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Impact of Hospital Specialization on Hospital Charge, Length of Stay and Mortality for Lumbar Spine Disease Inpatients
DC Field | Value | Language |
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dc.contributor.author | 김태현 | - |
dc.contributor.author | 박은철 | - |
dc.contributor.author | 이상규 | - |
dc.date.accessioned | 2018-08-28T17:00:17Z | - |
dc.date.available | 2018-08-28T17:00:17Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 1225-4266 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/162155 | - |
dc.description.abstract | Background: This study investigates association modified category medical specialization (CMS) and hospital charge, length of stay (LOS), and mortality among lumbar spine disease inpatients. Methods: This study used National Health Insurance Service–cohort sample database from 2002 to 2013, using stratified representative sampling released by the National Health Insurance Service. A total of 56,622 samples were analyzed. The primary analysis was based on generalized estimating equation model accounting for correlation among individuals within each hospital. Results: Inpatients admitted with lumbar spine disease at hospitals with higher modified CMS had a shorter LOS (estimate, -1.700; 95% confidence interval [CI], -1.886 to -1.514; p<0.0001). Inpatients admitted with lumbar spine disease at hospitals with higher modified CMS had a lower mortality rate (odds ratio, 0.635; 95% CI, 0.521 to 0.775; p<0.0001). Inpatients admitted with lumbar spine disease at hospitals with higher modified CMS had higher hospital cost per case (estimate, 192,658 Korean won; 95% CI, 125,701 to 259,614; p<0.0001). However, inpatients admitted with lumbar spine surgery patients at hospitals with higher modified CMS had lower hospital cost per case (estimate, -152,060 Korean won; 95% CI, -287,236 to -16,884; p=0.028). Inpatients admitted with lumbar spine disease at hospitals with higher modified CMS had higher hospital cost per diem (estimate, 55,694 Korean won; 95% CI, 46,205 to 65,183; p<0.0001). Conclusion: Our results showed that increase in hospital specialization had a substantial effect on decrease in hospital cost per case, LOS, and mortality, and on increase in hospital cost per diem among lumbar spine disease surgery patients. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 한국보건행정학회 | - |
dc.relation.isPartOf | Korean Journal of Health Policy and Administration (보건행정학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Impact of Hospital Specialization on Hospital Charge, Length of Stay and Mortality for Lumbar Spine Disease Inpatients | - |
dc.type | Article | - |
dc.contributor.college | Graduate School of Public Health | - |
dc.contributor.department | Graduate School of Public Health | - |
dc.contributor.googleauthor | Jae-Hyun Kim | - |
dc.contributor.googleauthor | Eun-Cheol Park | - |
dc.contributor.googleauthor | Young Hoon Kim | - |
dc.contributor.googleauthor | Tae Hyun Kim | - |
dc.contributor.googleauthor | Kwang Soo Lee | - |
dc.contributor.googleauthor | Sang Gyu Lee | - |
dc.identifier.doi | 10.4332/KJHPA.2018.28.1.53 | - |
dc.contributor.localId | A01082 | - |
dc.contributor.localId | A01618 | - |
dc.contributor.localId | A02811 | - |
dc.relation.journalcode | J02025 | - |
dc.identifier.eissn | 2289-0149 | - |
dc.subject.keyword | Hospital | - |
dc.subject.keyword | Specialization | - |
dc.subject.keyword | Mortality | - |
dc.contributor.alternativeName | Kim, Tae Hyun | - |
dc.contributor.alternativeName | Park, Eun Chul | - |
dc.contributor.alternativeName | Lee, Sang Gyu | - |
dc.contributor.affiliatedAuthor | Kim, Tae Hyun | - |
dc.contributor.affiliatedAuthor | Park, Eun Chul | - |
dc.contributor.affiliatedAuthor | Lee, Sang Gyu | - |
dc.citation.volume | 28 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 53 | - |
dc.citation.endPage | 69 | - |
dc.identifier.bibliographicCitation | Korean Journal of Health Policy and Administration, Vol.28(1) : 53-69, 2018 | - |
dc.identifier.rimsid | 59743 | - |
dc.type.rims | ART | - |
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