지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.8
- 수록면
- 120 - 128 (9page)
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초록· 키워드
오류제보하기
Purpose: There have been few studies carried out on the costs of after-surgery pain therapy in hospitals. This analysis was conducted to estimate the health care costs and to understand aspects of resource utilization for post-operative pain management in South Korea.
Methods: The direct health care costs for postoperative pain management were estimated by the type of analgesia and surgery. The claims database of the Health Insurance Review Agency (HIRA) was the main data source for this study. It covered all the reimbursement claims from medical care institutions. The average resource use included the length of stay, the total hospitalization cost, the total analgesia cost and the total pharmacy cost. The total analgesia cost was measured as the mean of all the analgesia subgroups, and this encompassed the procedure costs and drug costs.
Results: The average length of stay was 12.0 days per case and the total analgesia cost for surgery averaged 131,555 won (equivalent to US$146.2), which was 4.2% of the total hospitalization cost. The total pharmacy cost on the average was 626,805 won (US$696.5), which was 20.0% of the total hospitalization cost. This study shows that the costs of epidural patient-controlled analgesia were the highest among the 11 analgesia types, with 49.5% of its costs being the material cost.
Conclusion: This study provides a variety of information about how the costs and patterns of health resources that are used for post-operative pain management are structured in South Korea. It is the first cost analysis using the database for the entire Korean population. Understanding the patterns of resource use correctly may be an important first step in designing efficient pain therapy for patients.
Methods: The direct health care costs for postoperative pain management were estimated by the type of analgesia and surgery. The claims database of the Health Insurance Review Agency (HIRA) was the main data source for this study. It covered all the reimbursement claims from medical care institutions. The average resource use included the length of stay, the total hospitalization cost, the total analgesia cost and the total pharmacy cost. The total analgesia cost was measured as the mean of all the analgesia subgroups, and this encompassed the procedure costs and drug costs.
Results: The average length of stay was 12.0 days per case and the total analgesia cost for surgery averaged 131,555 won (equivalent to US$146.2), which was 4.2% of the total hospitalization cost. The total pharmacy cost on the average was 626,805 won (US$696.5), which was 20.0% of the total hospitalization cost. This study shows that the costs of epidural patient-controlled analgesia were the highest among the 11 analgesia types, with 49.5% of its costs being the material cost.
Conclusion: This study provides a variety of information about how the costs and patterns of health resources that are used for post-operative pain management are structured in South Korea. It is the first cost analysis using the database for the entire Korean population. Understanding the patterns of resource use correctly may be an important first step in designing efficient pain therapy for patients.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (29)
참고문헌 신청
1. [학술지(정기간행물)] - Zenz MW / 1996 / Economic aspects of pain therapy / Curr Opin Anaesthesiol 9 : 430 ~ 435
2. [기타자료] - / / National Health Insurance Corporation. Statistical yearbook. 2006
3. [학술지(정기간행물)] - Stephens J / 2003 / The burden of acute postoperative pain and the potential role of the COX-2-specific inhibitors / Rheumatology 42 : 40 ~ 52
4. [학술지(정기간행물)] - Crombie IK / 1998 / Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic / Pain 76 : 167 ~ 171
5. [학술지(정기간행물)] - Chang AM / 2004 / Patient-controlled analgesia versus conventional intramuscular injection: a cost effectiveness analysis / J Adv Nurs 46 : 531 ~ 541
2. [기타자료] - / / National Health Insurance Corporation. Statistical yearbook. 2006
3. [학술지(정기간행물)] - Stephens J / 2003 / The burden of acute postoperative pain and the potential role of the COX-2-specific inhibitors / Rheumatology 42 : 40 ~ 52
4. [학술지(정기간행물)] - Crombie IK / 1998 / Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic / Pain 76 : 167 ~ 171
5. [학술지(정기간행물)] - Chang AM / 2004 / Patient-controlled analgesia versus conventional intramuscular injection: a cost effectiveness analysis / J Adv Nurs 46 : 531 ~ 541
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UCI(KEPA) : I410-ECN-0101-2013-514-002691021