7 research outputs found
Development of decision support system for case management under the prospective system : for the case of cesarean
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[μλ¬Έ]Recently, we have experienced with various changes in the health
insurance. Korean government is implementing the prospective payment
system(PPS) as a pilot project to reduce escalating medical expenditure. Case management is an effective way to reduce costs, while not
scarificing quality of service, under the PPS.
In this study, the integrated decision support system(DSS) for case
management was presented to support two case management activities ;
utilization management and discharge planning.
This system can be used in three ways ; prospective, concurrent, and
retrospective management. By monitoring cases from medical record
database, the DSS provides basic patient information, payment
information, medical service information to the case manager.
In the future, data warehouse should be introduced to integrate various
databases related to case management and to improve quality of
information produced by the DSS.ope