Associated Factors Analysis of Medical Resources Utilization of Facial Bone Fractures Patients of a Medical Center

• Main Authors: Yi-Ping Wu, 吳憶萍
• Other Authors: Ta-Yung Pan
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/4pnf79

碩士 === 嘉南藥理大學 === 醫務管理系 === 102 === With the developing of transport, traffic accidents increases every year, because of the high incidence of facial fractures and significant costs, as one of the greatest challenge of the public health. In response to DRG payment import, understand the medical resource utilization situation for the facial fracture patients and its influencing factors, providing managers establish an effective business model. The purpose of this study analyzes the facial fracture patients consume health care resources in the Medical Center and compared the situation to do, in order to analyze the differences of medical resource utilization in the different patient’s condition, trauma characteristics and disease factors. This study is a retrospective study of secondary data. 816 facial fracture patients are collected from Kaohsiung Chang Gung Memorial Hospital medical center disease classification information database and trauma registry database of primary ICD-9-CM diagnosis code (802). The statistical methods includes T-test, univariate analysis of variance (one-way ANOVA), multiple regression analysis (Multiple Regression). The result showed the significantly relationship between the medical resources consumed facial fractures and the severity of injuries, facial fracture patterns, anesthesia, surgery number and complexity of the disease. Finally, this study suggests that hospital administrators would affect facial fractures necessary for medical resource utilization factors include: the severity of injuries, facial fracture patterns, anesthesia, surgery number and complexity, the proposed hospital operators should use the hospital's database the above factors into regression prediction model to construct their own cost model. Consumption of medical resources for injury severity in patients with severe than take up case management to control costs. For the upper and lower facial fractures, and admission diagnosis of medical resources consumed three or more patients for high establishing standardized operating procedures (SOP), in order to control costs.