우리나라 정신질환자의 의료이용 현황과 장기입원 관련 요인 (Medical Care Utilization Status and Associated Factors with Extended Hospitalization of Psychiatric Patients in Korea)

서지정보

· 발행기관 : 대한예방의학회
· 수록지 정보 : 예방의학회지 / 42권 / 6호 / 416 ~ 423페이지
· 저자명 : 서수경, 김윤, 박종익, 장홍석, 이진석, 이명수, 이선영

초록

Objectives : This study was performed to examine
medical care utilization of psychiatric patients and to
explore patients’characteristics associated with extended
hospitalization.
Methods : Data were extracted from information of
Korean Health Insurance Review and Assessment Service.
All data associated with admission and outpatient clinic visit
were analysed by patient characteristics. We selected first
psychiatric admission patients who diagnosed mental and
behavioral disorders due to use of alcohol (main disease
code: F10), schizophrenia and related disorders (F20-29)
and mood disorders (F30~33) from January to June 2005.
We analysed status of admission, mean length of stay,
regular access to outpatient clinic and rates of extended
hospitalization during 3 years. Bivariate and multivariate
analyses were conducted to identify factors associated with
extended hospitalization.
Results : The number of psychiatric patients during the
first six month of 2005 was 30,678. The mean length of
stay was longest for schizophrenia and related disorders
but shortest for mood disorders. Patients who experienced
an extended hospitalization were 18.8% of total subjects.
An extended hospitalization was more common in
schizophrenia and related disorders than other diagnostic
groups. The factors associated with the extended
hospitalization were age, sex, diagnostic group, type of
insurance and medical care utilization groups.
Conclusions : The study indicates the problem of an
extended hospitalization for psychiatric patients in Korea. It
is suggested that variations in rates of extended
hospitalization among medical care utilization group may
need an active early intervention system in psychiatric
treatment service. Particular attention needs to be devoted
to planning and funding for reducing extended
hospitalization.

영어초록

Objectives : This study was performed to examine
medical care utilization of psychiatric patients and to
explore patients’characteristics associated with extended
hospitalization.
Methods : Data were extracted from information of
Korean Health Insurance Review and Assessment Service.
All data associated with admission and outpatient clinic visit
were analysed by patient characteristics. We selected first
psychiatric admission patients who diagnosed mental and
behavioral disorders due to use of alcohol (main disease
code: F10), schizophrenia and related disorders (F20-29)
and mood disorders (F30~33) from January to June 2005.
We analysed status of admission, mean length of stay,
regular access to outpatient clinic and rates of extended
hospitalization during 3 years. Bivariate and multivariate
analyses were conducted to identify factors associated with
extended hospitalization.
Results : The number of psychiatric patients during the
first six month of 2005 was 30,678. The mean length of
stay was longest for schizophrenia and related disorders
but shortest for mood disorders. Patients who experienced
an extended hospitalization were 18.8% of total subjects.
An extended hospitalization was more common in
schizophrenia and related disorders than other diagnostic
groups. The factors associated with the extended
hospitalization were age, sex, diagnostic group, type of
insurance and medical care utilization groups.
Conclusions : The study indicates the problem of an
extended hospitalization for psychiatric patients in Korea. It
is suggested that variations in rates of extended
hospitalization among medical care utilization group may
need an active early intervention system in psychiatric
treatment service. Particular attention needs to be devoted
to planning and funding for reducing extended
hospitalization.

참고자료

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