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참고문헌

문서에서 진료량 평가의 개선 방안 (페이지 116-122)

 

건강보험심사평가원. 진료량지표 평가 보고서, 2008.

건강보험심사평가원. 진료량지표 평가 보고서, 2009.

건강보험심사평가원. 2009년 진료량 평가 결과보고서, 2010.

건강보험심사평가원. 2011년도 진료량 평가 결과 보고서, 2012.

건강보험심사평가원. 2012년도 진료량 평가 결과 보고서, 2013.

건강보험심사평가원. 2013년도 진료량 평가 결과 보고서, 2014.

건강보험심사평가원. 2014년도 진료량 평가 결과 보고서, 2015.

건강보험심사평가원. 건강보험요양급여비용 2016년2월판. 2016.

노영남, 박양진, 김동익, 박광보, 도영수, 최승혁, 김덕경, 김영욱. 혈관 내 치료 시대에 복부 대동맥류의 수술적 치료의 적응과 단기 치료 성적. J Korean Surg Soc 2011;80:212-220.

박종혁. 우리나라 주요 암수술 병원의 시술량-시술결과의 관련성 및 최수 시술량 탐 색. 서울대학교대학원 박사학위청구논문 2008.

박춘선. 병원 및 의사 진료량과 진료결과의 관계에 대한 연구 - 동종골수이식술을 중심으 로 -. 연세대학교대학원 박사학위청구논문 2004.

이종영, 이승환. 복부 대동맥확장증의 치료 지침 및 정기적인 검사. 대한내과학회지 2015;89(4):398.

Akaike H. A new look at the statistical model identification. IEEE Transactions on Automatic Control 1974;(19(6):716-723.

Aune S. Risk factors and operative results of patients aged less than 66 years operated on for asympotmatic abdominal aortic aneuarys. Eur J Vasc Endovasc Surg 2001;22:240-243.

Begg CD, Riedel ER, Bach PB, et al. Variations in morbidity after radical prostatectomy.

New England Journal of Medicine 2002;346:1138-1144.

Blumberg, M. S. Risk Adjusting Health Care Outcomes: A Methodologic Review.

Medical Care Review 1986;43(2):351-393.

Flood, A. B., Scott, W. R., and Ewy, W. "Does Practice Make Perfect? PartⅠ:The Relation between Volume and Outcomes for Selected Diagnostic Categories. Part

Ⅱ: Relation between Volume and Outcomes and Other Hospital Characteristics".

Medical Care 1984;22(2):98-114, 115-25.

Gea A. Gooiker. Evaluating outcomes in surgical oncology: Volume, quality indicators and the influence of comorbidity. Leiden University, The Netherlands, 2014.

Gordon D Murray, Graham M Teasdale. The relationsip between Volume and Health Outcomes. NHS Scotland, February 2005.

Hannan EL, Kilburn H. Jr., Racz M, et al. Improving the outcomes of coronary artery bypass surgery in New York State. JAMA 1994;271;761-755.

Harold S, Luft, Deborah W. Garnick, David H. Mark, Stephen J. Mcphee. Hospital Volume, Physician Volume, and Patient Outcomes. Michgan; Helath Administration Press Perspectives, 1990.

Hewitt M. Interpreting the volume-outcome relationship in the context of health care quality: workshop summary. Washington D.C., Institute of Medicne, 2000.

Hillner BE, Smith TJ, Desch CE. Hospital and physicians volume or specialization and outcomes in cancer treatment: importance in quality of cancer care. Journal of Clinical Oncology 2000;18(11):2327-2340.

Hughes, R. G. ; Hung, S. S.; and Luft, H. S. Effects of Surgeon Volume and Hospital Volume on Quality of Care in Hospitals. Medical Care 1987;25(6):489-503.

Kelly JV, Hellinger FJ. Physician and hospital factors associated with mortality of surgical patients. Medical Care 1986;24(9):785-800.

Leiberman MD, Kiburn H, Lindsey M, et al. Relation of perioperative deaths to hospital volume among patients undergoing pancreatic resection for malignacy. Annals of Surgery 1995;222:638-645.

Lichtenberg, E., and McPhee, S. J. Does Quality Influence Choice of Hospital? Journal of the American Medical Association. In Press. 1990.

Lloyd WE, Paty PS, Darling RC, 3rd, Chang BB, Fitzgerald KM, Leather RP, et al.

Results of 1000 consecutive elective abdominal aortic aneurysm repairs.

Cardiobasc Surg 1996;4:724-726.

Luft HS, Garnick DW, Mark DH, et al. Hospital volume, physician volume, and patient outcomes-assessing the evidence. Ann Arbor: Health Admistration Press, 1990.

Luft, H. S., Bunker, J. P., and Enthoven, A. C. Should Operations Be Regionalized: The Empirical Relation between Surgical Volume and Mortality. New England Journal of Medicine 1979;301(25):1364-69.

Luft, H. S., Hunt, S. S., and Maeki, S. C. The Volume-Outcome Relationship: Practice Makes Perfect or Selective Referral Patterns? Health Services Research 1987;22(2):157-82.

Maerki, S. C., Luft, H. S., and Hunt, S. S. Selecting Categories of Patients for Regionalization: Implications of the Relationship between Volume and Outcome.

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Maria Hewitt. Interpreting the Volume-Outcome Relationship in the Context of Health Care Quality: Workshop Summary. Institute of Medicne, 2000.

Maria Hewitt. Interpreting the volume-outcome relationship in the context of cancer care.

National Academies Press. 2001.

McCabe J E, Jibawi A, Javle P. Defining the minimum hospital case? Load to achieve optimum outcomes in radical cystectomy. BJU international 2005;96(6):806.810.

Nowygrod, R., Egorova, N., Greco, G., Anderson, P., Gelijns, A., Moskowitz, A., Kent, K. C. Trends, complications, and mortality in peripheral vascular surgery. Journal of vascular surgery 2006;43(2):205-216.

Patti, M. G., Corvera, C. U., Glasgow, R. E., & Way, L. W. A hospital's annual rate of esophagectomy influences the operative mortality rate. Journal of Gastrointestinal Surgery 1998;2(2):186-192.

Pilcher, D. B., Dabis, J. H., Ashikaga, T., Bookwalter, J., Bustch, D. W., Chase, C. R., Elleman, B. R., Vacek, P. M., and Lord, F. C. Treatment of Abdominal Aortic Aneurysm in an Entire State over 7 1/2 Years. American Journal of Surgery 1980;139(4):487-494.

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1981;19(10):1041-1053.

Sollano et al. Volume-outcome relationships in cardiovascular operations: New York State, 1990-1995. The Journal of thoracic and cardiovascular surgery 1999;17(3):419-430.

Sosa, J. A., Bowman, H. M., Tielsch, J. M., Powe, N. R., Gordon, T. A., and Udelsman, R. The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Annals of surgery 1998;228(3):320.

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부록 1. 중증도보정 변수선정(안)   부록 2. 평가항목별 중증도 보정모형(안)

부록 3. 복부대동맥류 진료량-진료결과 관계 고찰

구 분 고관절치환술 식도암수술 췌장암수술

50-59세 1.862 1.088 3.186 * 0.903 0.252 3.227 0.617 0.256 1.487 60-69세 4.117 2.602 6.513 ** 1.032 0.299 3.570 0.992 0.443 2.219 70세 이상 10.716 6.788 16.916 ** 2.701 0.800 9.124 1.738 0.786 3.845

성별 남자 1.000 1.000 1.000

여자 0.429 0.357 0.516 ** 0.157 0.021 1.153 0.500 0.331 0.756 **

보험자 구분

건강보험 1.000 1.000 1.000

의료급여 1.619 1.296 2.023 ** 2.160 0.997 4.676 1.465 0.755 2.841

있음 1.733 1.422 2.112 ** 3.350 0.652 17.200 1.294 0.763 2.195

수술 유형2

1 1.000 1.000 1.000

2 0.266 0.14 0.503 ** 0.470 0.185 1.193 2.470 1.407 4.335 **

3 3.155 2.521 3.949 0.825 0.311 2.189 1.090 0.627 1.896

4 17.749 4.295 73.341 **

있음 1.421 0.415 4.870 0.743 0.316 1.745

IHD 없음 1.000 1.000

있음 0.518 0.171 1.569 1.021 0.609 1.712

심부전 없음 1.000 1.000

있음 1.605 0.279 9.223 1.222 0.468 3.187

COPD 없음 1.000 1.000

있음 0.207 0.045 0.953 * 0.559 0.233 1.337

천식 없음 1.000 1.000

있음 0.589 0.191 1.814 1.186 0.705 1.997

고혈압 없음 1.000 1.000

있음 1.901 1.030 3.508 * 1.509 0.980 2.325

당뇨병 없음 1.000 1.000

있음 0.487 0.201 1.179 0.654 0.427 1.001

원발 종양

없음 1.000 1.000

있음 1.43 0.515 3.969 0.741 0.430 1.276

속발 종양

없음 1.000 1.000

있음 0.468 0.052 4.219 0.405 0.052 3.130

뇌졸중 없음 1.000 1.000

있음 0.446 0.099 2.017 1.839 1.117 3.027

간질환 없음 1.000 1.000

있음 1.395 0.706 2.759 1.268 0.839 1.916

신부전

있음 0.743 0.296 1.868 0.738 0.448 1.217

영양 실조

없음 1.000 1.000

있음 1.477 0.326 6.705 1.808 0.841 3.889

Charl -son

0점 1.000 1.000 1.000

1-2점 1.110 0.828 1.488 0.864 0.450 1.657 0.757 0.384 1.490 3점 이상 1.700 1.282 2.253 ** 1.084 0.356 3.307 0.959 0.418 2.200

부록 1. 중증도보정 변수선정(안)  

문서에서 진료량 평가의 개선 방안 (페이지 116-122)

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