Browse > Article
http://dx.doi.org/10.12811/kshsm.2014.8.3.013

The Characteristics and Utilization Factors of Tertiary Hospital Inpatients: Evidence from Korea Health Panel(2008~2011)  

Park, Young-Hee (Department of HCM Catholic University of Pusan)
Publication Information
The Korean Journal of Health Service Management / v.8, no.3, 2014 , pp. 13-25 More about this Journal
Abstract
This research was performed to investigate the characteristics and determination factors on tertiary hospital inpatients. The used data was the four waves of Korea Health Panel(2008, 2009, 2010, 2011), and the number of subjects was 4,430 cases of tertiary and general hospital admission. The statistical methodology used in the study is the logistic regression model. The significant affecting factors in utilizing tertiary hospital admission were gender, marital status, education, household income, residence region and ICD-10 classification. Man, graduating college/university, married, high-income were socio-economic affecting factors in tertiary hospital admission. Medical need factor of ICD-10 classification and residence region of inpatients was also significant affecting factors in tertiary hospital admission. The 81.4% of inpatients at tertiary hospital had chronic disease and the 12.9% of inpatients readmitted, the 68.2% had a selecting doctor and the only 26.7% of inpatients reinforced by private medical insurance. This study recommended the Korean government to provide proper rule for tertiary hospital admission in order to improve the equity and efficiency of health care system.
Keywords
Tertiary Hospital Inpatients; General Hospital; Socio-Economic Factor; Medical Need;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 A.G. Kang(2007), An Analysis of the Equity in Health Service Utilization with the Regional Distribution of Health Care Resources, Korean social security studies, Vol.23(2);189-219.
2 The Rule of Tertiary Hospital Appointment and Evaluation(2014), The Criteria of Tertiary Hospital Appointment Related with the 2nd Item, pp.1-2.
3 D.Y. Gim(2012), Analysis of Changes to Equality in Health and Medical Service Utilization by Income, Levels, Journal of Institute for Social Sciences, Vol.23(3);105-125.
4 R. Choi, J.Y. Park, B.D. Hwang(2013), Health Care Utilization according to Income Class and Subjective Income Class : Measurements Based on Korea Health Panel, Health and Medical Sociology, Vol.33;85-107.
5 D.J. Kim, J.E. Kim, E.J. Park, H.S. Shin(2011), Study on Horizontal inequity in health care utilization in Korea, The Korea Institute for Health and Social Affairs, pp.63-132.
6 K.H. Rhim, J.H. Lee(2010), Income-Related Inequity in Medical care Utilization by Provider Type, The Koren Journal of Health Economics and Policy, Vol.16(2);39-56.
7 D.J. Kim(2012), The Equity in Health Care Utilization: A Decomposition Considering the Type of Health Care Provider, Social Science Research Review of Kyungsung University, Vol.28(3);205-226.
8 N.K. Seo, O.H. Lee, T.W. Kang, Y.H. Tae, S.R. Seo, S.J. An, H.J. Lee(2013), 2012 Medical Cost Survey of National Health Insured Patients, Health Insurance Policy Institute, pp.34-45.
9 H.B. Lee, H.Y. Lee, J.W. Cho(2012), The Status and Effect Analysis of Personal Medical Insurance, Health Insurance Policy Institute, pp.135-144.
10 C.H. You, S.W. Kang, J.H. Choi, E.H. Oh, Y.D. Kwon, The Effect of Private Health Insurance on Health Care Utilization: Evidence from Korea Health Panel (2008-2010), The Korean Journal of Health Service Management Vol.8(2);101-113.   과학기술학회마을   DOI   ScienceOn
11 Y.J. Lee(2006), Regional Analysis of Equity and Cause in Utilization of National Health Insurance, The Graduate School of Jungang University, pp.102-168.
12 Y.J. Lee(2008), Regional Analysis of the Equity in Utilization of the National Health Insurance, Korea Social Policy Review, Vol.15(1);5-38.   DOI
13 Y.H. Park(2012), Utilization Patterns of National Health Insurance and Medical Aid Inpatients in Tertiary Hospitals, The Korean Journal of Health Service Management Vol.6(4);83-98.   과학기술학회마을   DOI   ScienceOn
14 R.M. Andersen(1995), Revising the behavioral model and access to medical care: Does it matter?, Journal of Health Social Behavior, Vol.36(1);1-10.   DOI   ScienceOn
15 National Health Insurance Service(2014), The Press Release of 2013 Annual Main Statistics of National Health Insurance Service, pp.1-2.
16 S.M. Kwon, B.M. Yang, T.J. Lee, J.H Oh, S.Y. Lee(2003), Equity in Health Care Utilization in Korea, Korean Health Economic Review, Vol.9(2);13-24.
17 H.J. Kang(2014), Policy Direction for Decreasing the Concentration of Patients to Extra-large Hospitals, Health and welfare policy forum, Vol. 210;65-76.
18 N.K. Seo, S.J. An, Y.H. Whang, T.W. Kang, J.S Choi, Y.H. Jung, Y.H Oh, D.J. Kim, J.A. Juen, S.J. Ko, S.H Lee, J.Y. Kim and et al(2013), 2013 In-depth Analysis of Korea Health Panel, National Health Insurance Service & The Korea Institute for Health and Social Affairs, p.69.
19 National Health Insurance Service(2009, 2010, 2011, 2012), 2008-2011 National Health Insurance Statistical Yearbook, pp.176-186.
20 Y.H. Oh(2012), Improvement Ways for Health Care Delivery System, Health and welfare policy forum, Vol.189;50-67.
21 Ministry of Health & Welfare(2011), Reestablishment Planning on Medical Institutes Function, pp.1-2.