보건행정학회지 (Health Policy and Management)

  • 제11권3호
  • /
  • Pages.121-150
  • /
  • 2001
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  • 1225-4266(pISSN)
  • /
  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
권호 표지

제왕절개 분만율 공표 후 요양기관의 분만행태 변화

Provider's Behavior Change after the Public Release of the Information on the Cesarean Section Rate

  • 고수경 (국민건강보험공단 사회보장연구센터) ;
  • 신순애 (국민건강보험공단 사회보장연구센터) ;
  • 김기영 (국민건강보험공단 사회보장연구센터) ;
  • 김창엽 (서울대학교 의과대학 의료관리학교실)
  • 발행 : 2001.09.01
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초록

This study was conducted to investigate provider's behavior change after releasing the information on the Cesarean section rate. Claims data filed at the National Health Insurance Corporation was used for this analysis and the focus of this study was the change of cesarean rate after the public disclosure of information. Average rates of the year 1999 and 2000 were compared, on the institutional basis, and range and coefficient of variation were estimated. For the last decade, Cesarean section rate has been increased dramatically. Clinical or demographic factors could not adequately explain the increase. Instead, nonclinical factors, such as financial incentive, physician's convenience, practice characteristics, etc., were more significant in explaining the increasing rate. Providers' behavior was significantly affected by the public release of information: after the release, average rate was decreased by 10.2%, and variations were also decreased. In particular, the extent of decrease was explained mainly by nonclinical factor rather than clinical ones. The results suggest that disseminating practice information to providers and consumers could contribute to reducing unnecessary medical service.

키워드

참고문헌

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