Browse > Article
http://dx.doi.org/10.5762/KAIS.2016.17.12.594

Improving Hospital Referral System based on Perception of Delivery of Healthcare by Enrollees  

Jeong, Young Kwon (Executive Drector of Administration, SMG-Seoul National University Boramae Medical Center)
Suh, Won Sik (Dept. of Healthcare Management, Gachon University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.17, no.12, 2016 , pp. 594-602 More about this Journal
Abstract
This study was carried out to suggest hospital referral system improvements based on health insurance subscriber perceptions of the delivery of healthcare. Health insurance subscriber outpatients (n = 207) referred from a stage 1 medical institution to the S university hospital located in Seoul responded to the study survey. The study's item reliability is reliable as the Cronbach's alpha coefficient was greater than 0.7. This study results showed that 5.9% of patients were referred from a higher stage hospital to a same stage hospital. The main factor attracting patients to S university hospital were physician reputation and confidence. The highest factor ($4.40{\pm}.92$) was xxxx. In addition, survey respondents reported that the concentration of patients in extra-large hospitals in Seoul ($4.24{\pm}.97$) was an important issue, and the issue with the highest priority for improvement ($4.05{\pm}1.02$). A positive correlation was detected between the recognition and improvement of delivery of healthcare (p < 0.01). Based on the results, we suggest that improvements in the delivery of healthcare should focus on patients rather than suppliers of national health insurance or other insurers. Keywords: delivery of healthcare, health services accessibility, national health insurance, tertiary care centers, hospital referral.
Keywords
delivery of healthcare; health services accessibility; national health insurance; tertiary care centers; hospital referral;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 K. J. YOON, "Trend and problems of medical delivery system improvement plan," Sejong, The Korea institute for health and social affairs, 2014.
2 C. R. Jeong, H. C. Kwon, J. W. Nam, "A study on the equity of Korean healthcare cost burden," The journal of social security research, 30(2), pp. 317-344, 2014.
3 B. G. Kim, J. H. Yang, D. M. Chang "A Study on the Medical Services Satisfaction of Cancer Patients in Busan Area" Journal of the Korea Academia-Industrial cooperation Society, vol. 13, no. 1, pp. 236-246, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.1.236   DOI
4 Moon-Hee Nam et. al., "A Study on Utilization of non-residential areal in Operation patient", Journal of the Korea Academia-Industrial cooperation Society, vol. 11, no. 6, pp. 2078-2087, 2010. DOI: http://dx.doi.org/10.5762/KAIS.2010.11.6.2078   DOI
5 R. E. Rakel, Textbook of Family Practice, Philadelphia, WB Saunder Co, pp 14, 1984.
6 Fly J. Primary care. William Heinemann Medical Books, London, pp. 63-83, 1980.
7 C. R. Kang, Improvement suggestion of healthcare medical service system on local residence's healthcare medical behaviour, Korean Society for health Education and Promotion Symposium published paper, pp. 174-176, 2000.
8 Korea Institute for Population and Health. The research on the universal coverage system. Seoul: Korea Institute for Population and Health, 1985.
9 Peters GN. Referral in primary care: in the family physician a ""Gatekeeper"". Can Fam physician 35, pp. 1776-1778, 1989.
10 Froom J. Risks of referral. The Journal of Family Practice 18(4), pp. 623-626, 1984.
11 Dongil O, "Enhancement of Korea medical delivery system",Journal of the Korea Academia-Industrial cooperation Society vol. 17, no. 4, pp. 340-350, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.4.340   DOI
12 K. H. Kim, J. C. Lee. H. N. Lee, "A study on systemic improvement suggestion for reestablishing the functions of medical institutions," National Knowledge Information, 25(4), pp. 161-178, 2011.
13 YoungHo Oh, "Improvement Ways for Health Care Delivery System", Health and Welfare policy Forum pp. 49-69, 2012.
14 Jae-Ho Lee, Byung-Su Ko, Jong-Han Leem, Sang-Il Lee, "Standard model and quality appraisal framework for the organization of primary care", J. Korean Med Assoc 56(10): 866-880, 2013. DOI: http://dx.doi.org/10.5124/jkma.2013.56.10.866   DOI
15 K. J. Lee, etc., "How to reform Healthcare system of Korea, KMA Health policy research Center, 2010.
16 Korean Medical Association, Announcement for the current situation for Korean Primary Care, 2015.9. DOI: https://doi.org/10.5124/jkma.2013.56.10.866   DOI
17 H. O. Lee, K. S. Kim, "Use of medical care service and quality of life among members of healthcare insurance and recipients," The Journal of Korean Social Welfare, 44(-), pp. 187-210, 2015.   DOI
18 Leiyu Shi, "The Impact of Primary Care: A Focused Review", Scientifical, vol. (2002). Article ID 432892, pp. 22, 2002.
19 S. H. Kim, "A study on governance change in determining medical insurance fee," Journal of Parliamentary Research, 10(1), pp. 269-296, 2015. DOI: https://doi.org/10.18808/jopr.2015.1.10.   DOI
20 Y. H. Park, "Strategy for discussion of new medical delivery system and suggestions on the governance," Korean Journal of Health Policy and Management, 24(4), pp. 301-303, 2014. DOI: https://doi.org/10.4332/KJHPA.2014.24.4.301   DOI
21 Stevens, R. American Medicine and Public Interest. Yale University Press, 1971.
22 Hutchison, B., "A Long Time Coming: Primary Healthcare Renewal in Canada", Healthcare Papers 8(2), pp. 10-224, 2008. DOI: https://doi.org/10.12927/hcpap.2008.19704   DOI
23 Starfield B, Shi L, Macinko J., "Contribution of primary care to health systems and health", Milbank Quarterly" 83(3), pp. 457-502, 2005. DOI: https://doi.org/10.1111/j.1468-0009.2005.00409.x   DOI
24 G. H. Wang, "A study on medical delivery system in Incheon," Master's thesis, Inha University Administration Graduation, 2003.
25 S. J. Yoon, "Private public healthcare delivery system in Seoul Metropolitan City," Seoul Medical Center Affiliated Research Institute, 2006.
26 G. J. YIM, S. M. YIM, U. C. Shin, "Current situation, problems and improvement plan of medical delivery system: focusing on comparative between Korea and Germany," Journal of Economic Theory and Econometrics, 31(3), pp. 1-20, 2013.