Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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An Analysis on Management Efficiency of The Regional Public Hospitals Using D.E.A

DEA를 이용한 지방의료원 경영효율성 분석

  • Kim, Young-Jong (Dept. of Hospital Management, Graduate School of Konyang University) ;
  • Kim, Kwang-Hwan (Dept. of Hospital Management, Konyang University)
  • 김영종 (건양대학교 일반대학원 병원경영학과) ;
  • 김광환 (건양대학교 병원경영학과)
  • Received : 2020.07.02
  • Accepted : 2020.08.07
  • Published : 2020.08.31
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Abstract

This study analyzed the relative operational efficiency and impact factors of regional public hospitals to present benchmarking points for enhancing the efficiency of inefficient regional public hospitals. The survey targets collected and utilized the internal resources and management performance data from 34 regional public hospitals in Korea over the past five years, from 2014 to 2018. The final 33 regional public hospitals were surveyed, excluding Jinan Regional Public Hospital, which opened in 2015, the middle of the survey period. The general characteristics and input/output variables were analyzed by frequency analysis and technical statistics analysis, and Data Envelopment Analysis was performed to measure the operational efficiency index and relative comparison. According to the study, there were 11 efficient hospitals (33.3%) and 22 inefficient hospitals (66.7%). Of the 22 inefficient hospitals, 13 (IRS: Increasing Returns to Scale) required scale expansion, and nine (DRS: Decreasing Returns to Scale) required scale reduction or rebalancing. The significance of this study was that an analysis of the relative efficiency and influencing factors presented specific alternatives or directions that could help enhance the efficiency of the growth of regional public hospitals, sustainable management, and expansion of publicness.

본 연구의 목적은 지방의료원의 상대적 운영효율성과 영향요인을 측정하고 비효율적인 지방의료원에 대해 효율성 제고를 위한 벤치마킹 포인트를 제시하는데 있다. 조사대상은 2014년부터 2018년까지 최근 5년간 국내 34개 지방의료원을 대상으로 내부자원과 경영실적 자료를 수집 활용하였다. 조사대상 기간 중간인 2015년에 개원한 진안군의료원은 제외하고 최종 33개 지방의료원을 조사하였다. 분석방법으로 일반적 특성과 투입·산출 변수는 빈도분석과 기술통계량 분석을, 운영효율성 지수 측정 및 상대비교를 위해 자료포락분석을 실시하였다. 연구결과, 효율병원은 11개소로 33.3%, 비효율병원은 22개소로 66.7%를 보였다. 비효율병원 22개소 중에서 규모의 확대가 필요한 IRS(규모수익체증)는 13개 소, 규모의 축소 또는 재조정이 필요한 DRS(규모수익체감)는 9개소로 나타났다. 본 연구의 의의는 상대적 효율성과 영향요인 분석을 통해 지방의료원의 성장과 지속가능 경영 및 공공성 확대를 위해 효율성 제고에 도움을 줄 수 있는 구체적인 대안이나 방향성을 제시하였다는 점이다.

Keywords

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