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포괄수가제 시범사업 전,후 질식분만 환자의 진료형태 변화에 관한 연구 : 보험자 직영 병원을 중심으로

포괄수가제 시범사업 전,후 질식분만 환자의 진료형태 변화에 관한 연구 : 보험자 직영 병원을 중심으로

Material type
학위논문
Personal Author
정우석
Title Statement
포괄수가제 시범사업 전,후 질식분만 환자의 진료형태 변화에 관한 연구 : 보험자 직영 병원을 중심으로 = (A)study on medical practices of vaginal delivery before or after DRGs payment system / 鄭雨錫.
Publication, Distribution, etc
서울 :   고려대학교 ,   2004.  
Physical Medium
ⅵ, 52 p : 삽도 ; 26 cm.
학위논문주기
학위논문(석사) -- 고려대학교 보건대학원 : 보건정책 및 병원관리학과 , 2004.8
학과코드
0510   6H3   30  
General Note
지도교수 : 윤석준  
비통제주제어
포괄수가제 , 행위별수가제 , 질식분만 , 진료비 , DRG , Diagnosis Related Group , FFS , Fee for Service , Vaginal delivery , medical fee ,,
000 00911namccc200217 k 4500
001 000045134805
005 20100806064717
007 ta
008 041127s2004 ulka m AC 000a kor
040 ▼a 211009 ▼d 211009
085 ▼a 0510 ▼2 KDCP
090 ▼a 0510 ▼b 6H3 ▼c 30
100 1 ▼a 정우석
245 1 0 ▼a 포괄수가제 시범사업 전,후 질식분만 환자의 진료형태 변화에 관한 연구 : ▼b 보험자 직영 병원을 중심으로 = ▼x (A)study on medical practices of vaginal delivery before or after DRGs payment system / ▼d 鄭雨錫.
260 ▼a 서울 : ▼b 고려대학교 , ▼c 2004.
300 ▼a ⅵ, 52 p : ▼b 삽도 ; ▼c 26 cm.
500 ▼a 지도교수 : 윤석준
502 0 ▼a 학위논문(석사) -- ▼b 고려대학교 보건대학원 : ▼c 보건정책 및 병원관리학과 , ▼d 2004.8
653 ▼a 포괄수가제 ▼a 행위별수가제 ▼a 질식분만 ▼a 진료비 ▼a DRG ▼a Diagnosis Related Group ▼a FFS ▼a Fee for Service ▼a Vaginal delivery ▼a medical fee
900 ▼a Jeong, Wo Seok

Electronic Information

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포괄수가제 시범사업 전,후 질식분만 환자의 진료형태 변화에 관한 연구 : 보험자 직영 병원을 중심으로 (4회 열람)
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No. 1 Location Medical Library/Closed Stacks1/ Call Number 0510 6H3 30 Accession No. 133003249 Availability Available Due Date Make a Reservation Service B M

Contents information

Abstract

A study of medical treatment practices of vaginal delivery before and after application of DRGs payment system.
This study was designed to analyze factors, medical service practices and medical fee differences which influence the amount of medical services and medical fees when applying a Fee For Service system rather than a Diagnosis Related Group payment system.
The subjects were 178 patients who were hospitalized and underwent vaginal delivery. Half (89) fell under DRG, and the other half (89) fell under FFS. By using all the data, including medical treatment fee statements, bills, and patient medical charts, we obtained the following results: 
First, there was a big gap between the DRG patients and the FFS patients.
Second, medical treatment revenues increased when FFS was applied compared to DRG. 
Third, there was an increase in patients medical fees, including the fees that were not covered by medical insurance, when DRG was applied.
Fourth, there was a decrease in patients medical fees that were not covered when DRG was applied.
In conclusion, when FFS was applied to the patients who underwent vaginal delivery without complications, the number of hospitalization days, medical fees, and patients medical co-payments, including fees not covered by medical insurance, had increased, which led to an increase in hospitals revenues.
From now on, there should be more studies on changes in the seven objects which were applied to DRG and all the hospitals which were applied to DRGs payment system. In addition, individual patient characteristics (such as occupation, educational level, and financial situation) and doctor's diagnosis types should also be considered. Finally, diverse approaches should be undertaken to improve patient care quality, enhance hospital medical revenues and reduce medical treatment costs.

Table of Contents

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