Changes in the Medical Cost and Practice Pattern according to the Implementation of per Diem Payment in Hospice Palliative Care / 보건행정학회지
Health Policy and Management
;
: 40-48, 2019.
Article
in Korean
| WPRIM
| ID: wpr-763901
ABSTRACT
BACKGROUND:
As of July 2015, per diem payment was changed from fee for service Therefore, this study aims to analyse changes in medical charges and medical services before and after enforcement of the palliative care, targeting palliative care wards in a general hospital, and provide basic data needed for development of per diem payment.METHODS:
The subjects of the study were a total of 610 cases consisting of 351 patients of service fee who left hospital (died) from July 2014 to June 2016 and 259 ones of per diem payment at Chosun University Hospital in Gwangju Metropolitan City.RESULTS:
The results are summarized as follows. First, after the palliative care system was applied, benefit medical service charges and insurance increased significantly (p<0.001). As benefit medical service charges increased, benefit private insurance payment increased significantly (p<0.001). Second, after the per diem payment was applied, total private insurance payment to medical institutes decreased significantly (p=0.050) and non-benefit also decreased significantly (p=0.001).CONCLUSION:
It is suggested that additional rewards in the obligatory palliative care items should be continuously remedied and monitored to provide good quality hospice palliative care.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Palliative Care
/
Reward
/
Fee-for-Service Plans
/
Academies and Institutes
/
Fees and Charges
/
Hospices
/
Hospitals, General
/
Insurance
Type of study:
Health economic evaluation
Limits:
Humans
Language:
Korean
Journal:
Health Policy and Management
Year:
2019
Type:
Article
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