Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Distribution of Private Medical Practitioners' Income from Medical Insurance and its determinants

의원의 의료보험진료비 수입분포와 그 결정요인

  • 서수교 (경북대학교 대학원 보건학과) ;
  • 박재용 (경북대학교 대학원 보건학과)
  • Published : 1995.06.01
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Abstract

This study was conducted to investigate the distribution of private medical practitioners' income from the medical insurance and its determinants. Total amount of the medical service fee paid by the medical insurance to 1,268 private clinics(767 in Taegu and 510 in Kyungpook that had been in practice at least for one year) in 1993 was compared by the characteristics of practitioner, clinic, patient and population. The practitioners in 40-49 years of age and 6-10 years inpractice had the highest income. Total income of a clinic was increased with the number of physicians, employees and equipments. The largest income differentials were observed among obstetrics and gynecology clinics and the least differentials were among pediatrics clinics. The characteristics of practitioner, clinic and population accounted for 41.7% of the total variance of income. The important determinants of income were specialty of the clinic, age of the practitioner and number of the employee and equipments. The large income differentials among clinics imply a skewed distribution of patients and thus long waiting time, inefficient utilization of manpower and inadequate quality of care. Effective measures to reduce the income differentials need to be developed.

Keywords

References

  1. 박사학위논문, 경북대학교 대학원 의학과 지역의료보험 재정수지의 결정요인 감신
  2. 국민의료비의 추이와 의료비 안정화대책 권순원
  3. 예방의학회지 v.24 no.2 경상남도 개원의의 진료생산성에 관한 조사연구 김정호;정귀원;전진호;이채언;배기택;김공현;박형종
  4. 의료보험 v.99 의료비 증가 억제와 보험재정 안정 방안 김한중
  5. 예방의학회지 v.22 no.4 의료비 상승요인 분석 김한중;전기홍
  6. 의료보험 재정안정화 방안-진료비상승억제측면- 노인철;한혜경;이필도
  7. 의료보험 v.98 의료보험재정에 관한 고찰-재정평가지표를 중심으로- 문옥륜
  8. 대한보건협회지 v.12 no.2 의료보험진료비증가의 요인별 기여도 박재용
  9. 대한보건협회지 v.13 no.2 의료보험조합의 사업장특성별 재정수지 분석 박재원;박재용
  10. 의료비 증가억제 방안 연구 변종화;장동현;최성옥;이준엽
  11. 예방의학회지 v.18 no.1 의료이용에 영향을 미치는 요인에 관한 분석 배상수
  12. 예방의학회지 v.20 no.1 우리나라 의사인력의 공급 및 생산성 추계 유승흠;조우현;이용호;진병율
  13. 예방의학회지 v.21 no.2 지역의료보험 가입자의 외래 의료이용변화 유승흠;조우현;손명세;박종연
  14. 보건행정학회지 v.3 no.2 의원의 특성에 따른 상병진단군의 분포에 대한 연구 윤종륜;문옥륜;허정;김창엽
  15. '93 의료보험통계연보 no.16 의료보험연합회
  16. 예방의학회지 v.20 no.1 병원의 특성에 따른 의료인력의 진료생산성 결정요인 이명근
  17. 인구보건론집 v.6 1차 의료기관에 있어서 의사의 진료생산성 및 이에 영향을 미치는 요인 분석 이원재;이시백
  18. 예방의학회지 v.23 no.2 병원특성에 따른 건당진료비 분석-급성충수염과 정상분만을 대상으로 정상혁;유승흠;김한중
  19. 예방의학회지 v.26 no.4 의사특성에 따른 의료진료내용의 변이 정은경;문옥륜;김창엽
  20. 표본의료기관 경영수지 분석 자료 한국생산성본부
  21. 醫僚の 經濟分析 西村周三
  22. Public Health Report v.67 no.6 Patient load and volume of medical services Cicco,A.;Altman,I.;Truan,T.D.
  23. Public Health Report v.94 no.3 Management of health service delivery and professional productivity;A case study model Burkhart,M.C.;Suchulz,M.C.
  24. A Commonwealth Fund Book Aspects of medical care administration; Specifying requirements of haelth care. Donabedian,A.
  25. Doctor`s decision and the cost of medical care Eisenberg,J.M.
  26. New Engel J. Med. v.305 Child health care in the United States; A comparison of pediatrics and general practitioners Fishbane,M.;Starfield,B.
  27. New Engel J. Med. v.302 Ambulatory medical care; A comparison of internists and familly-general practitioners Noren,J.;Frazier,T.
  28. American Enterprise Institute for Public Policy Research Hospital certificate-of-need controls impact on investment, costs and use Salkever,D.S.;Bice,T.W.
  29. JAMA v.225 no.8 Use of laboratory tests and pharmaceuticals; Variation among physicians and effect of cost audit on subsequent use Schroeder,S.A.;Showstack,J.A.
  30. 의료보장정책연구 문옥륜