지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.88 No.3
- 발행연도
- 2015.2
- 수록면
- 126 - 132 (7page)
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초록· 키워드
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Purpose: The implementation of the Korean diagnosis-related groups (DRG) payment system has been recently introduced in selected several diseases including appendectomy in Korea. Here, we report the early outcomes with regard to clinical aspects and medical costs of the Korean DRG system for appendectomies in Seoul Metropolitan Government ? Seoul National University Boramae Medical Center throughout comparing before and after introduction of DRG system.
Methods: The DRG system was applied since January 2013 at our institute. After the DRG system, we strategically designed and applied our algorithm for the treatment of probable appendicitis. We reviewed the patients who were treated with a procedure of appendectomy for probable appendicitis between July 2012 and June 2013, divided two groups based on before and after the application of DRG system, and compared clinical outcomes and medical costs.
Results: Total 416 patients were included (204 patients vs. 212 patients in the group before vs. after DRG). Shorter hospital stays (2.98 ± 1.77 days vs. 3.82 ± 1.84 days, P < 0.001) were found in the group after DRG. Otherwise, there were no significant differences in the perioperative outcomes and medical costs including costs for first hospitalization and operation, costs for follow-up after discharge, frequency of visits of out-patient’s clinic or Emergency Department or rehospitalization.
Conclusion: In the Korean DRG system for appendectomy, there were no significant differences in perioperative outcomes and medical costs, except shorter hospital stay. Further studies should be continued to evaluate the current Korean DRG system for appendectomy and further modifications and supplementations are needed in the future.
Methods: The DRG system was applied since January 2013 at our institute. After the DRG system, we strategically designed and applied our algorithm for the treatment of probable appendicitis. We reviewed the patients who were treated with a procedure of appendectomy for probable appendicitis between July 2012 and June 2013, divided two groups based on before and after the application of DRG system, and compared clinical outcomes and medical costs.
Results: Total 416 patients were included (204 patients vs. 212 patients in the group before vs. after DRG). Shorter hospital stays (2.98 ± 1.77 days vs. 3.82 ± 1.84 days, P < 0.001) were found in the group after DRG. Otherwise, there were no significant differences in the perioperative outcomes and medical costs including costs for first hospitalization and operation, costs for follow-up after discharge, frequency of visits of out-patient’s clinic or Emergency Department or rehospitalization.
Conclusion: In the Korean DRG system for appendectomy, there were no significant differences in perioperative outcomes and medical costs, except shorter hospital stay. Further studies should be continued to evaluate the current Korean DRG system for appendectomy and further modifications and supplementations are needed in the future.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (16)
참고문헌 신청
1. [학술지(정기간행물)] - Fourie C. / 2014 / Systematically evaluating the impact of diagnosis-related groups(DRGs)on health care delivery : a matrix of ethical implications / Health Policy 115 : 157 ~ 164
2. [학술지(정기간행물)] - Mathauer I. / 2013 / Hospital payment systems based on diagnosis-related groups: experiences in low- and middleincome countries. / Bull World Health Organ 91 : 746A ~ 756
4. [학술지(정기간행물)] - Geissler A. / 2012 / Do diagnosis-related groups appropriately explain variations in costs and length of stay of hip replacement? A comparative assessment of DRG systems across 10 European countries / Health Econ 21 (Suppl 2) : 103 ~ 115
5. [학술지(정기간행물)] - Ellis RP / 1998 / Creaming, skimping and dumping : provider competition on the intensive and extensive margins / J Health Econ 17 : 537 ~ 555
6. [학술지(정기간행물)] - Martinussen PE. / 2009 / Reimbursement systems, organisational forms and patient selection: evidence from day surgery in Norway / Health Econ Policy Law 4 (Pt 2) : 139 ~ 158
2. [학술지(정기간행물)] - Mathauer I. / 2013 / Hospital payment systems based on diagnosis-related groups: experiences in low- and middleincome countries. / Bull World Health Organ 91 : 746A ~ 756
4. [학술지(정기간행물)] - Geissler A. / 2012 / Do diagnosis-related groups appropriately explain variations in costs and length of stay of hip replacement? A comparative assessment of DRG systems across 10 European countries / Health Econ 21 (Suppl 2) : 103 ~ 115
5. [학술지(정기간행물)] - Ellis RP / 1998 / Creaming, skimping and dumping : provider competition on the intensive and extensive margins / J Health Econ 17 : 537 ~ 555
6. [학술지(정기간행물)] - Martinussen PE. / 2009 / Reimbursement systems, organisational forms and patient selection: evidence from day surgery in Norway / Health Econ Policy Law 4 (Pt 2) : 139 ~ 158
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UCI(KEPA) : I410-ECN-0101-2016-514-001306565