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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 243 - 251 (9page)
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Purpose: Readmission and mortality rates of patients with heart failure are good indicators of care quality. To determine whether hospital resources are associated with care quality for cardiac patients, we analyzed the effect of number of physicians and the combined effects of number of physicians and beds on 30-day readmission and 1-year mortality. Materials and Methods: We used national cohort sample data of the National Health Insurance Service (NHIS) claims in 2002−2013. Subjects comprised 2345 inpatients (age: >65 years) admitted to acute-care hospitals for heart failure. A multivariate Cox regressionwas used. Results: Of the 2345 patients hospitalized with heart failure, 812 inpatients (34.6%) were readmitted within 30 days and 190 (8.1%) had died within a year. Heart-failure patients treated at hospitals with low physician volumes had higher readmission and mortality rates than high physician volumes [30-day readmission: hazard ratio (HR)=1.291, 95% confidence interval (CI)=1.020−1.633; 1-year mortality: HR=2.168, 95% CI=1.415−3.321]. Patients admitted to hospitals with low or middle bed and physician volume had higher 30-day readmission and 1-year mortality rates than those admitted to hospitals with high volume (30-day readmission:HR=2.812, 95% CI=1.561−5.066 for middle-volume beds & low-volume physicians, 1-year mortality: HR=8.638, 95% CI=2.072−36.02 for middle-volume beds & low-volume physicians). Conclusion: Physician volume is related to lower readmission and mortality for heart failure. Of interest, 30-day readmission and 1-year mortality were significantly associated with the combined effects of physician and institution bed volume.
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참고문헌 (25)
참고문헌 신청
Keenan PS / 2008 / An administrative claims measure suitable for profiling hospital performance on the basis of 30-day all-cause readmission rates among patients with heart failure / Circ Cardiovasc Qual Outcomes 1:29~37
Jencks SF / 2009 / Rehospitalizations among patients in the Medicare fee-for-service program / N Engl J Med 360:1418~1428
Ross JS / 2010 / Recent national trends in readmission rates after heart failure hospitalization / Circ Heart Fail 3:97~103
Jung HJ / 2014 / Practice patterns for patients with heart failure
김선정 / 2015 / Mortality, Length of Stay, and Inpatient Charges for Heart Failure Patients at Public versus Private Hospitals in South Korea / Yonsei Medical Journal 56(3):853~861
Jencks SF / 2009 / Rehospitalizations among patients in the Medicare fee-for-service program / N Engl J Med 360:1418~1428
Ross JS / 2010 / Recent national trends in readmission rates after heart failure hospitalization / Circ Heart Fail 3:97~103
Jung HJ / 2014 / Practice patterns for patients with heart failure
김선정 / 2015 / Mortality, Length of Stay, and Inpatient Charges for Heart Failure Patients at Public versus Private Hospitals in South Korea / Yonsei Medical Journal 56(3):853~861
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