[논문]재활환자 재택의료 시범사업 참여자와 미참여자의 의료이용 및 진료비 비교

김지만; 이상규; 지영건

[국내논문] 재활환자 재택의료 시범사업 참여자와 미참여자의 의료이용 및 진료비 비교
Comparison of medical use and medical expenses between participants and non-participants in the home-based care pilot project for rehabilitation patients 원문보기

병원경영학회지 = Korea journal of hospital management, v.29 no.3, 2024년, pp.1 - 10

김지만 (을지대학교 의료경영학과) , 이상규 (연세대학교 의과대학 예방의학교실) , 지영건 (차의과학대학교 의학전문대학원 예방의학교실)

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Purposes: When rehabilitation services are provided remotely using information and communication technologies to patients living at home, there is an advantage in providing rehabilitation services to individuals in their everyday social and physical environment, which can improve functional outcomes and satisfaction. The purpose of this study was to analyze the effectiveness of the pilot project by analyzing the outpatient and inpatient medical use and expenses of patients who participated in the rehabilitation patient home-based care pilot project. Methodology: To analyze the effectiveness of the home-based care pilot project for rehabilitation patients, health insurance claims data from the Health Insurance Review and Assessment Service was used. The subjects of analysis were patients who had undergone major lower extremity joint replacement surgery, including hip, knee, and ankle joint replacement surgery, and patients who had lower extremity fracture surgery, which were the targets of the rehabilitation patient home-based care pilot project. To compare medical use and expenses between patients participating in the rehabilitation patient home-based care pilot project and those not participating, chi-square test, t-test, and multiple regression analysis were performed. Findings: As a result of analyzing the number of medical use cases and expenses of patients who participated and those who did not participate in the rehabilitation patient home-based care pilot project, the average outpatient medical use and outpatient medical expenses per person for participating patients were lower than those for patients who did not participate. The average hospitalization cost per person and the average length of stay per person were also lower than those of patients who did not participate. Practical Implications: Home-based care for rehabilitation patients continues to provide medical services at home, not at medical institutions, and can be expected to reduce readmissions and complications by resolving patients' emergency situations at home or on their own, thereby reducing medical use.

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참고문헌 (19)

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[국내논문] 재활환자 재택의료 시범사업 참여자와 미참여자의 의료이용 및 진료비 비교
Comparison of medical use and medical expenses between participants and non-participants in the home-based care pilot project for rehabilitation patients 원문보기

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[국내논문] 재활환자 재택의료 시범사업 참여자와 미참여자의 의료이용 및 진료비 비교 Comparison of medical use and medical expenses between participants and non-participants in the home-based care pilot project for rehabilitation patients 원문보기

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Comparison of medical use and medical expenses between participants and non-participants in the home-based care pilot project for rehabilitation patients 원문보기

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