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KMID : 0387320220320030323
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Korean Journal of Health Policy and Administration
2022 Volume.32 No. 3 p.323 ~ p.329
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Analysis of Status and Success Factor of Referral and Return of Patients to Clinics: Focusing on Patients with Endocrinology and Cardiology at a General Hospital in Goyang
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Park Hee-Sun
Choi Jung-Kyu
Tae Eun-Sook
Choi Sang-Gil
Kim Eui-Hyeok
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Abstract
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Background: This study aimed to identify the characteristics of the referral and return of patients to clinics in the endocrinology andcardiology departments at the National Health Insurance Service Ilsan Hospital to evaluate the “referral and return of patients toclinics” program and reduce the rate of returning patients.
Methods: From May 2018 to December 2020, we identified the number of visits to referral hospitals and hospital usage status at IlsanHospital after returning to clinics. We also identified the patients who returned to Ilsan Hospital within 6 months, defined as “failureto transport,” among those recommended to be transported to clinics of the Medical Cooperation Center. Additionally, we evaluatedthe characteristics of the “failure to transport” patients.
Results: Among the returning patients, the rate of visiting Ilsan Hospital within 6 months was higher in cardiology than inendocrinology (25.1% vs. 16.7%). Older age, more severe disease, and more number of visits to the department were associated witha high rate of failure to transport. The rate of failure to return was low in cases diagnosed with hyperlipidemia/lipoprotein metabolismdisorder. With respect to diabetes, the rate of failure to transport differed according to each type of diagnosis of diabetes.
Conclusion: The success rate of the “referral and return of patient to clinics” program differed based on each patient’scharacteristics, department of visit, and diagnosis. Individualizing according to the visit department and diagnosis is required toensure successful transfers, and infrastructure expansion and institutional arrangements must be facilitated.
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KEYWORD
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Patient referral system, Endocrinology, Cardiology, Revisit
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