지원사업
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.
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초록· 키워드
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Purpose: The purpose of this study was to conduct a systematic review to investigate the socio-economic benefits of the poison control center (PCC) and to assess whether telephone counseling at the poison control center affects the frequency of emergency room visits, hospitalization, and length of stay of patients with acute poisoning. Methods: The authors conducted a medical literature search of the PubMed, EMBASE, and Cochrane Library databases. Two reviewers evaluated the abstracts for eligibility, extracted the data, and assessed the study quality using a standardized tool. Key results such as the cost-benefit ratio, hospital stay days, unnecessary emergency room visits or hospitalizations, and reduced hospital charges were extracted from the studies. When meta-analysis was possible, it was performed using RevMan software (RevMan version 5.4). Results: Among 299 non-duplicated studies, 19 were relevant to the study questions. The cost-benefit ratios of PCC showed a wide range from 0.76 to 36 (average 6.8) according to the level of the medical expense of each country and whether the study included intentional poisoning. PCC reduced unnecessary visits to healthcare facilities. PCC consultation shortened the length of hospital stay by 1.82 (95% CI, 1.07-2.57) days. Conclusion: The systematic review and meta-analysis support the hypothesis that the PCC operation is cost-beneficial. However, when implementing the PCC concept in Korea in the future, it is necessary to prepare an institutional framework to ensure a costeffective model.
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참고문헌 (26)
참고문헌 신청
Spiller HA / 2009 / The value and evolving role of the U.S. Poison Control Center System / Public Health Rep 124:359~363
Anell A / 2001 / Toxicologic information center’s hotline–well-received and cost-effective for the society, Alternate title: Giftinformationscentralens rådgivning--omtyckt och lönsam för samhället. National Library of Medicine / Lakartidningen 98(24):2926~2930
Dierick-van Daele AT / 2008 / Critical appraisal of the literature on economic evaluations of substitution of skills between professionals : a systematic literature review / J Eval Clin Pract 14:481~492
Kearney TE / 1995 / Health care cost effects of public use of a regional poison control center / West J Med 162:499~504
Miller TR / 1997 / Costs of poisoning in the United States and savings from poison control centers : a benefit-cost analysis / Ann Emerg Med 29:239~245
Anell A / 2001 / Toxicologic information center’s hotline–well-received and cost-effective for the society, Alternate title: Giftinformationscentralens rådgivning--omtyckt och lönsam för samhället. National Library of Medicine / Lakartidningen 98(24):2926~2930
Dierick-van Daele AT / 2008 / Critical appraisal of the literature on economic evaluations of substitution of skills between professionals : a systematic literature review / J Eval Clin Pract 14:481~492
Kearney TE / 1995 / Health care cost effects of public use of a regional poison control center / West J Med 162:499~504
Miller TR / 1997 / Costs of poisoning in the United States and savings from poison control centers : a benefit-cost analysis / Ann Emerg Med 29:239~245
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