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논문검색

서울지역 일개 지역응급의료센터에 내원한 환자의 보험급종별 응급실 이용행태 분류

원문정보

Classification of emergency room usage patterns according to the type of insurance in patients visiting an emergency medical center in Seoul, Korea

김무현, 안형진

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초록

영어

Purpose: We analyzed the characteristics and differences in patients’ medical benefits and health insurance based on disease severity classification. Methods: We examined 29,139 patients who visited the emergency medical center of K Hospital from January 1,2016 to December 31, 2016. Survey items included the Korean Triage and Acuity Scale (KTAS) classification of emergency and non-emergency situations ratio and type of insurance. Results: According to KTAS classification, 76.2% of patients exhibited an emergency condition and 23.8% exhibited a non-emergency condition. Emergency patients exhibited more trauma than non-emergency patients. According to the type of insurance coverage, the duration of stay in the emergency room was longer for patients with medical care than for patients with health insurance. Additionally, 119 ambulances use was significantly higher among patients with medical care. Conclusion: Policy discussions should address alternative ways to replace the 119 ambulances used by patients in this study. Additionally, health care administrators should identify alternative care agencies as potential alternatives to emergency room visits.

목차

=Abstract =
Ⅰ. 서론
1. 연구의 필요성
2. 연구의 목적
Ⅱ. 연구방법
1. 연구설계
2. 연구대상
3. 연구도구
4. 분석방법
Ⅲ. 연구결과
1. 연구대상자들의 일반적 특성
2. 보험 급종에 따른 응급실 내원 양상
3. KTAS I, II, III(응급환자)등급에 따른 보험형태별 내원양상
4. KTAS I, II, III(응급환자)등급에 따른 보험형태별 입원 및 응급실 체류
5. KTAS IV, V(비 응급환자)등급에 따른 보험형태별 내원양상
6. KTAS IV, V(비 응급환자)등급에 따른 보험형태별 입원 및 응급실 체류
Ⅳ. 고찰
Ⅴ. 결론
References
ORCID ID

저자정보

  • 김무현 Moo-Hyun Kim. 고려대학교 대학원 보건학협동과정
  • 안형진 Hyoung-Gin An. 고려대학교 의과대학 의학통계학교실

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