Your browser doesn't support javascript.
loading
The Significance and Limitations of Korean Diagnosis-Related Groups in Psychiatric Inpatients' Hospital Charges / 신경정신의학
Journal of Korean Neuropsychiatric Association ; : 10-19, 2017.
Artículo en Coreano | WPRIM | ID: wpr-105746
ABSTRACT

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.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Psicoterapia / Salud Mental / Clasificación / Grupos Diagnósticos Relacionados / Gastos en Salud / Precios de Hospital / Trastornos del Humor / Demencia / Trastorno Depresivo / Diagnóstico Tipo de estudio: Estudio diagnóstico / Evaluación Económica en Salud Límite: Humanos Idioma: Coreano Revista: Journal of Korean Neuropsychiatric Association Año: 2017 Tipo del documento: Artículo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Psicoterapia / Salud Mental / Clasificación / Grupos Diagnósticos Relacionados / Gastos en Salud / Precios de Hospital / Trastornos del Humor / Demencia / Trastorno Depresivo / Diagnóstico Tipo de estudio: Estudio diagnóstico / Evaluación Económica en Salud Límite: Humanos Idioma: Coreano Revista: Journal of Korean Neuropsychiatric Association Año: 2017 Tipo del documento: Artículo