KMID : 0613620210410010251
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Health Social Welfare Review 2021 Volume.41 No. 1 p.251 ~ p.264
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Differences in Health Care Use and Readmission Rates According to the Use of Comprehensive Nursing Services
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Choi Jung-Kyu
Park Byung-Kyu Ahn Keum-Hui Oh Hyun-Chul
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Abstract
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The comprehensive nursing system has been introduced to reduce informal care-giving and improve the quality of nursing care. This study aims to identify the effect of comprehensive nursing service on patients¡¯ prognosis. This study used a National Health Information Database released by the National Health Insurance Service. The case group is a patient who hospitalized in 2015-2019. We used a statistical matching technique called propensity-scores estimating to reduce the bias due to confounding variables between the case and control groups. The final sample included 4,368,956 (case group: 2,210,774, control group: 2,158,182). We used a logistic regression model to identify the effect of comprehensive nursing service on patients¡¯ prognosis while adjusting for confounders. According to results, The probability that patients using the comprehensive nursing service will be re-admission within 30 days of discharge from hospital was lower compared to patients using the general ward. Most of the cases were roughly the same except for a few disease groups. The quality of nursing is one of the factors affecting the patients' prognosis. It is necessary to ensure that comprehensive nursing service is established in a stable manner through compensation for patients' safety and medical results.
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KEYWORD
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Comprehensive Nursing Service, Patient¡¯s Prognosis, Propensity Score Matching
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