The burden of acute myocardial infarction after a regional cardiovascular center project in Korea
DC Field | Value | Language |
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dc.contributor.author | Kim, Arim | - |
dc.contributor.author | Yoon, Seok-Jun | - |
dc.contributor.author | Kim, Young-Ae | - |
dc.contributor.author | Kim, Eun Jung | - |
dc.date.accessioned | 2021-09-04T11:47:21Z | - |
dc.date.available | 2021-09-04T11:47:21Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2015-10-01 | - |
dc.identifier.issn | 1353-4505 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/92226 | - |
dc.description.abstract | Objective: The aim of this study was to examine the impact of a government-directed regional cardiovascular center (RCVC) project on the length of stay (LOS) and medical costs due to acute myocardial infarction (AMI). Design: A retrospective claim data review. Setting: Forty hospitals including four RCVCs in Korea. Participants: A total of 1469 AMI patients who visited a RCVC in two regions between February 2009 and December 2011. Intervention(s): RCVC project has been fostering specialized center by region for management of cardiovascular disease. It has built a system that could receive intensive care quickly within 3 h when disease occurred. Main Outcome Measure(s): Changes in the LOS and cost were evaluated using the difference-indifferences (DIDs) method combined with propensity score matching (1: 1) and multilevel analysis with adjustment for patient's and institutional factors. Results: The net effect of RCVC project implementation showed decline of LOS (-0.71 days) and total medical costs (-797 US dollars) by DID. After the RCVC project, the LOS for patients with AMI hospitalized in a RCVC was decreased by 8.9% (beta = -0.094, P = 0.041) compared with patients hospitalized in a hospital not designed as a RCVC. Compared with costs before the RCVC project, they were decreased by 11.5% (beta = -0.122, P = 0.004). Conclusions: We provided evidence regarding the change in the societal burden due to AMI after regionalization. Although there was a reduction of LOS and direct medical costs reported in limited number of regionalized hospitals, in the long term we can anticipate an expanding impact in all regionalized hospitals. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | OXFORD UNIV PRESS | - |
dc.subject | TO-BALLOON TIME | - |
dc.subject | MORTALITY | - |
dc.subject | CARE | - |
dc.subject | IMPACT | - |
dc.title | The burden of acute myocardial infarction after a regional cardiovascular center project in Korea | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Yoon, Seok-Jun | - |
dc.contributor.affiliatedAuthor | Kim, Eun Jung | - |
dc.identifier.doi | 10.1093/intqhc/mzv064 | - |
dc.identifier.scopusid | 2-s2.0-84943790141 | - |
dc.identifier.wosid | 000363245500004 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, v.27, no.5, pp.349 - 355 | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | - |
dc.citation.title | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | - |
dc.citation.volume | 27 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 349 | - |
dc.citation.endPage | 355 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Health Policy & Services | - |
dc.subject.keywordPlus | TO-BALLOON TIME | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | CARE | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordAuthor | health policy | - |
dc.subject.keywordAuthor | cardiovascular diseases | - |
dc.subject.keywordAuthor | care pathways/disease management | - |
dc.subject.keywordAuthor | evaluation methodology | - |
dc.subject.keywordAuthor | health services research | - |
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