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> 한국보건정보통계학회 > 보건정보통계학회지 > 32권 1호

진료의뢰서 진단명과 퇴원 시 주진단명의 일치도 분석: 부인과 환자 대상으로

Analysis on the Degree of Agreement between the Initial Diagnosis Made by Referring Institutions and the Final Diagnosis by a Referred Institution

원시연 ( Si Yeon Won ) , 호승희 ( Seung Hee Ho ) , 김광환 ( Kwang Hwan Kim ) , 강혜영 ( Hye Young Kang )

- 발행기관 : 한국보건정보통계학회

- 발행년도 : 2007

- 간행물 : 보건정보통계학회지, 32권 1호

- 페이지 : pp.97-114 ( 총 18 페이지 )


학술발표대회집, 워크숍 자료집 중 1,2 페이지 논문은 ‘요약’만 제공되는 경우가 있으니,

구매 전에 간행물명, 페이지 수 확인 부탁 드립니다.

5,800
논문제목
초록(외국어)
Objectives: Assessing the degree of agreement between the initial diagnosis of patient encounters made by referring institutions and the final diagnosis by a referred institution. Methods: Among 505 patients referred to the department of obstetrics and gynecology of one tertiary care hospital in 2003, 291 patients hospitalized with gynecologic problems were selected as study subjects in this study. Medical chart review was conducted to compare diagnostic codes given at the time of referral by the referring institutions and those given at discharge by the referred hospital. To assess the degree of accordance between the two diagnostic codes of the same patient encounter, we developed 5-point scoring system. The score of 5 indicates a perfect accordance of all 4 digits of two comparing diagnosis codes and 4 indicates accordance of the first 3 digits. The score of 3 is assigned if the two codes do not agree on the first 3 digits, but share the common disease area. The scores of 2, 1, and 0 are assigned for the cases of accordance on the first 2 digits and the first digit, and no accordance on the first digit, respectively. To identify factors predicting the degree of accordance, decision tree analysis using CART algorithm as data mining approach was carried out. Results: The average accordance score was 3.14. According to the decision tree analysis results, the type of specialty and health care institutions are primary factors that discriminate referrals with high accordance score from those with low score. Secondary factor was diagnosis group: the score was as high as 3.69 among referrals with diagnosis of benign tumor (diagnosis code: D25-D28) and carcinoma in situ (D00-D09), and 2.92 for other diagnosis groups. Tertiary factor was the type of patient`s occupation. Conclusions: Our study showed that there`s a substantial gap between referring and referred hospital on the diagnosis for the same encounter. Effective communication between the referring and referred hospitals may reduce the gap and consequently prevent medical waste resulting from duplicated procedures and tests.

논문정보
  • - 주제 : 의약학분야 > 예방의학및보건학
  • - 발행기관 : 한국보건정보통계학회
  • - 간행물 : 보건정보통계학회지, 32권 1호
  • - 발행년도 : 2007
  • - 페이지 : pp.97-114 ( 총 18 페이지 )
  • - UCI(KEPA) : I410-ECN-0102-2009-510-008705367
저널정보
  • - 주제 : 의약학분야 > 예방의학및보건학
  • - 성격 : 학술지
  • - 간기 : 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 2465-8014
  • - 수록범위 : 1976–2021
  • - 수록 논문수 : 746