J Korean Diet Assoc.
2011 May;17(2):176-189.
Clinical Nutrition Service at Medical Centers in Seoul
- Affiliations
-
- 1Department of Nutrition, Yeouido St. Mary's Hospital, Catholic University, Seoul 150-713, Korea.
- 2Department of Nutrition, Kangbuk Samsung Hospital, Seoul 110-746, Korea.
- 3Department of Nutrition, Kyunghee Universitly Hospital at Gangdong, Seoul 134-727, Korea.
- 4Department of Nutrition, Seoul National University Hospital, Seoul 110-744, Korea.
- 5Department of Nutrition, Severance Hospital, Yonsei University, Seoul 120-752, Korea.
- 6Department of Nutrition, Seoul Bukbu Geriatric Hospital, Seoul 131-230, Korea.
- 7Department of Food & Nutrition, Sangji University, Wonju 220-702, Korea. hy1317@sangji.ac.kr
Abstract
- The purpose of this study was to investigate the status of clinical nutrition services at various medical centers in Seoul, Korea. A questionnaire was distributed to the departments of nutrition at 44 hospitals in Seoul on July 2009. Nutritional screening carried out at a rate of 59.1% at the medical centers, and a significant difference was found according to the type of center, from 100% in tertiary hospitals to 18.8% in normal hospitals. On annual average, the numbers of inpatients, inpatients for malnutritional screening, inpatients with malnutrition, and inpatients for malnutrition management were 15,169.5, 10,870.9, 2,224.8, and 1,546.2, respectively. On average the group nutrition education was done 36.1 times/year for diabetes, 8.2 times/year for cancer, and 1.9 times/year for renal disease, and the numbers of participants 423.1, 95.1, and 31.5, respectively. On average the individual nutrition education of inpatients with diabetes was done 135.4 times/year for ordered-type, and 119.3 times/year for unordered-type, 106.2 times/year for paid-type, and 148.5 times/year for unpaid-type. The mean fee for education and counseling was the highest for peritoneal dialysis (73,090.9 won) but the lowest for heart disease (23,609.1 won). On average the individual nutrition education of outpatients with diabetes was done 234.6 times/year for ordered-type, and 2.5 times/year for unordered-type, 204.4 times/year for paid-type, and 32.7 times/year for unpaid-type. The mean fee for education and counseling was also the highest for peritoneal dialysis (63,500.0 won) but the lowest for heart disease (21,336.4 won). To implement more effective clinical nutrition service, a national medical insurance imbursement policy should be urgently instituted such that diseases left as unpaid are covered by health insurance, including all nutrition-related disease.
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