US News World Report Thomson Reuters Top 100

US News & World Report

Thomson & Reuters Top 100 Hospitals

Medicare Hospital Compare

Physician Compare 8

미국 US News & World Report (1990) • Risk adjusted mortality • Number of discharges • Patient services Thomson & Reuters Top 100 Hospitals (1994) • • Risk adjusted mortality Risk adjusted complications index Risk adjusted patient safety index Severity adjusted length of stay Hospital Compare (2003) • • 30 day risk-adjusted mortality rate Acute Myocardial Heart Failure Pneumonia

영국 CHKS Top Hospitals Program (2001) • Risk adjusted mortality (or mortality index) • Rate of emergency readmission to hospital following treatment for fractured hip • Rate of emergency readmission to hospital following AMI (within 28 dys) • Rate of emergency readmissions to hospital within 14 days for COPD • Risk adjusted length of stay • Pre-op length of stay for fractured neck of femur • Pre-op length of stay for elective surgery National Health Services (NHS) Choices Hospital Scorecard (2008) • • Readmission Length of Stay Survival rate(elective and emergency surgeries) Standardized admission ratio (SAR)

국제적 비교 유럽연합 Health Consumer Powerhouse (2005) • Heart infarct mortality < 28 days after getting to hospital(퇴원후 28일 이내 심근경색 사망률) • Infant deaths/ 1000 live births (1000일 미만 신생아 사망률) • Cancer 5 -yr survival rates(암에 대한 5년간 생존율) World Health • Mortality (Acute myocardial infarction, stroke, Organization community acquired pneumonia, hip fracture, Performance coronary artery bypass graft) Assessment Tool for (급성심근경색, 뇌졸중, 지역사회획득 폐렴, 엉덩이 골절, Quality 관상동맥우회로이식술의 사망률) Improvement in • Readmission(재입원율) Hospitals(PATH) • Length of stay(재원일수) (2004)

4. 보건통계 HEALTH CARE STATISTICS

(2) 미국의 보건통계 생성기관 • Center for Disease Control and Prevention, CDC • The National Center for Health Statistics(NCHS) • Agency for Healthcare Research and Quality(AHRQ)

CDC • 미국의 DHHS(Department of Health and Human Services)의 산하기관 • 질병, 상해, 장애를 예방 및 통제함으로써 국 민의 건강과 삶의 질을 증진하는 것을 목적 • SEER(Cancer Surveillance, Epidemiology, and End Results): 암의 발생건수 및 발생율과 관련 • FARS(Fatal Accident Reporting): 교통사고로 인한 사망자와 외상환자에 대한 데이터 세트 • DATA 2010. . . the Healthy People 2010 Database

(3) 국제 보건통계 생성기관 • Organization for Economic Cooperation and Development(OECD) • World Health Organization(WHO)

OECD Health Data • Health status (such as life expectancy, maternal and infant mortality) • Non-medical determinants of health (such as food consumption, alcohol and tobacco consumption, obesity and overweight (survey and measured data) • Health care resources and utilisation (such as health employment, in-patient beds, medical technology, immunisation, average length of stay, discharges, surgical procedures, and transplants) • Pharmaceutical consumption and sales, and generics market • Long-term care resources and utilisation (such as longterm care beds in nursing homes, long-term care recipients either in institutions or at home, by age and gender) • Health expenditure • General data on Demographic and economic references

World Health Statistics 1. 2. 3. 4. 5. 6. Life expectancy and mortality Cause-specific mortality and morbidity Selected infectious diseases 85 Health service coverage Risk factors Health workforce, infrastructure and essential medicines 7. Health expenditure 8. Health inequities 9. Demographic and socioeconomic statistics 10. Health information systems and data availability

AFR=Africa; AMR=Americas; EMR=Eastern Mediterranean; EUR=Europe; SEAR=South-East Asia; WPR=Western Pacific

요약 • 기술통계: 측정과 척도, 대표값 • 비율, 비, 비례, 백분율 Rates, Ratios, Proportions, and Percentages • 센서스 통계 Census Statistics – 일일재원환자수 Daily inpatient census, Inpatient service day – 재원일수 Length of stay(LOS), ALOS – 병상점유(가동)률 Inpatient bed occupancy rates, 병상회전율 Bed turnover rates

• 사망률 Mortality Rates • 부검률 Autopsy Rates • 이환율 Morbidity Rates – 합병증 Complication – 병원감염 Nosocomial infection vs. 지역감염 Community-acquired infection – 수술감염 Postoperative infection – 유병률 Prevalence vs. 발생률 Incidence • 생정 통계 Vital statistics – 출생률과 사망률 – 유병률과 사망률

References • 보건복지부․보건사회연구원. (2014). OECD Health Data 2013. • 손창균, 정기문, 고혜연. (2010). 보건복지통계 생산 표준화 방 안 연구: 메타정보관리를 중심으로. 한국보건사회연구원. • 송태민, 이승욱, 류시원, 장영식, 고혜연. (2010). 보건복지통계 발전방안 연구. 한국보건사회연구원. • 안윤옥, 이무송. (2006). 보건통계학의 이해. 정문각. • 장영식, 고경환, 도세록, 김나연, 장현경. (2010). 2010년도 OECD 보건통계생산, 보건복지부, 한국보건사회연구원. • Abdelhak M, Grostick S, Hanken MA, Jacobs E. (2011). Health information: Management of a strategic resource. 4 th edition. Philadelphia: Saunders. • Johns M. (2006). Health information management technology: An applied approach, second edition with workbook 2 nd ed. AHIMA (American Health Information Management Association)

DATA VISUALIZATION 데이터 시각화

Infographics

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