The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Analysis of Changes in Patient Costs in 7Diagnosis-Related Groups through Time Series Analysis - Focusing on the Characteristics of Medical Institutions -

시계열 분석을 통한 7개질병군 포괄수가제의 환자 비용 변화 분석 -의료기관의 유형별 특성을 중심으로-

  • Yun, Hye-Jee (Graduate School of Global Policy, Department of Economics and International Trade, Pusan National University) ;
  • Lee, Chang-Min (Insti ute of Convergence Medical Technology, Pusan National University Hospital)
  • 윤혜지 (부산대학교 경제통상대학원 글로벌정책전공) ;
  • 이창민 (부산대학교병원 융합의학기술원)
  • Received : 2017.08.01
  • Accepted : 2017.09.13
  • Published : 2017.09.30
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Abstract

Objectives : This study analyzed the trends of patient costs in 7diagnosis-related groups(DRG) since July 2013 when the government made it mandatory for all hospitals and clinics. Methods : Data were collected from the 7DRG score chart published by the Ministry of Health and Welfare(MoHW) from July 2013 to January 2017. The average value of the weekday relative value scale was multiplied by unit price, referred to as'- "patient costs by disease group"-' and they were analyzed by time series. Results : Patient costs had increased among all patients with a comprehensive disease. Small and medium-sized hospitals (hospitals and clinics) showed a slight increase in patient costs. Conclusions : Enforcement of the Korean diagnosis-related groups has led to management crisis in small and medium-sized hospitals and deterioration medical service quality. To solve this problem, The weekday relative value scale of small and medium-sized hospitals should be increased significantly.

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References

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