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의료기관의 지역 내 경쟁정도와 경영성과간의 융복합적인 관계(지방의료원을 중심으로)

Complex relationship between Hospital management performance and the degree of the regional competition (Focusing on the Regional Public Hospital)

  • 투고 : 2015.08.06
  • 심사 : 2015.10.20
  • 발행 : 2015.10.28

초록

본 연구는 지방의료원의 경쟁 수준의 정도를 측정하여 재무성과와의 관련성 분석 후 효과적인 경영전략을 수립할 수 있는 기초자료를 제공하는데 있다. 조사기간은 지방의료원의 HHI(허핀달-허쉬만)지수와 경영성과를 알 수 있는 2010년부터 2012년까지 3년간을 평가기준으로 하였으며, 총 31개의 의료원을 조사대상으로 선정하였다. 결론을 보면, 집중시장일수록 재무성과가 높은 것으로 나타났으며, 지역 내 경쟁정도와 재무지표 간의 유의한 상관관계가 나타났다. 지방의료원은 지역 내 경쟁력과 공공성을 확보하기 위한 정책수립과 실행을 위해서는 지역 의료시장의 경쟁정도와 그에 따른 추이를 파악이 요구된다. 지방의료원이 타 의료기관관의 경쟁력의 우위를 선점하기 위해서는 의료서비스 제공의 향상과 자본 투자 등의 선별적인 전략이 고려되어야 할 것이다.

The purpose of this study is to measure the level of competition in the degree of Regional Public Hospital that can provide a basis for establishing an effective management strategy and analysis of the financial performance. Investigation period of the Regional Public Hospital HHI(Herfindahl-Hirschman Index) over three years from 2010, which was unknown until 2012, index and management performance evaluation criteria, a total of 31 were selected as Regional Public Hospital surveyed. In the conclusions, it showed that the most concentrated market with high financial performance, a significant correlation between the degree of local competition and financial indicators showed. The Regional Public Hospital for trends according to the degree of competitive local medical market and therefore is required to establish policies and practices to ensure competitiveness and public interest in the region. The Regional Public Hospital in order to preempt the lead for the competitiveness of other institutions will be considered in the strategy, such as improving medical services and capital investment.

키워드

참고문헌

  1. Yeom JK, The Critical Factors on Impro vement of Medical institution Competitiveness. Journal of Korea Society of Hospital Management, Vol. 12, No. 1, pp. 3-6, 2006
  2. Park HK, Effects of Hospital Competition on the Average length of stay and Cost per inpatient day. Seoul National University Ph. D thesis, pp, 1-9, 2005.
  3. JW Lee, KH Kim, A Study on the Relationship between the Name Awareness of Public Medical Institutions and Patients' Intent to Revisit, The Journal of Digital Policy & Management Vol. 11. No. 7, pp, 271-279, 2013.
  4. JW Lee, YJ Kim, YH Kim, KH Kim, A Study on Decisive Factors Impacting Business Profits of Regional Medical Centers, The Journal of Digital Policy & Management Vol. 12. No. 7, pp, 315-325, 2014.
  5. KS Lee, YJ Choi, The Effects of Rival Hospitals on the Number of Patients in a Tertiary Hospital, Journal of The Korean Operations Research and Management Science Society, Vol. 37, No. 4, pp. 211-223, 2012. https://doi.org/10.7737/JKORMS.2012.37.4.211
  6. Mccue, M.J. and M.L. Diana, Assessing the performance of freestanding hospitals, J Healthc Manag, Vol. 52, No.5, pp. 299-307, 2007. https://doi.org/10.1097/00115514-200709000-00005
  7. Basu, J. and L.R. Mobley, "Impact of local resources on hospitalization patterns of Medicare beneficiaries and propensity to travel outside local markets," J Rural health, Vol. 26 No.1, pp.20-29, 2010. https://doi.org/10.1111/j.1748-0361.2009.00261.x
  8. NK Jo, The Relationship between Publicness and Profitability of Regional Public Hospitals, Dept. of Public Health Graduate School, Gachon University, pp. 53-54.
  9. JW Noh, YD Kwon, SW Kang, JS Joo, Measures of Hospital Market Competition by the Herfindahl Hirschman Index, Health Service Management Review Vol. 1, No 1, pp. 13-22, 2007.
  10. Lindrooth, R.C., A.T. Lo Sasso, and G.J. Bazz oli, "The effect of urban hospital closure on ma on markets," J Health Econ, Vol.22, No.5, pp.691-712. 2003. https://doi.org/10.1016/S0167-6296(03)00060-2
  11. J Sakong, EJ Kwon, A Study of the Effect of Competition on the Behavior of the Health Care Suppliers, The Korean Journal of Health Economics and Policy Vol17, No.2, pp. 1-33, 2011
  12. Pak YS, Trend in Hospital Competition in Korea. Seoul National University MPH thesis, pp. 1-57, 2007.
  13. ME Han, H Huh, SW Hwang, A Study on the Determinants of Entry Barriers: First-Mover Advantages in the Korean Medical Industry, Health Service Management Review Vol. 7, No 3, pp. 13-22, 2013.
  14. J Sakong, EJ Kwon, A Study of the Effect of Hospital Competition on the Behavior of the Health Care Suppliers, The Korean Journal of Health Economics and Policy, Vol. 17, No. 2, pp. 1-33, 2011.
  15. Y. Yang, Z. Yang and Z. Yang, Evaluation of competition ability and market share for container port, international scientific committee, Journal of the Eastern Asia Society for Transportation studies, Vol. 55, pp. 2483-2493, 2005
  16. Zwanziger, J. and C. Moony, "Has competition lowered hospital prices?," Inquiry, Vol. 42, No. 1, pp. 73-85, 2005 https://doi.org/10.5034/inquiryjrnl_42.1.73
  17. MJ Lee, MK Choi, Difference of Conflict Levels of Nurses and Nurse-aids against Doctors, Journal of the Korea Academia-Industrial Cooperation Society, Vol. 12, No. 11 pp. 4844-4851, 2011 https://doi.org/10.5762/KAIS.2011.12.11.4844
  18. KH Kim, JS Han, A Study on the Awareness of medical and Health-Related Majors on Drinking Culture, Journal of the Korea Academia-Industrial Cooperation Society, Vol. 12, No. 11, pp. 5043-5048, 2011 https://doi.org/10.5762/KAIS.2011.12.11.5043
  19. JH Park, YM Kim, SS Kim, WJ Kim, SH Kang, Comparison of Hospital Standardized Mortality Ratio using National Hospital Discharge Injury Date, Journal of the Korea Academia-Industrial Cooperation Society, Vol. 13, No. 4, pp. 1739-1750, 2012 https://doi.org/10.5762/KAIS.2012.13.4.1739
  20. KC Choi, SS Choi, Factors Associated with the Prehospital Delay in Acute Myocardial Infarction, Journal of the Korea Academia-Industrial Cooperation Society, Vol. 14, No. 2, pp. 707-712, 2013 https://doi.org/10.5762/KAIS.2013.14.2.707
  21. DH Kim, NS Kim, A comparative analysis of the job stress of workers in general hospitals and special.specialized hospitals, Journal of the Korea Academia-Industrial Cooperation Society, Vol. 14, No. 8, pp. 3704-3714, 2013 https://doi.org/10.5762/KAIS.2013.14.8.3704
  22. JH Lee, MS Lee, JH Kim, TY Moon, YH Kim, KH Kim, Analysis of Factors which Affect the Medical Utilization fee after an Increase of Health Insurance Benefits for Patients with serious Illnesses, Journal of the Korea Academia-Industrial Cooperation Society, Vol. 11, No. 4, pp. 1504-1510, 2010 https://doi.org/10.5762/KAIS.2010.11.4.1504
  23. YS Seo, KS Lee, JH Park, SH Kang, A Study on Regional Medical Utilization Variation of Hospital Inpatients in Korea, Journal of the Korea Academia-Industrial Cooperation Society, Vol. 11, No. 4, pp. 1511-1519, 2010 https://doi.org/10.5762/KAIS.2010.11.4.1511
  24. YR Kim, HS Nam, TY Lee, The Bone Density Level of Korean Men Aged 60 Years and Over, and Its Relevant Factors, Journal of the Korea Academia-Industrial Cooperation Society, Vol. 14, No. 3 pp. 1180-1190, 2013 https://doi.org/10.5762/KAIS.2013.14.3.1180
  25. YS Chung, MK Moon, CH Lee, The effect of Smart Care ubiquitous health service on hypertension management, Journal of the Korea Academia-Industrial cooperation Society Vol. 14, No. 3 pp. 1213-1220, 2013 https://doi.org/10.5762/KAIS.2013.14.3.1213
  26. YS Choi, MS Jung, Factors Affecting Women's Satisfaction with Hospital Environment Following Childbirth, Journal of the Korea Academia-Industrial cooperation Society Vol. 14, No. 11 pp. 5627-5635, 2013 https://doi.org/10.5762/KAIS.2013.14.11.5627
  27. IS Kim, SJ Cho, A Study on key attributes to congenital disease factors regarding the patients of the four most-common serious chronic illnesses and their relatives in the light of Myeongrihak-centering on the elderly in Seoul nursing homes-, Journal of the Korea Academia-Industrial cooperation Society Vol. 14, No. 11, pp. 5610-5615, 2013 https://doi.org/10.5762/KAIS.2013.14.11.5610
  28. JR Chun, The Influence of Management's Leadership Style on Employee's Turnover Intention, Journal of the Korea Academia-Industrial Cooperation Society Vol. 12, No. 12 pp. 5550-5557, 2011 https://doi.org/10.5762/KAIS.2011.12.12.5550
  29. HY Yang, A Study on Customer Loyalty and Word-of-Mouth Effect according to Character Trait of Patient in Dental Clinics, Journal of the Korea Academia-Industrial Cooperation Society Vol. 12, No. 12, pp. 5819-5826, 2011 https://doi.org/10.5762/KAIS.2011.12.12.5819
  30. SJ Jung, A study of inpatient satisfaction levels at general hospitals, Journal of the Korea Academia-Industrial cooperation Society Vol. 13, No. 7 pp. 3094-3101, 2012 https://doi.org/10.5762/KAIS.2012.13.7.3094
  31. HJ Choi, KH Kim, National hospital discharge survey for the hospitals with fewer than 100 beds: A pilot project and evaluation, Journal of the Korea Academia-Industrial cooperation Society Vol. 11, No. 9 pp. 3336-3340, 2010 https://doi.org/10.5762/KAIS.2010.11.9.3336
  32. YA Lim, KY Kim, SM Choi, Factors Affecting Job Satisfaction, Organizational Attachment and Job Leaving Attitude of General Hospital Employees by Job Category, Journal of the Korea Academia-Industrial cooperation Society, Vol. 13, No. 8 pp. 3586-3596, 2012 https://doi.org/10.5762/KAIS.2012.13.8.3586
  33. HJ Kim, SY Kim, Analysis of the Health Insurance Costs of Occupational Therapy in Stroke patients, Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 3 pp. 1920-1927, 2015
  34. JW Lee, Medical Services Specialization strategies of the Regional Public Hospital through Customer Segmentation, Journal of the Korea Academia-Industrial cooperation Society Vol. 16, No. 7 pp. 4641-4650, 2015 https://doi.org/10.5762/KAIS.2015.16.7.4641
  35. OH Ha. Effect of Career Management Activity in Hospital Organization on the Job Instability for Hospital Administrative Staff's, Journal of the Korea Academia-Industrial cooperation Society Vol. 16, No. 7 pp. 4697-4703, 2015 https://doi.org/10.5762/KAIS.2015.16.7.4697
  36. SY Ahn, The Effect of Communication Satisfaction on Hospital Employees' Perceived Organizational Effectiveness, Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 10 pp. 4935-4942, 2013 https://doi.org/10.5762/KAIS.2013.14.10.4935
  37. CA Kim, WS Suh, Factors Associated with Employee Satisfaction on Training & Education Programs in General Hospitals, Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 10 pp. 5012-5019, 2013 https://doi.org/10.5762/KAIS.2013.14.10.5012
  38. CW Lee, The Mediating Effect of Self-Efficicy in the Relationship between Hospital Employee's Job Placement and Individual Performance, Journal of the Korea Academia-Industrial cooperation Society, Vol. 15, No. 1 pp. 113-121, 2014 https://doi.org/10.5762/KAIS.2014.15.1.113
  39. HJ Kim, A Review on the Contemporary Changes of Capital Structures for the Firms belonging to the Korean Chaebols, Journal of the Korea Academia-Industrial cooperation Society Vol. 15, No. 1 pp. 86-98, 2014 https://doi.org/10.5762/KAIS.2014.15.1.86