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혈액은행 검사의 원가구조 분석

Other Titles
 Cost Structure Analysis of Blood Bank Tests 
Authors
 이정훈  ;  차예지  ;  오윤숙  ;  김신영  ;  김현옥 
Citation
 Korean Journal of Blood Transfusion (대한수혈학회지), Vol.21(2) : 105-114, 2010 
Journal Title
 Korean Journal of Blood Transfusion (대한수혈학회지) 
ISSN
 1226-9336 
Issue Date
2010
Keywords
Blood bank test ; Cost analysis ; Reimbursement
Abstract
Background: Health Insurance reimbursement does not accurately reflect the cost of test items performed in a hospital, and it is particularly more difficult to introduce laboratory tests applying new technology. Ensuring the safety of blood bank tests is encumbered since the reimbursement rates for the blood bank items that are high risk are not properly set. In this study, we analyzed the validity of reimbursement through a cost analysis of testing performed in Severance Hospital blood bank. Methods: Original cost and net income were calculated for the tests performed in Severance Hospital blood bank from 1 January, 2009 to 31 December 2009. Results: The original cost and deficit of ABO & Rh(D) blood tests using an automated blood test analyzer was 4,588 won and 1,572 won (52% compared to reimbursement), respectively. Irregular antibody screening test was 3,416 won in original cost and 3,422 won profit. Lewis antigen test was 10,816 won in original cost, creating a 4,745 won deficit. Irregular antibody identification was 32,568 won in original cost and 17,189 won in deficit. Conclusion: Unless the original cost of blood bank tests is reflected in the reimbursement rates, hospital blood banks will run into a budget deficit and blood bank automation, which is used worldwide for patient safety, will not be used in domestic health care.
Files in This Item:
T201002783.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sin Young(김신영) ORCID logo https://orcid.org/0000-0002-2609-8945
Kim, Hyun Ok(김현옥) ORCID logo https://orcid.org/0000-0002-4964-1963
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101721
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