Clinical Nutrition Service at Medical Centers in Seoul.
- Author:
Hye Jin KIM
1
;
Eun Mi KIM
;
Geum Ju LEE
;
Jung Joo LEE
;
Jung Hyun LIM
;
Jung Min LEE
;
Hyun Jung JEON
;
Hae Young LEE
Author Information
1. Department of Nutrition, Yeouido St. Mary's Hospital, Catholic University, Seoul 150-713, Korea.
- Publication Type:Original Article
- Keywords:
medical center;
hospital;
clinical nutrition service;
nutrition education;
nutritional screening
- MeSH:
Counseling;
Fees and Charges;
Heart Diseases;
Humans;
Inpatients;
Insurance;
Insurance, Health;
Korea;
Malnutrition;
Mass Screening;
Outpatients;
Peritoneal Dialysis;
Surveys and Questionnaires;
Tertiary Care Centers
- From:Journal of the Korean Dietetic Association
2011;17(2):176-189
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study was to investigate the status of clinical nutrition services at various medical centers in Seoul, Korea. A questionnaire was distributed to the departments of nutrition at 44 hospitals in Seoul on July 2009. Nutritional screening carried out at a rate of 59.1% at the medical centers, and a significant difference was found according to the type of center, from 100% in tertiary hospitals to 18.8% in normal hospitals. On annual average, the numbers of inpatients, inpatients for malnutritional screening, inpatients with malnutrition, and inpatients for malnutrition management were 15,169.5, 10,870.9, 2,224.8, and 1,546.2, respectively. On average the group nutrition education was done 36.1 times/year for diabetes, 8.2 times/year for cancer, and 1.9 times/year for renal disease, and the numbers of participants 423.1, 95.1, and 31.5, respectively. On average the individual nutrition education of inpatients with diabetes was done 135.4 times/year for ordered-type, and 119.3 times/year for unordered-type, 106.2 times/year for paid-type, and 148.5 times/year for unpaid-type. The mean fee for education and counseling was the highest for peritoneal dialysis (73,090.9 won) but the lowest for heart disease (23,609.1 won). On average the individual nutrition education of outpatients with diabetes was done 234.6 times/year for ordered-type, and 2.5 times/year for unordered-type, 204.4 times/year for paid-type, and 32.7 times/year for unpaid-type. The mean fee for education and counseling was also the highest for peritoneal dialysis (63,500.0 won) but the lowest for heart disease (21,336.4 won). To implement more effective clinical nutrition service, a national medical insurance imbursement policy should be urgently instituted such that diseases left as unpaid are covered by health insurance, including all nutrition-related disease.
