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KMID : 1004620080140010161
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Clinical Nursing Research
2008 Volume.14 No. 1 p.161 ~ p.172
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Classification on Patient Severity Score among Hemodialysis Patients
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Kim Moon-Sil
Kim Mi-Kyoung
Song Woo-Jeong
Lim Eun-Young
Kim Hae-Jeong
Lim Hyo-Soon
Choi Song-Hee
Chun In-Sug
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Abstract
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Purpose: This study was to classify patient severity score for hemodialysis patients.
Methods: The subject of this study was 1,575 patients. To study the severity of the patients, we used t-test and ANOVA. The congruity was measured by Kappa coefficient and the severity in each medical facility was analyzed by ANOVA.
Results: The results showed that there was a significant difference according to the levels of medical center (F=171.187, p<.0001). Categorizing the severity of the patients in each medical facility, group II and III of the secondary medical institution had higher ratio than the primary medical institution. There was not a single patient coming under group IV in both of the primary or secondary medical institutions. However, the tertiary medical institutions had more subjects in group II and III than the primary and secondary medical institutions. The group IV with the highest severity had 11 patients(1.5%), demonstrating that the tertiary medical institution had higher severity patients than the primary or secondary medical institutions.
Conclusions: The results of this study appropriately reflects the repayment system of medical expenses by the
government. Also, it provides the fundamental information to develop nursing fee system taken into account of the
systemic differences among the primary, secondary and tertiary medical institutions.
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KEYWORD
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Patient classification system, Hemodialysis
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