순환기 장애 입원환자의 재원일수에 따른 병원비용 변화에 대한 연구

A Study on the Hospital Cost According to the Period of Hospitalization of Cardiovascular Inpatients

This study was to explore the criteria on early discharge for hospital-based home health care, Hospital cost was analysed according to the period of hositalization.‘Discharge Expenses List’ and medical records of 77 cardiovascular patients discharged from a university hospital in Kwangju from January to March in 1991 were studied. The results were summerized as follows ; 1) Among the patients (76 .6% ) was over fifty years of age, 55.8% of the patients were admitted via emergency room. The group having two weeks or less of hospitalization were over 70% and the range was 3-98 days with an extreme positive sKewness (=3.8). 2) Among the cost items, Laboratory and other tests • Medications • Hospital room • professional serices and Additional Dud, the cost for tests (49 .3% ) w as higher than the others, especialy in hypertensive patients (76.5%). 3) Eighty-three percent of costs for tests and 71.9% of service charge were used within the first week of hospitalization. These results suggest that the patients who are hospitalized for a short period to take tests only(3〜5 days) and who for a period, longer than 2wks could be recommended as the subjects of home health care.