Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Analysis of New Patient's Willingness to Pay Additional Costs for Securing Satisfactory Consultation Time

외래 초진환자의 만족진료시간과 관련 추가 비용 지불 의사

  • Lee, Chan Hee (Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) ;
  • Lim, Hyunsun (Research and Analysis Team, National Health Insurance Service Ilsan Hospital) ;
  • Kim, Youngnam (Office of Performance Improvement, National Health Insurance Service Ilsan Hospital) ;
  • Yoon, Soojin (Office of Performance Improvement, National Health Insurance Service Ilsan Hospital) ;
  • Park, Yang Sook (Department of Nursing, National Health Insurance Service Ilsan Hospital) ;
  • Kim, Sun Ae (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)
  • 이찬희 (국민건강보험 일산병원 내과) ;
  • 임현선 (국민건강보험 일산병원 연구분석팀) ;
  • 김영남 (국민건강보험 일산병원 적정진료실) ;
  • 윤수진 (국민건강보험 일산병원 적정진료실) ;
  • 박양숙 (국민건강보험 일산병원 간호부) ;
  • 김선애 (국민건강보험 일산병원 간호부) ;
  • 박은철 (연세대학교 의과대학 예방의학교실) ;
  • 강중구 (국민건강보험 일산병원 외과)
  • Received : 2017.02.02
  • Accepted : 2017.03.10
  • Published : 2017.03.31
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Abstract

Background: We evaluated new patient's satisfactory consultation time (SCT) and their willingness to pay additional costs (WPAC) for their SCT. Methods: We surveyed medical service satisfaction, SCT, WPAC for their SCT, and payable amount to 612 new patients of single general hospital and measured their real consultation time (RCT). To compare WPAC and payable amount, we divided RCT into 4 groups (${\leq}3$ minutes, 3-5 minutes, 5-10 minutes, and > 10 minutes), and SCT into 3 groups (${\leq}5$ minutes, 5-10 minutes, and > 10 minutes). On the basis of WPAC, we estimated new patient's SCT. Results: RCT was 6.2 minutes, SCT was 8.9 minutes, and medical service satisfaction score was 4.3 (out of 5). The number of patients having WPAC (payable group) was 381 (62.3%) and the amount was 5,853 Korean won. Their RCT and SCT were longer than non-payable group (6.4 minutes vs. 5.7 minutes, 9.3 minutes vs. 8.2 minutes). From multiple logistic regression analysis, WPAC of RCT 5-10 minutes was higher than that RCT ${\leq}3$ minutes (odds ratio= 1.78). Payable amount was highest in RCT > 10 minutes (6,950 Korea won) and SCT > 10 minutes (7,458 Korean won). Intuitively we suggest 10 minutes as SCT, based on payable group's SCT (9.3 minutes) and cut-off time differentiating payable group with non-payable group (10 minutes). Conclusion: We found that new patient had WPAC for their SCT and the longer the SCT, the greater the amount. From this, we hope that current simplified new patient consultation fee calculating system should be modified combining the consultation time factor.

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References

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