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A Study on the Estimation of Appropriate Standard Medical Care Days for Industrial Accident Patients Through a Comparison of Length of Medical Care by Neurosurgical and Orthopedic Diseases KCI 등재

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국제물리치료연구학회 (International Academy of Physical Therapy Research)
초록

Background: As the length of stay for rehabilitation and medical care services for occupational injury patients continues to increase, this study aims to explore alternative solutions that can support the corporation's efforts to develop rehabilitation treatment programs in response. Objectives: By analyzing the most frequent diseases among occupational injury patients over the past five years and comparing the average length of stay (LOS) for each disease by disease type, occupation, gender, and type of accident, it is expected that the necessity for developing rehabilitation treatment programs for occupational injury patients can be identified. Furthermore, when applying the developed treatment programs, a reasonable LOS can be derived. Design: Patient clinical data lab. Methods: From January 2017 to December 2021, data from 292,423 occupational injury patients who submitted their initial medical treatment applications to the Korea Workers' Compensation & Welfare Service (KWCWS) and received approval for their occupational injuries were de-identified. After data preprocessing, the cases were categorized by diagnosis, and statistical analysis was conducted using Excel ver. 21.0. Results: In the intensive rehabilitation treatment process, inpatient and outpatient care show a very strong correlation with r=0.8817, followed by the total number of treatment days (r=0.6431) and the number of treatment sessions (r=0.6441). Conclusion: It is necessary to establish application criteria for injury groups that significantly impact the average medical care days and medical care benefits of industrial accident patients. These criteria should consider factors such as exceeding the average length of medical care for specific injury groups (orthopedic/neurological), gender differences (female patient group), discrepancies in inpatient and outpatient medical care benefits, the proportion of high disability grades (Grade 1-3), common injury (accident) types, and the top 1/2/3 associated injury groups by occupation type. Based on these criteria, simultaneous management of the provision timing of rehabilitation service programs and the average medical care days for the 50 most common injury groups is required.

목차
INTRODUCTION
SUBJECTS AND METHODS
    Subjects
    Measurement Methods
    Data Preprocessing
    Data Analysis
    Data Analysis
RESULTS
    Matching diagnosis codes with disability grades anddetermining standard length of stay (LOS) for each disabilitygrade range
    Analysis of Diagnosis Code Ranking andDistribution by Disability
    Analysis of Ranking and Distribution by Disability
    Analysis of Standard Length of Stay (LOS) byOccupation Type
    Impact Factors of Standard LOS and MajorDiseases by Occupation Type
DISCUSSION
CONCLUSION
ACKNOWLEGEMENT
REFERENCES
저자
  • Taegyu Yu(Department of Human Care, Namseoul University, Cheonan, Republic of Korea) Corresponding author