완화의료제도 도입이 말기암환자의 의료비에 미치는 영향
- 주제(키워드) 완화의료 , 호스피스 , 말기암환자 , 진료비
- 발행기관 고려대학교 보건대학원
- 지도교수 윤석준
- 발행년도 2017
- 학위수여년월 2017. 2
- 학위구분 석사
- 학과 보건대학원 보건정책및병원관리학과
- 원문페이지 97 p
- 실제URI http://www.dcollection.net/handler/korea/000000072827
- 본문언어 한국어
- 제출원본 000045900728
초록/요약
Objectives : The purpose of this study is to determine the effect of introducing palliative care on medical costs of patients with terminal cancer. Methods : Data used in this study were electronically submitted requests of payment to the Health Insurance Review Agency for patients with terminal cancer who died over the period of July 2015 to April 2016. The medical costs(total cost and cost per day of hospitalization) of patients who received palliative care, those who received life-sustaining care, and those who did not receive life-sustaining care were compared. Results : The total cost of medical care for patients with palliative care and the cost per day of hospitalization were significantly lower than those who did not use palliative care. The total cost, cost per day of hospitalization, and the number of days of hospitalization for patients with life-sustaining care were significantly higher than patients who did not use life-sustaining care and those who used palliative care. Regression analysis adjusting variables such as sex, age, and kind of cancer revealed that the total cost and cost per day of hospitalization for patients who received life-sustaining care were increased significantly more than those patients who receiving palliative care. However, total cost and cost per day of hospitalization for patients without receiving life-sustaining care significantly reduced. Conclusion : Palliative care not only reduces medical costs for patients with terminal cancer, but also improves quality of life. Therefore, people should be able to receive palliative care early on as there is a growing interest in quality management of palliative care. Key word : Palliative care, Hospice, Life-sustaining, Total cost, Cost per day of hospitalization, Terminal cancer
more목차
목 차
Ⅰ. 서론 1
Ⅱ. 이론적 배경 4
Ⅲ. 연구방법 10
1. 연구설계 10
2. 연구대상자 11
3. 변수의 정의 13
4. 분석방법 16
Ⅳ. 연구결과 18
1. 대상자의 일반적 특성 18
2. 완화의료 이용 여부에 따른 진료비 비교 22
3. 완화의료·연명의료 이용 여부에 따른 진료비, 입원일수 비교 28
4. 완화의료·연명의료 이용 여부에 따른 진료비, 입원일수의 회귀분석 37
Ⅴ. 고찰 42
Ⅵ. 결론 49
참고문헌 52
부 록 55
국문요약 88
