기사
상세불명 병원체 폐렴의 중증도 보정 재원일수모형 개발 및 적용(Development and Application of a Severity-Adjusted LOS Model for Pneumonia, organism unspecified patients)
- 개인저자
- 윤경일
- 수록페이지
- 21-33 p.
- 발행일자
- 2014.12.23
- 출판사
- 한국병원경영학회
초록
This study was conducted to propose an insight into the appropriateness of hospital length of stay(LOS) bydeveloping a severity-adjusted LOS model for patients with pneumonia, organism unspecified. The pneumoniarisk-adjustment model developed in this paper is based upon the 2006-2010 the Korean National HospitalDischarge in-depth Injury Survey.
Decision tree analysis revealed that age, admission type, insurance type, and the presence of additionaldisorders(pleural effusion, respiratory failure, sepsis, congestive heart failure etc.) were major factors affecting theseverity-adjusted model using the Clinical Classifications Software(CCS). Also there was a difference in LOSamong the regional hospitals, especially the hospital LOS has not been efficiently managed inGyeongsangbuk-do, Jeollanam-do, Jeollabuk-do, Daejeon, and Busan.
To appropriately manage hospital LOS, reliable statistical information about severity-adjusted LOS should begenerated on a national level to make sure that hospitals voluntarily reduce excessive LOS and manage maincauses of delayed discharge.