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KMID : 1002520120060020101
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Korean Journal of Health Service Management
2012 Volume.6 No. 2 p.101 ~ p.109
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Study on the Medical Cost of Patients Visited by Referral Center: Focusing on the Patient in Gastroenterology
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Choi Young-Doo
Lee Kwang-Soo
Hong Sang-Jin
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Abstract
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This study purposed to analyze the differences of cost, length of stay, and number of visits between patients who referred from clinics to a general hospital and patients who directly visit a general hospital. Study sample included 402 patients (177 patients who were not referred from clinics, 225 patients who referred from clinics) who visited the Dept. of Gastroenterology in a university hospital in Daejeon from January to June in 2007. Cost and patients’ information were collected from Hospital Information System and medical record. SPSS v.12.0 was used for the statistical analysis. Multiple regression analysis found that for inpatients, location variables and malignant tumors of digestive organs had a significant influence on cost variable. For outpatients, a referring hospital type and visiting month had significant influences on total cost, and sex and visiting month (February) had significant relationship with number of visit. The study results help to understand the differences of patient care depending on whether they were referred from clinics or not. Hospital managements could use the results for marketing purposes, and it could provide valuable information for increasing the competitiveness of hospital in a given market.
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KEYWORD
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Medical Refer, Medical Utilization Behavior, Delivery System, Medical Expenditure
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