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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 질병관리본부 Osong Public Health and Research Persptectives Osong Public Health and Research Persptectives Vol.8 No.1
- 발행연도
- 2017.1
- 수록면
- 34 - 46 (13page)
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Objectives: To evaluate associations between hospital volume, costs, and length of stay (LOS), and clinical and demographic outcome factors for five types of cancer resection. The main dependent variables were cost and LOS; the primary independent variable was volume. Methods: Data were obtained from claims submitted to the Korean National Health Insurance scheme. We identified patients who underwent the following surgical procedures: pneumonectomy, colectomy, mastectomy, cystectomy, and esophagectomy. Hospital volumes were divided into quartiles. Results: Independent predictors of high costs and long LOS included old age, low health insurance contribution, non-metropolitan residents, emergency admission, Charlson score > 2, public hospital ownership, and teaching hospitals. After adjusting for relevant factors, there was an inverse relationship between volume and costs/LOS. The highest volume hospitals had the lowest procedure costs and LOS. However, this was not observed for cystectomy. Conclusion: Our findings suggest an association between patient and clinical factors and greater costs and LOS per surgical oncologic procedure, with the exception of cystectomy. Yet, there were no clear associations between hospitals’ cost of care and risk-adjusted mortality.
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참고문헌 (25)
참고문헌 신청
Bruce E. Hillner / 2000 / Hospital and Physician Volume or Specialization and Outcomes in Cancer Treatment: Importance in Quality of Cancer Care / Journal of Clinical Oncology 18(11):2327~2340
Vivian Ho / 2008 / Hospital Volume, Surgeon Volume, and Patient Costs for Cancer Surgery / Medical Care 46(7):718~725
Justin B Dimick / 2001 / Hospital volume is related to clinical and economic outcomes of esophageal resection in Maryland / The Annals of Thoracic Surgery 72(2):334~340
Stephen G. Swisher / 2000 / Effect of operative volume on morbidity, mortality, and hospital use after esophagectomy for cancer / The Journal of Thoracic and Cardiovascular Surgery 119(6):1126~1134
Philip P. Goodney / 2003 / Hospital Volume, Length of Stay, and Readmission Rates in High-Risk Surgery / Annals of Surgery 238(2):161~167
Vivian Ho / 2008 / Hospital Volume, Surgeon Volume, and Patient Costs for Cancer Surgery / Medical Care 46(7):718~725
Justin B Dimick / 2001 / Hospital volume is related to clinical and economic outcomes of esophageal resection in Maryland / The Annals of Thoracic Surgery 72(2):334~340
Stephen G. Swisher / 2000 / Effect of operative volume on morbidity, mortality, and hospital use after esophagectomy for cancer / The Journal of Thoracic and Cardiovascular Surgery 119(6):1126~1134
Philip P. Goodney / 2003 / Hospital Volume, Length of Stay, and Readmission Rates in High-Risk Surgery / Annals of Surgery 238(2):161~167
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