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KMID : 1170320170230030087
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Korean Journal of Health Economics and Policy
2017 Volume.23 No. 3 p.87 ~ p.105
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Appearance on the utilization of Hospital Admissions Decided by Patients or Their Families
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An Byeung-Ki
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Abstract
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Korea is more likely to use the inpatient services than the OECD countries. Higher average hospital length of stays and number of hospital beds per capita in Korea compared to OECD countries support this aspect. Generally, the hospital admissions decided by medical doctors, however, a large number of admissions in Korea are decided by patients or their families.
We used the 2014 Korea Health Panel Data. Of the total 2,396 cases of admission, 369 cases(15.4%) of admissions are made by the decision of patients or their families. The multiple logistic regression analysis shows that the admission decision by patients or their families(ADPF) is higher in the 31-45 years age group(OR:2.314) and 46-60 years of age group(OR:2.192) compared with the under 15 years age group. The ADPF rate is higher in the quasi-poor class`s group(OR:2.209), medicaid type 1 recipient`s group(OR:1.870) and national merit reward beneficiaries and their family`s group(OR:2.447) compared with the public health insurance`s group.
In addition, the ADPF rate is higher in the patients admitted in hospital or clinics(2.155) and geriatric hospital or convalescent hospital(OR:34.175) than that of admitted in superior general hospitals. the ADPF rate is higher in the patients admitted more than 5 weeks(OR:1.952) than that of admitted one week.
Our study demonstrates that the policy makers should devise measures to reduce patients who are using inappropriate admission in accordance with the types of medical institutions. These alternatives must lower the soaring length of stay in hospitals and healthcare cost in Korea.
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KEYWORD
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Admission utilization, inappropriate admission, Korea Health Panel
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