한방병원 입원환자의 진료비 특성분석

• 영문명: Distributive Characteristics of Daily Average Medical Charge of the In-patients of Oriental Medical Hospital in Korea
• 발행기관: 한국노년학회
• 저자명: 최만규(Man Kyu Choi) 이석민(Suk Min Lee)
• 간행물 정보: 『한국노년학』제21권 1호, 47~57쪽, 전체 10쪽
• 주제분류: 사회과학 > 사회복지학
• 파일형태: PDF
• 발행일자: 2001.03.30

국문 초록

이 연구는 한방병원 입원환자의 진료과별ㆍ재원일별 일평균진료비 발생양상과 그 분포적 특성을 규명함을 목표로 자료입수가 가능했던 한방병원 2개소를 대상으로 2000년 1월 1일에서 6월 30일까지 6개월 동안 내원한 입원환자의 일일진료비 명세서를 이용하여 분석하였다. 분석대상 진료과는 한방내과, 한방침구과, 한방신경정신과, 한방물리요법과, 한방안ㆍ이비인후과, 한방소아과, 한방부인과였으며, 분석대상 입원환자는 각각 1,174명(60.6%), 410명(21.3%), 135명(7.0%), 119명(6.3%), 32명(1.7%), 42명(2.3%), 16명(0.8%)으로 총1,928명이었다. 연구결과 한방병원 입원환자들의 재원일별 일평균진료비 발생양상은 양방병원의 그것 즉, 입원 2-3일째 각종 검사ㆍ처치ㆍ수술 등이 수행되고 그 후의 입원기간은 회복기인 요양기간에 해당됨으로 인해 일평균진료비가 4일째부터는 급격히 감소하여 낮은 수준에서 일정한 변화양상을 유지하는 것과 달리 재원 초반에서 후반에 이르기까지 큰 특징없이 진료과별 일평균진료비를 기준으로 높고 낮음의 약간의 편차를 보이면서 일정하게 변화하는 특성을 보였다. 재원기간 후반기 시점에서 재원일별 진료비 편차가 다소 심했고, 입원 첫날의 진료비가 다소 높기는 하였으나 양방병원과는 달리 재원기간에 의해 큰 영향을 받지 않는 것으로 나타났다.

영문 초록

Recently the demand to oriental medicine has been continuously increased because of the rise of the numbers of chronic disease and the elderly and widening enforcement of medical insurance in addition to the ardent desire for health. This study was accomplished for the purpose of making the basic data which would be used in developing diagnosis and treatment charge system and calculating the rational fee for oriental medicine, as the result of examination of occurrence aspect and distributive characteristics of daily average medical charge of the in-patients of two oriental medical hospitals. In this study, the data of daily diagnosis and treatment charge of 1,928 in-patients admitted in 7 clinical departments of two Oriental Hospitals from January 1 to June 30, 2000 was analysed through the Excel and SPSS after the coding of them. The result of this study would be summarized as followings. 1. The average length of stay by clinical department was 17.5 in dept. of internal medicine, 18.0 in dept. of acupuncture, 11.8 in dept. of neurology and psychiatry, 22.4 in dept. of physical therapy, 16.0 in dept. of ophthalmology and otorhinolaryngology, 7.5 in dept. of pediatrics, and 4.6 in dept. of gynecology. And average medical charge by clinical department was 63,621, 58,534, 72,821, 55,383, 65,695, 48,354, and 78,034 respectively. 2. We found distinct characteristic differences between the studies on western medicine hospital and this study in the figures showing the occurrence track of diagnosis and treatment charge of the in-patients. The occurrence aspect and distributive characteristics of daily average medical charge of the in-patients of an oriental medical hospital showed the pattern exposing the constant variations around horizontal line without a great particularity through length of stay, compared to that of western hospital. And it showed widening variations of medical charge in late of admission, and the character of the higher medical charge in the first day of admission than the second or third day.

목차

국문요약

Ⅰ. 서론

Ⅱ. 연구결과 및 고찰

Ⅲ. 결론

참고문헌

Abstract