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논문 기본 정보

자료유형
학술저널
저자정보
조근호 (국립정신건강센터) 석정호 (연세대학교 의과대학 정신건강의학교실) 정운진 (전라북도 마음사랑병원 정신건강의학과) 이병철 (한림대학교 의과대학 정신건강의학교실) 김애련 (건강보험심사평가원) 최은경 (건강보험심사평가원 분류체계실) 원보윤 (건강보험심사평가원 분류체계실) 이정석 (국민건강보험 일산병원 정신건강의학과)
저널정보
대한신경정신의학회 신경정신의학 신경정신의학 제56권 제1호
발행연도
2017.2
수록면
10 - 19 (10page)
DOI
https://doi.org/10.4306/jknpa.2017.56.1.10

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초록· 키워드

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Objectives This study was conducted to investigate whether the charges associated with Korean Diagnosis-Related Groups for mental health inpatients adequately reflect the degree of medical resource consumption for inpatient treatment in the psychiatric ward. Methods This study was conducted with psychiatric inpatients data for 2014 from the National Health Insurance claim database. The main diagnoses required for admission, classification of the hospitals, and main treatment services were analyzed by examining descriptive statistics. Homogeneities of the major diagnostic criteria were assessed by calculating coefficient variances. Explanation power was determined by R2 values. Results The most frequent disorders for psychiatric inpatient treatment were alcohol-use disorder, depressive episodes, bipolar affective disorder, and dementia in Alzheimer’s disease. Hospitalization and psychotherapy fees were the main medical expenses. Regardless of the homogeneity of the disease group, duration of hospital stay was the factor that most influenced medical expenses. In the psychiatric area, explanation power of Korean Diagnosis-Related Groups was 16.52% (p<0.05), which was significantly lower than that for other major diagnostic area. Conclusion Most psychiatric illnesses are chronic, and the density of services can vary depending on illness severity or associated complications. The current Korean Diagnosis-Related Groups criteria did not adequately represent the amount of in-hospital medical expenditures. A novel Korean classification system that reflects the expenditures of medical resources in psychiatric hospitals should be developed in order to provide appropriate reimbursements.

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