농촌지역 상해환자의 재원기간 관련요인

Abstract

This study was conducted to identify the factors influencing length of stay(LOS) of the injury patients who admitted in a rural hospital. The study subjects were 447 patients discharged from above hospital during 1 year from Jan. to Dec. 2009, from whom the data for variables included Andersen's model for medical service utilization was collected through electrical and documentary medical record. As a result of hierarchical multiple regression model, major findings and their impications were as follows; 1. Overall explanatory power of final analytic model was 47.1% and the domain showed highest explanatory power was need factors. 2. There was no predisposing characteristics influenced on LOS. 3. Among enabling resource variables, the LOC of patients covered by NIH shorter than that of automobile or occupational insurance. The more private insurances had, the longer LOC was. 4. Regarding need factors, ISS, type of injury(sprain5. Regarding treatment related factors, department(OS>CS), out-of-pocket cost sharing were associated with LOS. And the variables specific to agricultural factors were not associated with LOS.