우리나라 정신질환자의 의료이용 현황과 장기입원 관련 요인

서수경; 김윤; 박종익; 장홍석; 이진석; 이명수; 이선영

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자료유형: 학술저널

저자정보: 서수경 김윤 박종익 장홍석 이진석 이명수 이선영

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제42권 제6호

발행연도: 2009.1

수록면: 416 - 423 (8page)

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연구주제

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연구배경

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연구방법

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연구결과

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Objectives : This study was performed to examine medical care utilization of psychiatric patients and to explore patients’characteristics associated with extended hospitalization. Methods : Data were extracted from information of Korean Health Insurance Review and Assessment Service. All data associated with admission and outpatient clinic visit were analysed by patient characteristics. We selected first psychiatric admission patients who diagnosed mental and behavioral disorders due to use of alcohol (main disease code: F10), schizophrenia and related disorders (F20-29) and mood disorders (F30~33) from January to June 2005. We analysed status of admission, mean length of stay, regular access to outpatient clinic and rates of extended hospitalization during 3 years. Bivariate and multivariate analyses were conducted to identify factors associated with extended hospitalization. Results : The number of psychiatric patients during the first six month of 2005 was 30,678. The mean length of stay was longest for schizophrenia and related disorders but shortest for mood disorders. Patients who experienced an extended hospitalization were 18.8% of total subjects. An extended hospitalization was more common in schizophrenia and related disorders than other diagnostic groups. The factors associated with the extended hospitalization were age, sex, diagnostic group, type of insurance and medical care utilization groups. Conclusions : The study indicates the problem of an extended hospitalization for psychiatric patients in Korea. It is suggested that variations in rates of extended hospitalization among medical care utilization group may need an active early intervention system in psychiatric treatment service. Particular attention needs to be devoted to planning and funding for reducing extended hospitalization.

#Psychiatric diagnosis #Inpatients #Length of stay

참고문헌 (26)

참고문헌 신청

[학술지(

Aitchison KJ / 1999 / First Episode Psychosis / Martin Dunitz : 1 ~ 8

Chapireau F / 2005 / Old and new long stay patients in French psychiatric institutions: results from a national random survey with two-year followup / Encephale 31 (4) : 466

Heiman EM / 1980 / Length of stay for patients in one city’s hospitals with psychiatric units / Hosp Community Psychiatry 31 (9) : 632 ~ 634

Hendryx MS / 1998 / Psychiatric hospitalization characteristics associated with insurance type / Adm Policy Ment Health 25 (4) : 437 ~ 448

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