Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Study on the Medical Services Satisfaction of Cancer Patients in Busan Area

부산지역 암환자의 의료서비스 만족도에 관한 연구

  • 김병군 (인제대학교 보건행정학과) ;
  • 양종현 (인제대학교 보건행정학과) ;
  • 장동민 (인제대학교 보건행정학과)
  • Received : 2011.10.20
  • Accepted : 2012.01.05
  • Published : 2012.01.31
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Abstract

Hospital out-shopping by local patients has become more popular. In particular, many cancer patients have visited hospitals in the capital area to get better medical services regardless of how far the hospitals are from their home. However this kind of hospital out-shopping may discontinue medical treatment and cause a waste of medical resources including manpower. In addition, it creates additional economic and social expenses such as caretakers' transportation and lodging expenses. It is necessary to study patients who would take the medical treatment in Busan go to Seoul for better medical services are more satisfied based on objective data. For this, a questionnaire survey has been performed against 223 cancer patients who had a surgery in Busan and 187 patents who had an operation in Seoul. According to the survey, the patients who had an operation in the capital area(Group A) were more satisfied than the patients who had a surgery in Busan(Group B) in terms of convenience facilities, doctors' competence. However the Group A was very dissatisfied in terms of accessibility and satisfaction on overall medical services.

지역 환자의 역외유출 현상이 갈수록 심화되고 있다. 특히 중증질환을 가진 암 환자는 거리와 상관없이 양질의 의료서비스를 받기 위해 수도권 의료기관을 많이 찾는다. 하지만 이러한 환자의 역외유출은 진료 연속성 저하와 함께 불필요한 물적, 인적 이동을 야기 시킨다. 이에 본 연구는 부산지역 암환자들이 부산과 수도권에서 진료를 받는 경우에 환자의 만족도에 영향을 미치는 요인을 체계적으로 비교, 분석하여 지역 병원의 이용도를 제고시킬 수 있는 방안을 마련하고자 수행하였다. 부산지역 암환자를 대상으로 부산 의료기관에서 수술을 받은 암환자 223명과 수도권에서 수술을 받은 암환자 187명을 대상으로 2011년 3월 21~3월 30일까지 설문조사를 실시하였다. 자료 분석은 SPSS및 SAS 프로그램을 이용하여 접근성, 의료진 만족도, 이용편의성이 의료서비스 전반적 만족도 요인으로 나누어 접근하였다. 연구 결과, 이용편의성과 의료진 만족도는 수도권 의료기관 이용자가 높은 것으로 나타났으나, 접근성과 의료서비스의 전반적 만족도는 부산지역 의료기관을 이용한 암환자가 높았다. 이에 부산지역 의료기관은 의료진의 질적 향상을 위한 우수 의료진 유치 및 양성, 환자 중심의 의료 시설 제공을 위한 노력이 필요하다. 본 연구를 토하여 향후 환자의 수도권 집중현상 완화를 위한 정책개발 시 유용한 기초자료로 활용할 수 있을 것으로 기대된다.

Keywords

References

  1. Kang SH, Kim YM, "A Study on Utilization of non-residential area hospitals in Inpatient", J. of the Korea Academia-Industrial Cooperation Society, Vol.10, No.11, pp.3444-3450, 2010. https://doi.org/10.5762/KAIS.2009.10.11.3444
  2. Park IS, Lee DH, "A Study on Medical Utilization by Area: Focused on Health Insurance Data", Institute of National Health Insurance Policy, 2010.
  3. Ministry of Health & Welfare, Health & Welfare Statistics, 2010.
  4. Chang DM, "A study on Utilization Behavior of Cancer Patients" Korea Public Health Association, Vol.24, No.2, pp.106-117, 1998.
  5. Busanilbo. 2009. 8. 12 (www.busan.com)
  6. Ware JE, "Defining and measuring patient satisfaction with medical care", Evaluation and Program Planning, Vol.6, pp.247-263, 1983. https://doi.org/10.1016/0149-7189(83)90005-8
  7. Tai W-TC, Porell FW, Adams EK, "Hospital Choice of Rural Medicare Beneficiaries: Patient, Hospital Attributes, and the Patient-Physician Relationship", Health Services Research, Vol.39, pp. 1903-1922, 2004. https://doi.org/10.1111/j.1475-6773.2004.00324.x
  8. Adams EK, Wright GE, "Hospital Choice of Medicare Beneficiaries in a Rural Market: Why Not the Closest?", The Journal of Rural Health, Vol.7, No.2, pp.134-152, 1991. https://doi.org/10.1111/j.1748-0361.1991.tb00715.x
  9. Donabedian A, "The quality of care: how can it be assesed?" Journal of American Medical Association, Vol.260, No.12, pp.1743-1748, 1988. https://doi.org/10.1001/jama.1988.03410120089033
  10. Liu J, Bellamy GR, McCormick M, "Patient Bypass Behavior and Critical Access Hospitals: Implication for Patient Retention", The Journal of Rural Health, Vol.23, No.1, pp.17-24, 2007. https://doi.org/10.1111/j.1748-0361.2006.00063.x
  11. Pascoe GC, "Patient satisfaction in primary health care: a literature review and analysis" Evaluation Program, Vol.6, pp.185-210, 1983. https://doi.org/10.1016/0149-7189(83)90002-2
  12. Roh CY, Moon MJ, "Nearby, but Not Wanted? The Bypassing of Rural Hospitals and Policy Implications for Rural Health Care Systems", The Policy Studies Journal, Vol.33, No.3, pp.377-394, 2005. https://doi.org/10.1111/j.1541-0072.2005.00121.x
  13. Varkevisser M, "Why do patients bypass the nearest hospital? An empirical analysis for orthopaedic care neurosurgery in the Netherlands", The European Journal of Health Economics, Vol.8, No.3, pp.287-295, 2007. https://doi.org/10.1007/s10198-006-0035-0
  14. Vouri H, "Quality Assurance of Health Services", Regional Office for Europe WHO, 1982.
  15. Lee SH, et al., "Comparative Analysis of Models for Measuring Consumer Satisfaction in Health Care Organization", The Korean Society for preventive Medicine, Vol,34, No.1, pp.55-60, 2001.
  16. Kim JH, et al., "Health Impact Assessment of High Speed Train(KTX) in Korea", KIHASA & SNU, 2008.
  17. Bae SK, et al., "A Study on Major Factors on Patient Satisfaction of General Hospitals in Korea", Korean Journal of Hospital Management, Vol.10, No.2, pp.26-44, 2005.
  18. Kang AG, "An Analysis of the Equity in Health Service Utilization with the Regional Distribution of Health Care Resources", Korean Social Security Studies, Vol.23, No.2, pp.189-219, 2007.

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