Development of Decision Support System for Case Management Under the DRG PPS(Prospective Payment System): for the Case of Cesarean Section / 대한의료정보학회지
Journal of Korean Society of Medical Informatics
;
: 313-321, 2003.
Article
in Korean
| WPRIM
| ID: wpr-17169
ABSTRACT
Recently, we have experienced with various changes in the health insurance. Korean government is implementing the prospective payment system(PPS) as a pilot project to reduce medical expenditure. Case management is an effective way to reduce costs, while not sacrificing quality of service, under the PPS. In this study, the integrated decision support system(DSS) for case management was presented to support two case management activities ; utilization management and discharge planning. This system can be used in three ways ; prospective, concurrent, and retrospective management. By monitoring cases from medical record database, the DSS provides basic patient information, payment information, medical service information to the case manager. In the future, data warehouse should be introduced to integrate various databases related to case management and to improve quality of information produced by the DSS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Patient Discharge
/
Cesarean Section
/
Pilot Projects
/
Medical Records
/
Diagnosis-Related Groups
/
Health Expenditures
/
Critical Pathways
/
Case Management
/
Insurance, Health
Type of study:
Practice guideline
/
Prognostic study
Limits:
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Journal of Korean Society of Medical Informatics
Year:
2003
Type:
Article
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