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진료과별 적정 외래 진료시간에 관한 연구

Analysis of Appropriate Outpatient Consultation Time for Clinical Departments

  • 이찬희 (국민건강보험 일산병원 내과) ;
  • 임현선 (국민건강보험 일산병원 임상연구관리팀) ;
  • 김영남 (국민건강보험 일산병원 고객만족센터) ;
  • 박애희 (국민건강보험 일산병원 간호부) ;
  • 박은철 (연세대학교 의과대학 예방의학교실) ;
  • 강중구 (국민건강보험 일산병원 외과)
  • Lee, Chan Hee (Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) ;
  • Lim, Hyunsun (Clinical Research Management Team, National Health Insurance Service Ilsan Hospital) ;
  • Kim, Youngnam (Customer Satisfaction Center, National Health Insurance Service Ilsan Hospital) ;
  • Park, Ai Hee (Department of Nursing, National Health Insurance Service Ilsan Hospital) ;
  • Park, Eun-Cheol (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Kang, Jung-Gu (Department of Surgery, National Health Insurance Service Ilsan Hospital)
  • 투고 : 2014.09.03
  • 심사 : 2014.09.19
  • 발행 : 2014.09.30

초록

Background: The purpose of this study is to assume appropriate outpatient consultation time for each clinical department on the basis of measured outpatient consultation time and satisfaction of outpatient. Methods: We surveyed the feeling and satisfactory outpatient consultation time, satisfaction, revisiting intention and recommendation to others to 1,105 patients of single general hospital in Gyeonggi-do and measured their real outpatient consultation time from October 28 to November 27 in 2013. On the basis of satisfaction, we estimated appropriate outpatient consultation time through area under the receiver operating characteristic curve in logistic regression model. Results: Feeling outpatient consultation time was 5.1 minutess, satisfactory outpatient consultation time which was suggested by patient was 6.3 minutes, and real outpatient consultation time was 4.2 minutes. Department which had longest real outpatient consultation time was infection (7 minutes) and department which had longest satisfactory outpatient consultation time was neurology (9.4 minutes). From the univariate and the multiple linear regression analysis, real outpatient consultation time was longer in pulmonology patient, new patient and afternoon patient, satisfactory outpatient consultation time was longer in infection, neurology, neuropsychiatry, neurosurgery, and rehabilitation patient. Appropriate real outpatient consultation time was suggested as 5.6 minutes which differentiated high and low satisfied patient group. However, we could not assume appropriate outpatient consultation time for each clinical department because the number of patient who had bad satisfaction was too low. Conclusion: To improve patient's satisfaction, we hope outpatient reservation system is operated as each patient's outpatient consultation time is at least 5.6 minutes.

키워드

참고문헌

  1. You CH, Kwon YD. Factors influencing medical institution selection for outpatient services. J Korean Med Assoc 2012;55(9):898-910. DOI: http://dx.doi.org/10.5124/jkma.2012.55.9.898
  2. Choi YS, Baek SJ, Lim ES, Lee HY, Chang HJ. 2009 Survey of medical expenditure of National Health Insurance beneficiaries. Seoul: National Health Insurance Corporation; 2010.
  3. Im GJ. Reorganization of the medical delivery system: a cause for the patients. J Korean Med Assoc 2010;53(6):442-444. DOI: http://dx.doi.org/10.5124/jkma.2010.53.6.442
  4. Jung M, Lee KH, Choi M. Perceived service quality among outpatients visiting hospitals and clinics and their willingness to re-utilize the same medical institutions. J Prev Med Public Health 2009;42(3):151-159. DOI: http://dx.doi.org/10.3961/jpmph.2009.42.3.151
  5. Kim KJ. A proposal for the disruptive innovation of healthcare delivery system in Korea. J Korean Med Assoc 2012;55(8):791-797. DOI: http://dx.doi.org/10.5124/jkma.2012.55.8.791
  6. Ko YK. The relationships among waiting time, patient's satisfaction, and revisiting intention of outpatients in general hospital. J Korean Acad Nurs Adm 2010;16(3):219-228. DOI: http://dx.doi.org/10.11111/jkana.2010.16.3.219
  7. Kim IK, Kwon CI, Yang JH, Chang DM. A study on the effect of waiting time factor of hospitals on customer satisfaction and service values. Korean J Hosp Manag 2010;15(3):47-68.
  8. Kim SB, Yoon SW. Antecedents and consequences of the types of waiting times in medical services. Korean J Hosp Manag 2007;12(2):69-92.
  9. Yoon SW, Kim SB. The effects of physical environment, perceived justice and perceived waiting-time on repurchase intension. Asia Mark J 2003; 5(1):1-22.
  10. Park CK, Kwag EJ. A case study about managing waiting time for raising customer's satisfaction in the medical service. Korean J Hosp Manag 2009;14(3):132-153.
  11. Kim JH, Ji KJ, Park CM. Impact of medical service quality by attribute on overall satisfaction: focused on out-patient and in-patient in high-level general hospital. Korean J Hosp Manag 2013;18(1):18-38.
  12. Ji KJ. A study on medical service quality affecting perceived value, satisfaction and intention of revisit in middle hospitals. Korean J Hosp Manag 2013;18(4):18-38.
  13. Kim EO, Jo SY. The relationship among motives for the selection of a hospital, satisfaction with services in a hospital and the revisit intention of outpatients. J Korean Clin Nurs Res 2004;10(1):145-159.

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