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요양병원 치매노인의 장기입원 관련 요인

Other Titles
 Factors Associated with the Long-Stay Admissions in Geriatric Hospitals - Focused on Dementia’s Inpatients - 
Authors
 이윤진  ;  이상규  ;  유창훈  ;  김봄결  ;  김태현 
Citation
 Korean Journal of Hospital Management, Vol.25(3) : 29-37, 2020-09 
Journal Title
Korean Journal of Hospital Management(병원경영학회지)
ISSN
 1226-6299 
Issue Date
2020-09
Keywords
long-stay hospitalization ; geriatric hospitals ; facility characteristics ; dementia patients
Abstract
Purposes: The purpose of this study was to identify the factors related to the long-stay hospitalization of dementia patients aged 65 years or older who had received inpatient care at geriatric hospitals according to the minute facility characteristics and patient features.
Methodology: This study was conducted on 317,353 cases of 1,512 geriatric hospitals using the Health Insurance Review and Assessment Service dataset. The data collected were processed using the SAS Enterprise Guide 4.3 for descriptive statistics, the chi-square test, and the binary logistic regression analysis.
Findings: As a result of the study, in the facility characteristics of geriatric hospitals, the long-stay hospitalization of the aged with dementia were found to be related to the type of facility establishment, the number of hospital beds, the number of medical specialists, the number of nursing personnel, and the number of geriatric hospitals by region and province. In the personal features of patients, the long-stay hospitalization was found to be associated with the gender, age, insurance, and the patient classification groups.
Practical Implication: Considering the results of this study, it seems that securing the sufficient medical personnel in a geriatric facility, providing the good quality medical services, and preparing the appropriate discharge plan can reduce the unnecessary long-stay hospitalization and spend the medical expenses for the older patients.
Files in This Item:
T202006447.pdf Download
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
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181812
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