Browse > Article
http://dx.doi.org/10.15207/JKCS.2018.9.1.151

Impact of Competition on Physician Behavior Clinics - Focused on Acute Otitis Media in Children -  

Lee, Chae-Kyung (Dep. of Public Health, Gachon University Graduate School)
Suh, Won-Sik (Dep. of Healthcare Management, Gachon University)
Publication Information
Journal of the Korea Convergence Society / v.9, no.1, 2018 , pp. 151-159 More about this Journal
Abstract
This study analyzes the impact of competitions clinics on the total treatment cost and anti-biotics prescription rate. The result of implementing the basic statistics, correlations, and regression analysis by facilitating the evaluation data by Health Insurance Review & Assessment Service in 2015 for acute otitis media in children is shown as follows. First, there is a significant difference for each si-gun-gu for the competition index between total treatment cost and clinics, but there is almost no significant difference for the anti-biotics prescription rate. Second, competition in clinics has statistically important impact on the total examination cost And, third, competition in clinics has no statistically important impact on the anti-biotics prescription rate. There is a need for additional studies on re-examination rate, treatment cost per visit and so forth in order to clarify other factors of competition for medical institutions impacting on the physician behavior in the future studies.
Keywords
Clinic; HHI; Physician behavior; convergence factor; Total medical expenses; Antibiotics prescription rate;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 G. D. Park, "Variation of prescription patterns for acute respiratory infection patients : based on health insurance claims data of the clinics," Seoul National Ph. D thesis, 2003.
2 H. M. Cho, J. H. Park, D. S. Kim, "A Qualitative Study of Antibiotic Prescribing Decision of Physicians and Strategy of Antibiotics Prescription," Korean Journal of Health Promotion, Vol. 16, No. 3, pp. 203-213, 2016.   DOI
3 A Survey of Hospital Management, Korea, Medical Association, 2015.
4 Hyeung-Keun Park, "Effects of Hospital Competition on the Average length of stay and Cost per inpatient day," Seoul National University Ph. D thesis, pp. 1-9. 2005.
5 J. K. Yeom, “The Critical Factors on Impro vement of Medical institution Competitiveness,” Journal of Korea Society of Hospital Management, Vol. 12, No. 1, pp. 3-6, 2006.
6 Y. H. Oh, "Problem with and Policy Agenda for Over Supply of Major Medical Equipments in Korea," Health and welfare policy forum. Vol. 202, pp. 62-73, 2013.
7 J. W. Lee, "Complex relationship between Hospital management performance and the degree of the regional competition (Focusing on the Regional Public Hospital)," Journal of Digital Convergence. Vol. 13, No. 10, pp. 405-413, 2015.   DOI
8 J. Y. Lim, “The Effect of Doctor's Payment Method on Practice Behavior,” Health Policy and Management, Vol. 14, No. 4, pp. 48-74, 2004.   DOI
9 C. B. Kim, "Test of physician-induced demand in Korea," Dept. of Health Administration Graduate School Yonsei University Ph.D. thesis, 2002.
10 C. I. Cho., J. Y. Lim., & S. Y. Lee, "The Effect of the Degree of Competition of the Hospital Market Regions on Clinic's Rate of Antibiotics Prescription," Korea Development Institue, Vol. 30, No. 2, pp. 129-155, 2008
11 "Infant and Young children Acute Otitis Media evaluation materials of the antibiotics prescription rate," Health Insurance Review and Assessment Service, 2015
12 Y. J. Choi, "A study on the physician-induced demand aided by a performance-related pay system for health care providers," Deppartment of Social Welfare Graduate School, Chung-Ang University, 2014.
13 J. S. Kim, W. S. Shu, "Changes in Providers' Behavior after the Reviewer Unification of Auto Insurance Medical Benefit Claims," Health Policy and Management, Vol. 27, No. 1, pp. 30-38, 2017.   DOI
14 Robison, J. C, & H. S. Luft, "The Impact of Hospital Markert Structure on Patient Volume, Average Length of the Stay, and the Cost of Care," Journal of Health Economics, Vol. 4, pp. 333-356, 1985.   DOI
15 Zwanziger, Jack, "Antitrust Considerations and Hospital Markets," Jounal of Health Economics, Vol. 8, No. 4, pp. 457-464, 1990.   DOI
16 Noether M., "Competition among hospital," J Health Econ, Vol. 7, No. 3, pp. 259-84, 1988.   DOI
17 "Guideline for Otitis Media," The Korean Otologic Society, 2014.
18 J. Sakong, & E. J. Kwon, "A Study of the Effect of Hospital Competition on the Behavior of the Health Care Suppliers," The Korean Journal of Health Economics and Policy, Vol. 17, No. 2, pp. 1-33, 2011.
19 Y. J. KIM, "Clinics competitive impact of physician behavior : clinics in Seoul," Korea, Department of Public Enterprise Policy Graduate School, Seoul National University, 2012
20 H. Y. Park, S. M. Kown, & H. Y. Jung, "Competition in the Hospital Service Market and Its Impact on Hospital Behavior in Korea," Health Policy and Management, Vol. 18, No. 1, pp. 1-20, 2008.   DOI
21 E. J. Kwon, "A study in the effect of hospital competition on the behavior of health care suppliers," Graduate School HanYang University, 2010
22 Korea Medicine Times, pp. 19, 2015.
23 D. E. Farely, "US Department of Health of Health and Human Services, National Center for Health Services Research and Health Care Technology Assessment, 1985.
24 N. S. Kim, S. R. Jang, & S. M. Jang, "Factors Influencing Antibiotics Prescribing of Primary Health Physicians in Acute Upper Respiratory Infections," Journal of Preventive Medicine and Public Health, Vol. 38, No. 1, pp. 1-8, 2005
25 G. S. Uh, "Antibiotics prescription pattern of family Practitioners for respiratory tract infection," Journal of the Korean Academy of Family Medicine, Vol. 21, No. 7, pp. 229-244, 2000.