지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Backgrounds: Inpatient Classification System for Korean Medicine (KDRG-KM) was developed and has been applied for monitoring the costs of KM hospitals. Yet severity of patients’ condition is not applied in the KDRG-KM.
Objectives: This study aimed to develop the severity classification methods for KDRG-KM and assessed the explanation powers of severity adjusted KDRG-KM.
Methods: Clinical experts panel was organized based on the recommendations from 12 clinical societies of Korean Medicine. Two expert panel workshops were held to develop the severity classification options, and the Delphi survey was performed to measure CCL(Complexity and Comorbidity Level) scores. Explanation powers were calculated using the inpatient EDI claim data issued by hospitals and clinics in 2012.
Results: Two options for severity classification were deduced based on the severity classification principle in the domestic and foreign DRG systems. The option one is to classify severity groups using CCL and PCCL(Patient Clinical Complexity Level) scores, and the option two is to form a severity group with patients who belonged principal diagnosis-secondary diagnosis combinations which prolonged length of stay. All two options enhanced explanation powers less than 1%. For third option, patients who received certain treatments for severe conditions were grouped into severity group. The treatment expense of the severity group was significantly higher than that of other patients groups.
Conclusions: Applying the severity classifications using principal diagnosis and secondary diagnoses can advance the KDRG-KM for genuine KM hospitalization. More practically, including patients with procedures for severe conditions in a severity group needs to be considered.
Objectives: This study aimed to develop the severity classification methods for KDRG-KM and assessed the explanation powers of severity adjusted KDRG-KM.
Methods: Clinical experts panel was organized based on the recommendations from 12 clinical societies of Korean Medicine. Two expert panel workshops were held to develop the severity classification options, and the Delphi survey was performed to measure CCL(Complexity and Comorbidity Level) scores. Explanation powers were calculated using the inpatient EDI claim data issued by hospitals and clinics in 2012.
Results: Two options for severity classification were deduced based on the severity classification principle in the domestic and foreign DRG systems. The option one is to classify severity groups using CCL and PCCL(Patient Clinical Complexity Level) scores, and the option two is to form a severity group with patients who belonged principal diagnosis-secondary diagnosis combinations which prolonged length of stay. All two options enhanced explanation powers less than 1%. For third option, patients who received certain treatments for severe conditions were grouped into severity group. The treatment expense of the severity group was significantly higher than that of other patients groups.
Conclusions: Applying the severity classifications using principal diagnosis and secondary diagnoses can advance the KDRG-KM for genuine KM hospitalization. More practically, including patients with procedures for severe conditions in a severity group needs to be considered.
목차
서론
고찰
결론
참고문헌
참고문헌 (9)
참고문헌 신청
Health Insurance Review & Assessment Service. Guidebook for KDRG-KM (PDF format). 2017
Kim DS, Ryu JS, Lee BW, Lim BM. Assessment of Validity of Inpatient Classification System in Korean Medicine (KDRG-KM). J Korean Med. 2016;37(3):112-122. http://dx.doi. org/10.13048/jkm.16039
Busse R, Geissler A, Quentin W, Wiley M. Diagnosis-Related Groups in Europe. 2011.
Health Insurance Review & Assessment Service. Evaluation of treatment results - Understanding the adjustment of severity level (Jinryo Gyelgwa Pyunga ? Joongjeungdo Bojeongui Yihae) . 2012.
Health Insurance Review & Assessment Service. Korean Medicine hospital EDI claims data file. 2012.
Kim DS, Ryu JS, Lee BW, Lim BM. Assessment of Validity of Inpatient Classification System in Korean Medicine (KDRG-KM). J Korean Med. 2016;37(3):112-122. http://dx.doi. org/10.13048/jkm.16039
Busse R, Geissler A, Quentin W, Wiley M. Diagnosis-Related Groups in Europe. 2011.
Health Insurance Review & Assessment Service. Evaluation of treatment results - Understanding the adjustment of severity level (Jinryo Gyelgwa Pyunga ? Joongjeungdo Bojeongui Yihae) . 2012.
Health Insurance Review & Assessment Service. Korean Medicine hospital EDI claims data file. 2012.
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UCI(KEPA) : I410-ECN-0101-2018-519-001329192