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医师医嘱录入系统会增加综合医院的收入吗?

Does the physician order-entry system increase the revenue of a general hospital?

作者信息

Park Woong-Sub, Kim Joon S, Chae Young Moon, Yu Seung-Hum, Kim Chang-Yup, Kim Sang-A, Jung Sang Hyuk

机构信息

Department of Preventive Medicine and Public health, College of Medicine, Kwandong University, Gangneung, South Korea.

出版信息

Int J Med Inform. 2003 Aug;71(1):25-32. doi: 10.1016/s1386-5056(03)00056-x.

Abstract

OBJECTIVE

The purpose of this study was to examine whether the physician order-entry system (POE) could increase the outpatient and inpatient revenue of hospitals.

METHOD

We analyzed the inpatient and outpatient revenue data of all general hospitals (212) in South Korea obtained from the Korean National Health Insurance Corporation (KNHIC) during the period from 1996 to 1999 using the mixed model for repeated measure data.

RESULTS

Analysis of the 4-years' panel data showed that both outpatient and inpatient revenues increased significantly after POE introduction. The hospital characteristics significantly influencing inpatient revenue were the number of beds, number of physicians and the tertiary status of a hospital; whereas those for outpatient revenue were the number of beds, number of physicians, the private status of a hospital, the tertiary status of a hospital and the urban status of a hospital.

CONCLUSION

The revenues from both outpatients and inpatients were found to be increased after the introduction of the POE, while controlling for population size, competition, income, hospital location, hospital size, tertiary status and public status.

摘要

目的

本研究旨在探讨医师医嘱录入系统(POE)是否能够增加医院的门诊和住院收入。

方法

我们使用重复测量数据的混合模型,分析了1996年至1999年期间从韩国国民健康保险公团(KNHIC)获取的韩国所有综合医院(212家)的住院和门诊收入数据。

结果

对4年面板数据的分析表明,引入POE后门诊和住院收入均显著增加。对住院收入有显著影响的医院特征包括床位数、医生数量和医院的三级地位;而对门诊收入有显著影响的因素包括床位数、医生数量、医院的私立性质、医院的三级地位和医院的城市地位。

结论

在控制人口规模、竞争、收入、医院位置、医院规模、三级地位和公立性质等因素后,发现引入POE后门诊和住院收入均有所增加。

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