보건행정학회지 (Health Policy and Management)

  • 제18권2호
  • /
  • Pages.19-38
  • /
  • 2008
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  • 1225-4266(pISSN)
  • /
  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
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병원 재무비율 지표들 간의 구조적인 관계 분석

An Analysis of Structural Relationships among Financial Indicators of Hospitals in Korea: Applying Structural Equation Modeling(SEM)

  • 정민수 (서울대학교 보건대학원) ;
  • 이건형 (플로리다주립대학교 행정정책학과) ;
  • 최만규 (고려대학교 보건행정학과)
  • Jung, Min-Soo (Graduate School of Public Health, Seoul National University) ;
  • Lee, Keon-Hyung (Askew School of Public Administration and Policy, Florida State University) ;
  • Choi, Man-Kyu (Department at Healthcare Management, Korea University)
  • 발행 : 2008.06.30
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초록

Financial ratios are key indicators of an organization's financial and business conditions. Among various financial indicators, profitability, financial structure, financial activity and liquidity ratios are frequently used and analyzed. Using the structural equation modeling(SEM) technique, this study examines the structural causal relationships among key financial indicators. Data for this study are taken from complete financial statements from 142 hospitals that passed the standardization audit undertaken by the Korean Hospital Association from 1998 to 2001 for the purpose of accrediting teaching hospitals. In order to improve comparability, ratio values are standardized using the Blom's normal distribution. The final model of the SEM has four latent constructs: financial activity(total asset turnover, fixed asset turnover), liquidity(current ratio, quick ratio, collection period), financial structure(total debt to equity, long-term debt to equity, fixed assets to fund balance), and profitability(return on assets, normal profit to total assets, operating margin to gross revenue, normal profit to gross revenue). While examining several model fit indices(Chi-square (df) = 178.661 (40), likelihood ratio=4.467, RMR=.11, GFI=.849, RMSEA=.157), the final SEM we employed shows a relatively good fit. After examining the path coefficient of the constructs, the financial structure of the hospital affects the hospital's profitability in a statistically significant way. A hospital which utilizes its liabilities, more specifically fixed liabilities, and makes a stable investment decision for fixed assets was found to have a higher profitability than other hospitals. Then, the standard path coefficients were examined to directly compare the influence of variables. It was found that there were no statistically significant path coefficients among constructs. When it comes to variables, however, statistically significant relationships were found. between. financial activity and. fixed. asset turnover, and between profitability and normal profit to gross revenue. These results show that the observed variables of fixed asset turnover and normal profit to gross revenue can be used as indicators representing financial activity and profitability.

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참고문헌

  1. 권순만. 미국의 병원정책. 병원경영학회지 1998;3(1):238-260
  2. 김기영, 강현철. LISREL(SIMPLIS)을 이용한 구조방정식모형의 분석. 서울: 자유아카데미. 2001
  3. 김원중, 이해종. 병원의 수익성 결정요인 분석. 보건행정학회지 1994;4(1):123-127
  4. 류규수. 병원경영성과 측정에 관한 연구. 세종대학교 경영학박사학위 논문 1992
  5. 이경희, 권순만, 지방공사의료원의 성과에 영향을 미치는 요인 연구. 보건행정학회지 2003;13(2):101-124
  6. 이윤석, 유승흠. 병원의 수익성 관련 요인. 보건행정학회지 2003;13(3):129-147
  7. 이창은. 병원의 투자의사결정과 수익성. 인제대학교 보건학박사학위 논문 2000
  8. 이학식, 임지훈. 구조방정식 모형분석과 AMOS 6.0. 법문사. 2007
  9. 이해종. 병원의 경영성과에 영향을 미치는 관련요인 분석. 연세대학교 경영학박사학위 논문 1990
  10. 전기홍, 조우현. 병원경영수지에 영향을 미치는 요인분석. 예방의학회지 1993;26(3):442-456
  11. 정은욱. 종합병원의 수익성에 관련된 요인분석. 연세대학교 보건학석사학위 논문 1991
  12. 최만규, 문옥륜, 황인경. 병원의 재무구조에 영향을 미치는 요인. 보건행정학회지2002a;12(2):43-75
  13. 최만규, 이윤석, 이윤현. 민간병원의 유동성 관련요인 분석. 보건행정학회지2002b;12(4):1-17
  14. 최만규 등. 병원회계학(5판). 보문각. 2008
  15. 한창훈, 김원중. 우리나라 병원의 마케팅 활동수준과 재무성과. 병원경영학회지 1999;4(2):106-130
  16. 황인경. 적자병원의 재무구조 및 운영적 특성과 경영의사결정 행태. 병원경영학회지 1999;4(2):305-329
  17. Anderson JC, Gerbing DW. Structural Equation Modeling in Practice: a review and recommended two-step approach. Psychological Bulletin 1998;103(3):411-423 https://doi.org/10.1037/0033-2909.103.3.411
  18. Andes S. The financial structure of urban and suburban hospitals. Urban Health 1983(Nov-Dec);12(11):20-2
  19. Bolon DS. Comparing Mission Statement Content in For-Profit and Not-for-profit Hospitals: Does Mission Really Matter?. Hospital Topics 2005(Fall);83(4):2-9
  20. Chang CF, Tuckman HP. The profit of not-for-profit hospitals. Hospital and Health Service Administration 1990;35(2):173-187
  21. Cleverley WO. Improving Financial Performance: A Study of 50 Hospitals. Hospital and Health Services Administration 1990(Summer);35(2):173-187
  22. Cleverley WO. Financial Ratios: Summary Indicators for Management Decision-Making. Hospital and Health Services Administration 1981(Special);26-47
  23. Fornell C, Larcker DF. Evaluation Structural Equation Models with Unobservable Variable and Measurement Error. Journal of Marketing Research 1981;18:39-50 https://doi.org/10.2307/3151312
  24. Gapenski LC, Vogel WB, Langland-Orban B. The determinants of hospital profitability. Hospital and Health Services Administration. 1993;38(1):63-80
  25. Ginn GO, Young GJ, Beekun RI. Business strategy and financial structure: an empirical analysis of acute care hospitals. Hospital and Health Services Administration 1995(Summer);40(2):191-209
  26. Good PI. Introduction to statistics through resampling methods and R/S-plus. New York: Wiley-Interscience. 2005
  27. Hartline MD, Ferrell OC. The Management of Customer-Contact Service Employees: an Empirical investigation. Journal of Marketing 1996;60:52-70 https://doi.org/10.2307/1251901
  28. Hair Jr. JF, Black WC, Babin BJ, Anderson RE, and Tatham RI. 2006. Multivariate Data Analysis, 6th ed. New York: Pearson-Prentice Hall
  29. Kaplan. Structural Equation modelling. Thousand Oaks, CA: Sage. 2000
  30. Kline RB. Principles and Practice of Structural Equation Modeling. 2nd ed. New York: The Guilford Press. 2005
  31. Knoke D, Bohrnstedt GW, Mee AP. Statistics for Social Data Analysis, 4th ed. Australia: Thomson Wadsworth. 2002
  32. Liang KY, Zeger SL. Longitudinal data analysis using Generalized Linear Models. Biometrika 1986;73:13-22 https://doi.org/10.1093/biomet/73.1.13
  33. McCue MJ. Bed size and system influence on financial structure: a time-series and cross-sectional analysis of California hospitals. Health Services Management Research 1991(Nov);4(3):206-215
  34. McCue MJ, Ozcan YA. Determinants of capital structure. Hospital and Health Services Administration 1992(Fall);37:333-346
  35. Myers S.C. The Capital Structure Puzzle, Journal of Finance, 1984; 39(July): 575-592 https://doi.org/10.2307/2327916
  36. Trinh HQ, O'Connor SJ. The strategic behavior of U.S. rural hospitals : a longitudinal and path model examination. Health Care Management Review 2000;25(4):48-64
  37. Valvona J, Sloan FA. Hospital Profitability and Capital Structure: a Comparative Analysis. Health Services Research 1988(August);23(3):343-357
  38. Vogel WB, Orban BL, Gapenski LC. Factors influencing high and low profitability among hospitals. Health Care Management Review Spring 1993;18(2):15-26 https://doi.org/10.1097/00004010-199321000-00003
  39. Wedig G, Hassan M, Morrisey MA. Tax-exempt debt and the capital structure of nonprofit organizations: an application to hospitals. The Journal of Finance 1996:1247-1283
  40. Wedig G, Sloan F, Hassan M, Morrisey M. Capital structure, Ownership, and capital payment policy: the case of hospitals. The Journal of Finance 1988(March):21-40
  41. Wheeler JR, Smith DG, Rivenson HL, Reiter KL. Capital structure strategy in health care systems. Journal of Health Care Finance. 2000(Summer);26(4):42-52
  42. Younis M, Rice J, Barkoulas J. An empirical investigation of hospital profitability in the post-PPS era. Journal of Health Care Finance 2001;28(2):65-73
  43. Younis MZ, Younies HZ, Okojie F. Hospital financial performance in the United States of America: a follow-up study. East Mediterr Health Journal 2006;12(5):670-678

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