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A Study on the Productivity Trends of Regional Health Care Resource Uses in South Korea

지역 의료자원 이용의 생산성 변화 분석

  • Dong, Jae-Yong (Department of Health Administration, Yonsei University, Graduate School) ;
  • Lee, Kwang-Soo (Department of Health Administration, Yonsei University, College of Health Sciences)
  • 동재용 (연세대학교 대학원 보건행정학과) ;
  • 이광수 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2015.02.23
  • Accepted : 2016.04.11
  • Published : 2016.06.30

Abstract

Objectives : This study purposed to analyze the productivity trends of regional health care resource uses in South Korea. Methods : Data was provided from the regional health care statistics by the National Health Insurance Service(NHIS) and collected from 2011 to 2014 at the 226 administrative regions such as Si(city in Korean), Gun(county in Korean), Gu(district in Korean). Productivity trend was analyzed with Malmquist Productivity Index(MPI). Input variables were the number of medical personnels, facilities, and major medical equipments. Output variables were the number of inpatient and outpatients in model A, and the amount of inpatient and outpatient reimbursements in model B. Results : In model A, the productivity of 62 regions were increased but it was decreased in 164 regions. In model B, the productivity of 123 regions were increased but it was decreased in 123 regions. Conclusions : If these trends were continued, there will be problems with the efficiency of national regional healthcare resource utilization. Health policy makers will require to focus in solving this phenomenon.

Keywords

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