10년간 대전대학교 둔산한방병원에 입원한 환자에 대한 연도별 이용실태 분석 : 침구의학과를 중심으로

다국어 초록 (Multilingual Abstract)

Objective : This study was designed to clarify population-social characteristics that influence the utilization patterns of hospitalized patients in a traditional korean hospital thereby providing clinical data which would help further improvements of traditional korean medical service, the acupuncture and moxibustion in particular.

Methods : We investigated population-social characteristics and annual utilization patterns of all patients who were hospitalized for more than 24 hours in Dunsan Korean Medical Hospital from January 2005 to December 2014. The obtained data were recorded in the EMR chart and statistical analysis was performed using SPSS 21.0. Additionally, data from the patients admitted to the department of Acupuncture and Moxibustion were analyzed separately.
Results : 1. All inpatients had significant difference in age, gender, department, disease code annually but not in rehospitalization number. Inpatients of the department of Acupuncture and Moxibustion also varied in their age, gender, disease code annually but not in rehospitalization number.
2. Pearson correlation analysis on all inpatients showed that the mean days of hospital treatments had negative correlation with all variables except medical care insurance. Total cost, cost per day per person and recuperation cost had positive correlation with all variables except medical care insurance. There was no meaningful relationship between non-recuperation cost and the variables.
3. Stepwise multiple regression analysis on all inpatients showed that the mean days of hospital treatments had negative correlation with all variables except automobile insurance. The total hospitalization costs had positive correlation with both general insurance and medical care insurance. Cost per day per person and recuperation cost had positive correlation with the female. There was no meaningful relationship between non-recuperation cost and the variables.
4. Pearson correlation analysis on inpatients of the department of Acupuncture and Moxibustion inpatients showed that the mean days of hospital treatments had positive correlation with all variables except general insurance and automobile insurance. Total cost and recuperation cost had positive correlation with all variables except medical care insurance, and cost per day per person had positive correlation with female and general insurance. There was no meaningful relationship between non-recuperation cost and the variables.
5. Stepwise multiple regression analysis on inpatients of the department of Acupuncture and Moxibustion inpatients, the mean days of hospital treatments, total cost, cost per day per person and recuperation cost had positive correlation with general insurance. There was no meaningful relationship between non-recuperation cost and the variables.

Conclusion : Population-social characteristics of inpatients annually varies and the change influences utilization pattern.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• Ⅱ. 대상 및 방법 3
• 1. 연구 대상 3
• 2. 연구 방법 3
• Ⅲ. 결 과 5
• 1. 연도별 입원 환자의 인구사회적 분포 5
• 2. 연도별 입원 환자의 이용 실태 11
• 1) 입원 과 11
• 2) 재입원 수 13
• 3) 주 상병 17
• 4) 평균재원일 및 입원비용에 대한 상관분석 21
• 5) 평균재원일 및 입원비용에 대한 다중회귀분석 25
• Ⅳ. 고 찰 30
• Ⅴ. 결 론 35
• Ⅵ. 참고문헌 37
• Abstract 40