보건행정학과) ;
  • 황슬기 (수원여자대학교 보건행정학과)
  • Received : 2016.09.19
  • Accepted : 2016.11.30
  • Published : 2016.12.30
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Abstract

The purpose of this study is to identify patient and hospital characteristics with pulmonary tuberculosis and to analyze factors which were influencing length of stay and treatment. The Korean National Hospital Discharge In-depth Injury Survey database from 2006 to 2012 was used for analysis. Study subjects were 4,704 patients and analyzed by using frequency, chi-square and logistic regression through using STATA 12.0. To avoid selection bias, we used propensity score matching. Analysis results show that the length of stay and treatment of pulmonary tuberculosis was different between insurance types. Patients characteristic(female, comorbidity, admission by outpatient department, medical insurance type) and hospital characteristic(500-999 beds, over 1000 beds) significantly influence length of stay. Admission by outpatient department and over 1000 beds are significantly influence treatment. Based on these findings, it is necessary to clarify between length of stay and treatment outcome by medical aids beneficiaries and audit hospitals follow discharge guidelines in pulmonary tuberculosis patients.

Keywords

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