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KMID : 0379220130330030647
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Journal of Korea Gerontological Society
2013 Volume.33 No. 3 p.647 ~ p.659
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Effect of Acute Hospital and Nursing Home Supplies on Inpatient Expenditure of Long-term Care Hospitals: Implications for the Role of Long-term Care Hospital
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Kim Dong-Hwan
Song Hyun-Jong
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Abstract
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The purpose of this study is to examine how the supplies of acute hospitals and nursing homes had influences on the inpatient expenditures of long-term care hospitals of the elderly. Inpatient expenditures were divided into three dependent variables: number of inpatients per bed, length of stay per inpatients, and cost per day. The supplies of acute hospitals and nursing homes were measured as location quotient(LQ), denoting the share of acute hospitals and nursing homes in a 16province to the share of acute hospitals and nursing homes at the national level. Multiple regression was employed as an analytic tool using National Health Insurance data, hospitals reporting data, and annual report of Long Term Insurance in 2010. Nursing homes and acute hospitals were substitution as long-term care hospitals. Furthermore, there were competition between nursing homes and long-term care hospitals. In the regression model of number of inpatients per bed, interaction term between acute hospitals and nursing homes accelerated the main effects. Since long-term care hospitals, nursing homes, and acute hospitals played roles of substitutions and competitions, there should be the system for coordination and collaboration of those organizations.
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KEYWORD
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acute hospital, nursing home, long-term care hospital, inpatient expenditure
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