An Evaluation of the Government¡¯s Current Guideline on the Hospitalization of Minor Head Trauma Patients
Korean Journal of Neurotrauma 2014³â 10±Ç 2È£ p.92 ~ p.100
À¯º´·¡(Yoo Byung-Rhae) - Gachon University Gil Medical Center Department of Neurosurgery
±è¿¹¿ø(Kim Ye-Won) - Gachon University Gil Medical Center Department of Neurosurgery
À̾ð(Lee Uhn) - Gachon University Gil Medical Center Department of Neurosurgery
±è¿ì°æ(Kim Woo-Kyung) - Gachon University Gil Medical Center Department of Neurosurgery
ÀÌ»ó±¸(Lee Sang-Gu) - Gachon University Gil Medical Center Department of Neurosurgery
À¯ÂùÁ¾(Yoo Chan-Jong) - Gachon University Gil Medical Center Department of Neurosurgery
Abstract
Objective: In June 28, 2012, a ¡¯Hospitalization guideline for car accident patients¡¯ was announced to mediate the clash of opinions about the hospitalization of minor head trauma patients among doctors, patients and insurance companies. The guideline was issued to describe the patients¡¯ symptoms and emotions in detail after the injury. In this paper, evaluation for the guideline and suggestions for modifications was done.
Methods: Thirty-two doctors, 96 patients and 60 employees were each given surveys about the hospitalization guidelines, related personnels¡¯ attitude and evaluation of patients¡¯ emotional problems. The frequency, ratio and chi-square test were performed.
Results: Sixty-eight point eight percent of doctors, 79.8% patients and 91.6% insurance company employees agreed to the need for a guideline. Among the 68.8% doctors that supported the need for a guideline, 18.8% knew that the guideline actually existed. Sixty-nine point two percent of doctors said that they would apply the guideline once they were introduced to it. Among the announced guideline provisions, ¡¯Glasgow coma score less than 15¡¯ and ¡¯socially not suitable for discharge¡¯ required reevaluation since 40.6% all surveyors consented that these two criteria were not suitable. The consensus supporting the need for emotional evaluation came out to be 78.1%, 58.5%, 50.9% in doctors, patients and insurance employees respectively.
Conclusion: Although a guideline for hospitalization of minor head injury patients is necessary, some part of it seems to be reevaluated and improved, especially for clauses related to the patient¡¯s emotional problems. These changes and revisions to the guideline require further speculation and research.
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Craniocerebral trauma, Patient admission, Guideline, Emotions
KMID :
1143720140100020092
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