The analysis of patient visit pattern in a university hospital before and after implementation of health care delivery system.
- Author:
Yun Jin KIM
;
Byung Mann CHO
;
Kyung Sool KWON
- Publication Type:Original Article
- MeSH:
Busan;
Delivery of Health Care*;
Emergency Service, Hospital;
Humans;
Insurance;
Outpatients;
Tertiary Healthcare
- From:Journal of the Korean Academy of Family Medicine
1997;18(5):521-530
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The implementation of health care delivery system(HCDS) in 1989 affected the visit pattern of tertiary care hospital. In this study we analyzed the effect of implementation of HCDS in a university hospital. METHODS: We analyzed the yearbook of a university hospital from 1986 to 1992. The clinical departments were divided into three groups of medical departments, surgical departments with application of HCDS and clinical departments without application of HCDS. RESULTS: The total outpatient visits increased after implementation of HCDS. The new outpatient visits decreased after implementation in the medical departments and surgical departments but re-visit patients increased in all clinical departments. The number of emergent patients increased at year 1889, but decreased in 1990, then little changed. Admission rate via emergency room decreased in surgical departments and clinical departments without application of HCDS. The patient from Pusan in which hospital is located was little changed but patients that from other areas increased. So the proportion of patients from Pusan decreased, and from other regions increased. The visit of patients with self pay decreased, but patients with medical insurance increased. CONCLUSIONS: In spite of increased total outpatient visits, the new outpatient visits and patient visits from near place decreased through implementation of HCDS. The new outpatient visits decreased in the medical departments and surgical departments in clinical departments with application of HCDS, but the new outpatient visits increased in clinical departments without application of HCDS.
