评估韩国的医院外科功能:使用疾病控制优先级的功能分析,第三版基本手术列表 (2013-2022年)
Haibin Bai1,2, Jin-Hwan Kim3, Yukyung Park4,5
1Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
Journal of preventive medicine and public health = Yebang Uihakhoe chi
|September 25, 2025
概括
韩国的基本外科手术提供不均,高层医院集中服务,低层设施下降,特别是产科护理. 政策必须解决区域差异,明确角色,以确保公平的获取.
科学领域:
- 医疗保健政策 医疗保健政策
- 手术服务研究研究手术服务研究
- 关于健康公平性的研究.
背景情况:
- 韩国医疗保健系统通过一个大致私有化的结构实现了近乎全民的医疗覆盖.
- 系统的碎片化造成了组织角色的模两可,影响了跨地区和机构提供公平的基本手术服务.
研究的目的:
- 分析2013-2022年韩国基本外科服务的提供和功能能力.
- 识别医疗机构和地理区域之间手术服务分布的差异.
主要方法:
- 对国家医疗保险索赔数据库 (2013-2022) 的回顾性分析.
- 将必要的外科手术程序映射到保险代码中,并根据设施类型和地区评估提供.
- 使用最低年度程序数量门来定义功能能力.
主要成果:
- 在2013年至2022年期间,基本手术的数量增加了一倍以上 (2.79M至近600万例).
- 高级和普通医院保持了高的外科手术量;医院级设施的功能下降,特别是在产科.
- 外科服务集中在更高层次/大都市设施中,对风险较低的手术有一定的分散;在产科护理方面发现了显著的区域差异.
结论:
- 基本手术的功能能力不均,阻碍了医院和地区之间的公平接入.
- 政策应优先加强服务不足地区的较低级别医院,并制定特定环境的最低功能标准.
- 澄清韩国混合医疗保健系统中的机构角色对于问责制和公平的外科服务分配至关重要.
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