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보건행정학회지 = Korean journal of health policy and administration v.20 no.2 = no.61, 2010년, pp.17 - 39   피인용횟수: 3
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

DRG(Diagnosis-Related Group)를 이용한 포괄진료비 지불제도의 선택 참여에 따른 재원일수 변화
Variation in hospital length of stay according to the DRG-based prospective payment system in the voluntarily participating providers

최숙자    (서울대학교 보건대학원   ); 권순만    (서울대학교 보건대학원   ); 강길원    (충북대학교 의과대학 의료정보학및관리학교실   ); 문상준    (서울대학교 의과대학 의료관리학교실, 의료관리학연구소   ); 이진석    (서울대학교 의과대학 의료관리학교실, 의료관리학연구소  );
  • 초록

    This study explored the impact on the DRG(Diagnosis-Related Groups)-based prospective payment system(PPS) operated by voluntarily participation providers. We analyzed whether the provides in the DRG-based PPS and in traditional fee-for-service(FFS) systems showed different the degree of variation in length of stay(LOS), and the providers' behaviors depending on the differences according to the varied participation periods. The study sample included all data 2,061 institutions participated in DRG-PPS in 2007 and all cases 473 FFS institutions which reported fee-for-service claims were reviewed same diagnosized diseases at least 10cases claims during three months We compared the differences of the LOS among health care institutions according to their type, region, and size. For DRGs showing significant differences in LOS, multiple regression analyses were performed to find out factors associated with LOS and interaction effect participation and hospital types or participation periods. The result provide the evidence that the DRG payment system operated by volunteering health care institutions had impact on resources use, which can reduce the institutions' the length of stay. While some DRGs had no correlation between participation periods and LOS, other DRGs, DRG participation period reversely linear relationship with LOS. That is to say, the longer participation year, the less reducing the LOS. These results support the future expansion of the DRG-based PPS plan to all health care services in Korea.

  • 주제어

    Diagnoses-related groups(DRG) .   length of stay .   participation periods.  

  • 참고문헌 (28)

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  • 이 논문을 인용한 문헌 (3)

    1. Shin, Sam-Chul ; Kang, Gil-Won ; Kim, Sang-Won 2013. "Simulation on the Change of Practice Pattern after the Introduction of 7 Diagnosis-related Groups Prospective Payment System in a University Hospital" Health policy and management = 보건행정학회지, 23(2): 103~111     
    2. Choi, Youn-Hee ; Kim, Yun-Jin ; Kang, Sung-Hong 2015. "The Development of Convergence Bench-making system on length of stay" 디지털융복합연구 = Journal of digital convergence, 13(5): 89~99     
    3. Choi, Jae-Woo ; Jang, Sung-In ; Jang, Suk-Yong ; Kim, Seung-Ju ; Park, Hye-Ki ; Kim, Tae Hyun ; Park, Eun-Cheol 2016. "The Effect of Mandatory Diagnosis-Related Groups Payment System" Health policy and management = 보건행정학회지, 26(2): 135~147     

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