An Importance-Performance Analysis of the Healthcare Reform on a Doctor-Designation System - Focused on the Perception of Medical Providers' at Tertiary Hospital in Seoul -

선택진료제도 개편에 대한 중요도-성취도 분석(IPA) - 서울시내 상급종합병원 의료종사자 인식을 중심으로 -

  • Park, Hye Jin (YonginSeobu Branch Office, National Health Insurance Service) ;
  • Kim, Hyo Jeong (Dept. of Healthcare Management, Graduate School of Eulji University) ;
  • Kim, Young Hoon (Dept. of Healthcare Management, Graduate School of Eulji University)
  • 박혜진 (국민건강보험공단 용인서부지사) ;
  • 김효정 (을지대학교 대학원 의료경영학과) ;
  • 김영훈 (을지대학교 대학원 의료경영학과)
  • Received : 2017.10.12
  • Accepted : 2018.03.12
  • Published : 2018.03.31

Abstract

Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.

Keywords

References

  1. National Health Insurance Service. Survey of advanced hospital ward.doctor-designation system (press release). 2013.
  2. Ministry of Health & Welfare. Benefit extension policy plan of health insurance (the middle). 2015.
  3. Ji YG. Symposium to find reasonable ways to improve the selection system. Korean Hospital Association. 2015.
  4. Ministry of Health & Welfare. Promoting patient's rights through improvement of doctor-designation system (press release). 2007.
  5. Ministry of Health & Welfare. Improvement of doctor-designation system from September (press release). 2015.
  6. Ministry of Health & Welfare. doctor-designation system expenses from August will average 35% less patient burden (press release). 2015.
  7. Health Insurance Review & Assessment Service. Revision plan presentation of advanced hospital ward.doctor-designation system (press release). 2015.
  8. Moon CK. Importance-performance analysis on urban regeneration policy in Daejeon [dissertation]. Daejeon; Mok-Won University;2011.
  9. Martilla, J. A. & James, J. C. Importanceperformance analysis, Journal of Marketing, 1997;41(1):13-17.
  10. Byeon DH. Evaluation and improvement plans for visiting nursing service under the long term care insurance system for the elderly [dissertation]. Chuncheon; Kang-Won National University;2012.
  11. Lim SJ. IPA study on medical tourism attributes of Japanese tourists [dissertation]. Seoul; Han-yang University;2011.
  12. MA QQ. The importance performance analysis of selection attribute for the Chinese medical tourists [dissertation]. Suwon; Kyong-Gi University; 2012.
  13. Kim PJ. A study of wisit Chinese and Japanese tourists medical and health service on the importance-performnace analysis [dissertation]. Busan; Dong-A University;2016.
  14. Kang MK. A study on factors affecting mongolian patient's selection of Korean medical institution and revisit [dissertation]. Cheonan; Dan-Kook University;2016.
  15. Jeon HJ. Analysis of marketing elements of medical tourism industry based on IPA method [dissertation]. Gwangju; Cho-Sun University; 2014.
  16. Kang HB. IPA nalaysis on Russia and central asia marketing strategies of medical tourism perecived by experts in the related field: a case study medical hospital of Incheon and Bucheon city [dissertation]. Incheon; Incheon National University; 2015.
  17. Lee PJ. A study on the policy development for invigorating the oriental medical tourism: a focus on the comparative perception between medical supplier and potential consumers [dissertation]. Daegu; Daegu Catholic University;2016.
  18. Yu JS. Workers' perceptions of service important of public eldercare hospital on rural areas [dissertation]. Seoul; Korea University;2011.
  19. Kim JH. Improvement prioritization of health and medical service quality attributes using PCSI index: focused on one upper level general hospital [dissertation]. Daegu; Kei-myung University; 2014.
  20. Kim SH. Scale development and importanceperformance analysis of selection attributes in specialized hospitals: focused on the patients of orthopedics specialized hospitals in Busan [dissertation]. Busan; Pukyong National University; 2012.
  21. Lee SH. Importance of the elements in medical institution choice how post-visit satisfaction affects the behavioral intention of customers: focusing on ophthalmic clinics [dissertation]. Seoul; Kyung-Hee University;2015.
  22. Kim KH. A survey study on evaluation of the senior civil service system [dissertation]. Seoul; Sungkyunkwan University;2009.
  23. Wang LH. A study on the Importance-satisfaction analysis of government support policy for promoting employment of the disabled: focusing on social enterprises in Shanghai [dissertation]. Seoul; Kon-Kuk University;2013.
  24. Wu PR. The sports lecturer system percived by elementary school managers examined with IPA [dissertation]. Chuncheon; Kang-Won National University;2015.
  25. Yoon DH. Perception on evaluation of medical care quality and subsidies [dissertation]. Seongnam; Ga-Cheon University;2017.
  26. Lee KH. Comparison of perception on the premium medical treatment system between healthcare consumers and providers [dissertation]. Seoul; Korea University;2010.
  27. Jeon IS. The effects of improved selective medical treatment system on the out-of-pocket payments and medical service usage of severe lung cancer patients [dissertation]. Seoul; Yon-sei University; 2016.
  28. Kim YE. Impacts and Policy Tasks of Selective Care Reorganization. Korean Institute of Hospital Management. 2015.
  29. Lee JG. Review on the current reformation of the physician surcharge in Korea. Journal of the Korean Medical Association. 2015;58(4):264-270. https://doi.org/10.5124/jkma.2015.58.4.264
  30. Kim SW. Assessment of health insurance protection strengthening policy. 2016.
  31. Lee SH. Evaluation on the Validity of Reimbursement for Quality Improvement for Hospitals. Journal of Korean Society of Hospital Management. 2015;20(4):72-77
  32. National Evidence-based Healthcare Collaborating Agency. Study on the consumer and health professionals' perceptions of safety in hospitals. 2014.
  33. Ministry of Health & Welfare. Starting in January 2018, the burden of doctor-designation fees will disappear(press release). 2017.