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.
이용수
초록· 키워드
오류제보하기
Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospitals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pattern were predicted based on clinicians' opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total medical payment was reduced by 14.4%. The drug payment change (8.8%) took most of total payment reduction. The followings are the change of treatment material cost (3.2%), the change of laboratory tests cost (1.8%), the change of room charge (0.5%), and other payment change (0.1%), respectively. Second, most of the reduction in total medical payment resulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve quality of care.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Choi BH / 1999 / Management experience for DRG-PPS in the U.S. and evaluation for DRG demonstration project in Korea / Korean Health Econ Rev 5:133~154
Ministry of Health and Welfare / Evaluation of the DRG demonstration project and improvement plan 2000
Kim JH / 2002 / Re-evaluation of demonstration project by DRG payment system / Korean Health Econ Rev 8(1):59~89
Lee SH / 2000 / A critical review of the application experiences of the DRG reimbursement system in the USA / Korean J Health Policy Admin 10(4):20~56
Health Insurance Review and Assessment Service / 2009 / Study on the improvement of 7 DRGs prospective payment system
Ministry of Health and Welfare / Evaluation of the DRG demonstration project and improvement plan 2000
Kim JH / 2002 / Re-evaluation of demonstration project by DRG payment system / Korean Health Econ Rev 8(1):59~89
Lee SH / 2000 / A critical review of the application experiences of the DRG reimbursement system in the USA / Korean J Health Policy Admin 10(4):20~56
Health Insurance Review and Assessment Service / 2009 / Study on the improvement of 7 DRGs prospective payment system
이 논문의 저자 정보
최근 본 자료
댓글(0)
0