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김문실 ( Kim Moon-Sil ) - 이화여자대학교 간호과학대학
김미경 ( Kim Mi-Kyoung ) - 가톨릭대학교 강남성모병원
송우정 ( Song Woo-Jeong ) - 가톨릭대학교 강남성모병원
임은영 ( Lim Eun-Young ) - 서울아산병원
김해정 ( Kim Hae-Jeong ) - 가톨릭대학교 성모병원
임효순 ( Lim Hyo-Soon ) - 영동세브란스병원
최송희 ( Choi Song-Hee ) - 이대목동병원
전인숙 ( Chun In-Sug ) - 이화여자대학교 건강과학대학 간호과학부
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Abstract
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Purpose: This study was to classify patient severity score for hemodialysis patients.
Methods: The subject of this study was 1,575 patients. To study the severity of the patients, we used t-test and ANOVA. The congruity was measured by Kappa coefficient and the severity in each medical facility was analyzed by ANOVA.
Results: The results showed that there was a significant difference according to the levels of medical center (F=171.187, p<.0001). Categorizing the severity of the patients in each medical facility, group II and III of the secondary medical institution had higher ratio than the primary medical institution. There was not a single patient coming under group IV in both of the primary or secondary medical institutions. However, the tertiary medical institutions had more subjects in group II and III than the primary and secondary medical institutions. The group IV with the highest severity had 11 patients(1.5%), demonstrating that the tertiary medical institution had higher severity patients than the primary or secondary medical institutions.
Conclusions: The results of this study appropriately reflects the repayment system of medical expenses by the
government. Also, it provides the fundamental information to develop nursing fee system taken into account of the
systemic differences among the primary, secondary and tertiary medical institutions.
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KeyWords
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혈액투석환자, 환자 중증도
Patient classification system, Hemodialysis
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원문 및 링크아웃 정보
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등재저널 정보
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