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The Characteristics of Uncovered Medical Service Expenses for Frequent Main Diagnoses among the Elderly Patients

  • The Journal of Transdisciplinary Studies
  • Abbr : JTS
  • 2018, 2(1), pp.29-44
  • Publisher : The Society for Transdisciplinary Studies
  • Research Area : Interdisciplinary Studies > Interdisciplinary Research
  • Received : May 8, 2018
  • Accepted : June 6, 2018
  • Published : June 30, 2018

Su-Jeong Lee 1 Lee, Moo-Sik ORD ID 1 HyoNam Lim 1 Kwang Hwan Kim 1

1건양대학교

ABSTRACT

This study analyzed the general characteristics, hospitalization characteristics, treatment outcome characteristics, number of days of hospitalization, and non-coverage of the elderly patients over 65 years of age. A total of 2,619 patients were selected from January 1, 2016 to December 31, 2016 by using K hospital’s medical record team’s discharge record summary information. The results of the analysis of the elderly patients showed that the top 5 diagnoses were chemoradiotherapy (Z51) for 930 patients (35.5%), cataract (H26) for 570 patients (21.8%), angina pectoris (I20) for 455 patients (17.4%), 381 patients (14.5%) with pneumonia (J18) and 283 patients (10.8%) with cerebral infarction (I63). In general characteristics, non-covered medical expenses were higher for health insurance patients than for uncovered medical expenses, and hospitalization characteristics and treatment outcome characteristics were higher than uncovered medical expenses for emergency patients and surgical patients. In conclusion, we were able to deduce from the results of this study that in order to control the increase in the uncovered medical expenses of hospitalized patients, it is possible to manage the number of days of hospitalization reasonably and manage it appropriately considering the personal characteristics of patients such as severity and death.

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