장애인 환자 및 가족들에 의한 입원 이용 결정의 양상 = Appearance on the utilization of hospital Admissions Decided by Patient or Their Families with disabilities

다국어 초록 (Multilingual Abstract)

We used the 2008-2015 Korea Health Panel Data. Of the total 2,058 cases of admission, 298 cases(14.5%) of admissions are made by the decision of patients or their families with disabilities. The multiple logistic regression analysis shows that the admission decision by patients or their families with disabilities(ADPFD) is higher in the 18-44 years age group(OR:27.332) and 45-64 years of age group(OR:28.823) and 65 years old or older years of age group(OR:26.113) compared with the under 17 years age group. the ADPFD rate is higher in the patients admitted in hospital or clinics(1.980) and geriatric hospital or convalescent hospital(OR:12.785) than that of admitted in superior general hospitals. the ADPFD rate is higher in the patients admitted in 29-30 days(OR:8.108) and more than 31 days(OR:1.635) than that of admitted 13 days or less. In addition, The ADPFD rate is higher in the medical aid’s group(OR:4.499) and national merit reward beneficiaries and their family’s group(OR:3.836) compared with the National health insurance’s group.
Accordingly, various health care utilization policies should be developed in order to enable disabled people who are admitted by patients with disabilities and their families to use medical services in appropriate places.

국문 초록 (Abstract)

연구 결과, 총 2,058명의 입원환자 중 14.5%인 298명이 장애인 환자 및 가족 등에 의해 입원하였다. 입원한 환자들은 17세 이하의 환자보다 18-44세 환자, 45-64세 환자, 65세 이상 환자가 각각 27.332배, 28.823배, 26.113배 많았고, 의료기관 종별유형에서 상급종합병원에 입원한 환자보다 병원 및 의원과 노인 및 요양병원에 입원한 환자가 각각 1.980배, 12.785배 많았으며, 재원 기간에서 13일 이하로 입원한 환자보다 29-30일 입원한 환자와 31일 이상 입원한 환자가 각각 8.108배, 1.635배 많았고, 진료비 지급유형에서 건강보험환자보다 의료급여환자와 국가 유공자 및 가족 특례 환자가 각각 4.499배, 3.836배 많았으며, 의료기관 선택 사유에서 다니던 병원이었기 때문에 입원한 환자보다 병원이 가까우므로 입원한 환자가 1.635배 많았다.
이에 따라, 장애인 환자 및 가족 등에 의해 입원된 장애인들이 적절한 곳에서 의료이용이 되기 위해서는 다양한 보건의료 이용정책(입원기준 마련, 사전입원허가제 도입, 본인부담금 책정 일원화, 보건의료이용정보체계 개선, 덴마크와 스웨덴의 지역사회 중심의 통합의료서비스체계 구축)들이 개발되어야겠다.

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