431 662

Cited 8 times in

Governmental designation of spine specialty hospitals, their characteristics, performance and designation effects: a longitudinal study in Korea.

DC Field Value Language
dc.contributor.author김태현-
dc.contributor.author박은철-
dc.contributor.author이상규-
dc.date.accessioned2015-01-06T17:37:34Z-
dc.date.available2015-01-06T17:37:34Z-
dc.date.issued2014-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100329-
dc.description.abstractOBJECTIVES: This study compares the characteristics and performance of spine specialty hospitals versus other types of hospitals for inpatients with spinal diseases in South Korea. We also assessed the effect of the government's specialty hospital designation on hospital operating efficiency. SETTING: We used data of 823 hospitals including 17 spine specialty hospitals in Korea. PARTICIPANTS: All spine disease-related inpatient claims nationwide (N=645 449) during 2010-2012. INTERVENTIONS: No interventions were made. OUTCOME MEASURES: Using a multilevel generalised estimating equation and multilevel modelling, this study compared inpatient charges, length of stay (LOS), readmission within 30 days of discharge and in-hospital death within 30 days of admission in spine specialty versus other types of hospitals. RESULTS: Spine specialty hospitals had higher inpatient charges per day (27.4%) and a shorter LOS (23.5%), but per case charges were similar after adjusting for patient-level and hospital-level confounders. After government designation, spine specialty hospitals had 8.8% lower per case charges, which was derived by reduced per day charge (7.6%) and shorter LOS (1.0%). Rates of readmission also were lower in spine specialty hospitals (OR=0.796). Patient-level and hospital-level factors both played important roles in determining outcome measures. CONCLUSIONS: Spine specialty hospitals had higher per day inpatient charges but a much shorter LOS than other types of hospitals due to their specialty volume and experience. In addition, their readmission rate was lower. Spine specialty hospitals also endeavoured to be more efficient after governmental 'specialty' designation.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.relation.isPartOfBMJ OPEN-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHEfficiency, Organizational/statistics & numerical data-
dc.subject.MESHFemale-
dc.subject.MESHGovernment-
dc.subject.MESHHospitalization/economics-
dc.subject.MESHHospitalization/statistics & numerical data-
dc.subject.MESHHospitals, Special/organization & administration-
dc.subject.MESHHospitals, Special/standards*-
dc.subject.MESHHospitals, Special/statistics & numerical data*-
dc.subject.MESHHumans-
dc.subject.MESHInpatients/statistics & numerical data-
dc.subject.MESHLength of Stay/economics-
dc.subject.MESHLength of Stay/statistics & numerical data-
dc.subject.MESHLongitudinal Studies-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOutcome Assessment (Health Care)/economics-
dc.subject.MESHOutcome Assessment (Health Care)/methods-
dc.subject.MESHOutcome Assessment (Health Care)/statistics & numerical data*-
dc.subject.MESHPatient Discharge/economics-
dc.subject.MESHPatient Discharge/statistics & numerical data-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHSpinal Diseases/economics-
dc.subject.MESHSpinal Diseases/therapy*-
dc.titleGovernmental designation of spine specialty hospitals, their characteristics, performance and designation effects: a longitudinal study in Korea.-
dc.typeArticle-
dc.contributor.collegeGraduate School of Public Health (보건대학원)-
dc.contributor.departmentGraduate School of Public Health (보건대학원)-
dc.contributor.googleauthorSun Jung Kim-
dc.contributor.googleauthorJi Won Yoo-
dc.contributor.googleauthorSang Gyu Lee-
dc.contributor.googleauthorTae Hyun Kim-
dc.contributor.googleauthorKyu-Tae Han-
dc.contributor.googleauthorEun-Cheol Park-
dc.identifier.doi10.1136/bmjopen-2014-006525-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02811-
dc.contributor.localIdA01082-
dc.contributor.localIdA01618-
dc.relation.journalcodeJ00380-
dc.identifier.eissn2044-6055-
dc.identifier.pmid25394819-
dc.subject.keywordHEALTH SERVICES ADMINISTRATION & MANAGEMENT-
dc.contributor.alternativeNameKim, Tae Hyun-
dc.contributor.alternativeNamePark, Eun Chul-
dc.contributor.alternativeNameLee, Sang Gyu-
dc.contributor.affiliatedAuthorLee, Sang Gyu-
dc.contributor.affiliatedAuthorKim, Tae Hyun-
dc.contributor.affiliatedAuthorPark, Eun Chul-
dc.citation.volume4-
dc.citation.number11-
dc.citation.startPage006525-
dc.identifier.bibliographicCitationBMJ OPEN, Vol.4(11) : 006525, 2014-
dc.identifier.rimsid57592-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.