Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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Financial Integrity Strategies for Sustainable Development of Local Public Medical Centers: Focused on Financial Efficiency and Publicness

지방의료원의 재무적 효율성과 공공성 향상을 위한 관련 요인 분석

  • Kim, Sinah (Department of Neurosurgery, National Medical Center) ;
  • Sohn, Minsung (Department of Public Health Science, Graduate School BK21Plus Program in Public Health Science, Korea University) ;
  • Moon, Sungje (Department of Public Health Science, Graduate School BK21Plus Program in Public Health Science, Korea University) ;
  • Yoon, Heesoo (Department of Public Health Science, Graduate School BK21Plus Program in Public Health Science, Korea University) ;
  • Choi, Mankyu (Department of Public Health Science, Graduate School BK21Plus Program in Public Health Science, Korea University)
  • 김신아 (국립중앙의료원 신경외과) ;
  • 손민성 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회환경 상호작용 융합사업단) ;
  • 문성제 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회환경 상호작용 융합사업단) ;
  • 윤희수 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회환경 상호작용 융합사업단) ;
  • 최만규 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명-사회환경 상호작용 융합사업단)
  • Received : 2017.02.09
  • Accepted : 2017.04.05
  • Published : 2017.06.30
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Abstract

The objective of this study is to investigate financial integrity strategies for sustainable development of local public medical centers, and particularly focus on seeking ways to enhance its financial efficiency and publicness. The data which was collected from 33 local public medical centers was analyzed by Data Envelopment Analysis to measure its financial efficiency. Then, Matrix Analysis was used to examine the association of financial efficiency and publicness of local public medical centers with related factors. In the aspects of facilities and location, according to the results, the local public medical centers which have larger number of available hospital beds or located in bigger cities were examined to have higher degree of publicness. In the aspect of human resources, greater number of doctors made both financial efficiency and the degree of publicness decreased, whereas higher participation rate of educational program for doctors affects increasing its financial efficiency and publicness. Lastly, in the aspect of costs, higher labor, material, and administrative cost diminished financial efficiency, but enhanced the degree of publicness. Based on these results, this study concluded that enhancing the publicness of local public medical centers should be pursued by increasing the accessibility with better facilities and location, and also concurrently organizing rational expenditure structure with appropriate cost investment to the resources of local public medical centers. Also, it is necessary to enhance both financial efficiency and publicness simultaneously by improving the quality of health care services through the educational programs for medical staffs.

Keywords

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