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
- 2017.6
- 수록면
- 97 - 103 (7page)
- DOI
- 10.5371/hp.2017.29.2.97
이용수
초록· 키워드
오류제보하기
Purpose: The Korea Veterans Health Service (KVHS) implemented the ‘designated hospital system’ so that veterans can receive prompt medical attention at hospitals near their residences when experience medical emergencies, including hip fractures. We analyzed the hospital-selection process of Korean veterans following a hip fracture. We then evaluated (the validity and considerations) for choosing designated hospitals.
Materials and Methods: The study population consisted of 183 veteran patients (84 treated at a single veterans hospital and the remaining 99 treated at 39 designated hospitals) who underwent hip fracture between January 2010 and February 2015 in the Honam region of South Korea. The subjects were divided into the ‘nearest group’ (those who chose the hospital closest to their residences) and the ‘non-nearest group’ (those who did not choose the hospital closest to their residences). We compared the age, ambulatory status, combined disease and fracture type, factors that we speculated may impact hospital choice.
Results: Although the patients had difficulty moving due to hip fractures, 116 (63.4%) patients choose hospitals that were not closest to their residences. Patients with three or more comorbidities (P=0.028) and older ages (P=0.046) were statistically more likely to fall into the non-nearest group. Ambulatory status and fracture type were shown not to significantly impact choice between nearest and non-nearest hospital. Patients in the nonnearest group tended to seek care at larger hospitals.
Conclusion: Korean veterans with hip fractures tended to seek care at larger hospitals, regardless of distance. We must therefore consider the number of beds and departments when choosing designated hospitals.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Sterling DA / 2001 / Geriatric falls:injury severity is high and disproportionate to mechanism / J Trauma 50:116~119
Hall SE / 2000 / Hip fracture outcomes: quality of life and functional status in older adults living in the community / Aust N Z J Med 30:327~332
French DD / 2007 / A multivariate fall risk assessment model for VHA nursing homes using the minimum data set / J Am Med Dir Assoc 8:115~122
Morley JE / 2007 / Falls and fractures / J Am Med Dir Assoc 8:276~278
Radcliff TA / 2008 / Patient risk factors, operative care, and outcomes among older community-dwelling male veterans with hip fracture / J Bone Joint Surg Am 90:34~42
Hall SE / 2000 / Hip fracture outcomes: quality of life and functional status in older adults living in the community / Aust N Z J Med 30:327~332
French DD / 2007 / A multivariate fall risk assessment model for VHA nursing homes using the minimum data set / J Am Med Dir Assoc 8:115~122
Morley JE / 2007 / Falls and fractures / J Am Med Dir Assoc 8:276~278
Radcliff TA / 2008 / Patient risk factors, operative care, and outcomes among older community-dwelling male veterans with hip fracture / J Bone Joint Surg Am 90:34~42
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