Suction catheter usage and cost at long-term care hospitals in Republic of Korea

Abstract

A substantial number of Korean patients who require tracheostomy or oral suctioning are admitted to long-term care hospitals. However, under the Korea’s current daily fixed-rate reimbursement system, the cost of suction catheters is a considerable financial burden. To further discuss proper reimbursement policies for suction catheters in South Korean long-term care system, we examined the number and cost of suction catheters used in a long-term care hospital. This study is a single-center prospective cohort observational study that was conducted on patients admitted to the step-down unit at Ajou University Intermediate Care Hospital. Data of 47 patients were collected for this study. The average amount of suction catheter use per person was 529 during the 62 days of the study period. Daily suction catheter usage showed a statistically significant difference between patients with and without tracheostomy (10.5 ± 6.9 vs 2.1 ± 3.3, p-value < .001). It also showed a significant difference between patients who were diagnosed with or without pneumonia during hospitalization (12.3 ± 4.2 vs 5.5 ± 4.2, p-value < .001). The estimated cost of suction catheter usage for 30 days on a single patient who has tracheostomy was about 160,000 Korean won ($160), which was about 7.3% of the total monthly reimbursement. With the current reimbursement system, there is a potential risk of improper reuse and underuse of suction catheters. To improve respiratory care and prevent pneumonia, we suggest a separate reimbursement system for suction catheters for patients with tracheostomy in South Korean long-term care hospitals.

Assessment effects and risk of nosocomial infection and needle sticks injuries among patents and health care worker

“…Ventilator-associated hospital-acquired pneumonia, gastrointestinal infections by Clostridioides difficile , inadequate equipment, the presence of contamination in the patient's hospital environment, non-observance of standard precautions in contact with the patient by the HCWs, failure to observe proper hand hygiene when dealing with the patient, improper disinfection of the hospital ward and failure to properly equipment used such as catheter and suction are the main agents caused nosocomial infection [51] , [32] , [68] , [63] .…”