The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Relationship between Medical Service Specialization and Operational Performance in Hospitals: Focusing on Length of Stay and Medical Expense

병원 진료의 전문화와 운영 성과 간의 관계: 재원일수와 급여비용을 중심으로

  • Yoo, Hai-Won (Department of Healthcare Administration, Hanyang Cyber University) ;
  • Kim, Kyoung-Hoon (Department of international cooperation, Health Insurance Review & Assessment Service)
  • 유해원 (한양 사이버 대학교 보건행정학과) ;
  • 김경훈 (건강보험심사평가원 국제협력단)
  • Received : 2016.01.11
  • Accepted : 2016.03.11
  • Published : 2016.03.31
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Abstract

Objectives : Medical service specialization could have positive effects on their profits and medical service quality. This study was to examine the relationship between medical service specializations and operational performance in hospitals. Methods : We used the National Inpatient Sample data provided by the Health Insurance Review and Assessment Service from 2010 to 2013. The hospital operational performance was determined by measuring the specialization level of the hospital based on DRGs. Results : The information theory index was 2.38 in 2010, 2.38 in 2011, 2.37 in 2012, and 2.37 in 2013. A multiple regression model was constructed which showed that if the specialization level becomes higher, it decreases the length of stay per case with an increase in medical expense. Conclusions : Differentiation and concentrated medical service specialization strategy have had a positive effect on the operational performance of hospitals.

Keywords

References

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