Computed Tomography Spending and Utilization for Inpatients with Cerebral Infarction in South Korea / 보건행정학회지
Health Policy and Management
;
: 358-364, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-740243
ABSTRACT
BACKGROUND:
Computed tomography (CT) is one of the most efficient diagnostic methods for stroke patients. The number of CT scanners in South Korea, however, is higher than in other countries, and may cause the overuse of this tool in healthcare. We aim to study the relationship between using CT and various patient and hospital characteristics among patients with cerebral infarction.METHODS:
We analyzed nationwide health insurance claims data for patients due to cerebral infarction during the second half of 2013 for up to 3 months. We performed multilevel analysis, including both inpatient and hospital-level variables, to determine how factors affect CT spending and utilization.RESULTS:
The data used in our study consisted of 17,046 hospitalizations at 583 hospitals. Inpatients who visited more than one hospital had higher CT utilization numbers and cost (number ≥3 hospitals β, 2.27; p <0.05; 2 hospitals β, 0.70; p <0.05; cost ≥3 hospitals β, 251,108; p <0.05; 2 hospitals β, 77,299; p <0.05). People who visited a general hospital had higher numbers and cost of CT utilization than people who visited a smaller hospital.CONCLUSION:
Increased sharing of records and improved continuity of care between hospitals are needed to help curb the overuse of CT.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Infarto Cerebral
/
Gastos em Saúde
/
Continuidade da Assistência ao Paciente
/
Acidente Vascular Cerebral
/
Atenção à Saúde
/
Análise Multinível
/
Hospitalização
/
Hospitais Gerais
/
Pacientes Internados
/
Seguro Saúde
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Health Policy and Management
Ano de publicação:
2017
Tipo de documento:
Artigo
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