• Title/Summary/Keyword: 의료수익

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Efficiency Evaluation of General Hospitals using DEA (DEA를 이용한 종합병원의 효율성 평가)

  • Park, Byung-Sang;Lee, Yong-Kyoon;Kim, Yoon-Shin
    • The Journal of the Korea Contents Association
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    • v.9 no.4
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    • pp.299-312
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    • 2009
  • Unlike profit-seeking businesses, hospitals provide medical services to promote the public good in a way, and they need a reform of management to ensure sustainable growth in fast-changing medical environments. The key to the managerial reform is enhancing efficiency, and inefficient managerial practices and factors affecting that should be grasped first of all to boost the efficiency of hospital management. But evaluation methods that are prevalent in the private sector are hardly applicable to hospitals. The purpose of this study was to assess hospital efficiency by using a data envelopment analysis(DEA). The 2006 data on 74 residency training hospitals with 500 beds or more were analyzed. The selected input variables included the number of bed, the number of doctors, the number of nurses, the number of medical technicians, personnel expenses, management cost and materials cost. And the selected output variables were the yearly number of outpatients, the yearly number of inpatients, the number of operation cases and earnings. In addition, the influence of the type of hospital establishment, location, the year of foundation and the type of hospital on hospital efficiency was checked as well.

A Study on the design of the outpatient and inpatient conversion factors based on the medical expenditure budget system (진료비 예산에 기초한 외래 및 입원 환산지수 설계에 관한 연구)

  • O, Dongil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.470-478
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    • 2020
  • In this paper, a theoretical model that separates one single conversion factor into two conversion factors for both outpatients and inpatients is introduced. By using hypothetical numbers, two conversion factors and an adjustment factor were calculated. The major implications are as follows. Firstly, by introducing two conversion factors, a minimum incentive mechanism for admitting outpatients to a clinic and high risk inpatients to a hospital was installed. Secondly, the introduction of two conversion factors decreased the drive to admit outpatients to a hospital by reducing the economic benefits for the hospital. Thirdly, it is possible to make explicit contracts for several factors rather than a single conversion factor, so that it can be used as an appropriate management tool for rapidly increasing medical expenses. Finally, this research can be used to set up policy tools to establish a proper healthcare delivery system in Korea by inducing behavioral changes in healthcare institutions.

A Study on Standardization Plan to Foster Hanji Industry (한지산업 육성을 위한 표준화 방안 연구)

  • Jang, Se Gil
    • Journal of Agricultural Extension & Community Development
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    • v.21 no.3
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    • pp.121-154
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    • 2014
  • This study explores standardization plans concerning industrialization of Hanjii which is traditional culture resources of rural community. Hanji is very useful in many ways, and its usefulness is not confined to only paper. In other words, it comes to have architectural uses, agricultural uses, clothing uses, and medical uses through fusion and convergence. However, the expansion of Hanji market dose not lead to profits for related stake holders because its standardization is not nurtured yet. For standardization, this paper argues, first, a industrial definition of Hanji is needed in which Hanji's own characteristics is involved. Besides maintaining traditional characteristics, the definition and quality standards of Hanji needs to be established by considering a given condition of Hanji industy. Second, a satisfactory method to measure Hanji's own material characteristics(i.g., mulberry paper content and long-term sustainability), which affects Hanji's quality, needs to be developed and standardized. Third, a government standard is urgently needed in order to keep consumers from being confused when they select Hanji products. The standardization of Hanji products and technology needs to be established in both case of current Hanji market and newly developed products and technology.

Determinants of the Operating Profitability of the Medical Clinics (의원의 의료수익성 결정요인)

  • Jung, Seong-Wan;Hwang, In-Kyoung;Jung, Doo-Chae
    • Korea Journal of Hospital Management
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    • v.11 no.1
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    • pp.54-90
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    • 2006
  • Medical clinics are core institutes that cover the primary medical care in Korea. Financial viability of the clinics is essential for them to conduct their roles and functions, and can be improved by increasing their operating profitability. On this ground, this study aimed at finding important factors that affect the operating profitability, and thereby at suggesting strategic alternatives that can contribute to the improvement of the profitability. Operating margin was set as a dependent variable, and such factors as general management conditions, number of visits, medical revenue, marketing activities, input resources, medical cost as independent variables. Nineteen hypotheses related to the variables were established and tested using data collected from 138 sample clinics for the year 2003. The results of the study are as follows : Firstly, such variables as percent ratio of the depreciation plus rent costs to total administration costs, type of clinical department manifested whether medical, surgical, or quasi-surgical, percent ratio of the interior facility investment to total fixed assets, and total number of outpatient visit are important factors that affect, positively or negatively, the medical profitability of the clinics. Secondly, following measures are needed to be established and implemented to improve the medical profitability. (1) Administration costs share 53.2% of the total medical costs, and depreciation plus rent costs 16.3% of the total administration costs. This implies that such measures as reinforcement of marketing activities, establishment of the cooperative utilizing system of the facility and equipment, or group practice are needed to increase cost-effectiveness. (2) Occupancy rate of the clinics with inpatient bed is as low as 45.5%, causing high fixed costs and low medical profitability. For its improvement, the resource input structure should be reorganized. Thirdly, in the future, a study that can increase sample representativeness of the study and explanation power of the variables should be performed for each type of clinical department to find more specific determinant factors and to contribute to the improvement of the medical profitability of the clinics.

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Analysis on the Relating Factors of Profitability of Korean Public Corporation Medical Centers(KPCMCs) (지방공사 의료원의 수익성 관련요인 분석)

  • Moon, Jae-Woo;Park, Jae-San
    • Korea Journal of Hospital Management
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    • v.9 no.2
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    • pp.102-127
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    • 2004
  • The objective of this study is to analyze a current trend of and relating factors on profitability of the Korean Public Corporation Medical Centers(KPCMCs, hereinafter, hospitals) in Korea. There are 34 hospitals in Korea as of 2004. Among these hospitals some are red ink hospitals, others are black inks in terms of profitability. Data were collected by Korea Health Industry Development Institute(KHIDI) Statistics for Hospital Management 2000-2002 and Ministry of Health and Welfare(MOHW) financial data of public hospitals which was planned to coordinate public health care services roadmap in the long run. The samples are 32 hospitals. Profitability was measured in the aspect of profit rate with normal profit to total assets, and normal profit to gross revenues as dependent variables in respective. Independent variables were classified by general factors, i.e., location, intern/resident training, period of opening, number of beds, and managerial factors(current ratio, fixed ratio, liability to total assets, total assets turnover, personnel costs, materials cost, administrative cost), and finally factors related to patient treatment(average length of stay, bed occupancy rate, admission ratio of outpatients). The methods of analysis are correlation and multiple regression analysis. This study shows firstly, a lot of hospitals are optimal current ratio. Hospitals in upper 100% current ratio are 81.2%. And the personnel cost in total costs are high. Secondly, the trend of normal profit to gross revenues of hospitals are deteriorating gradually. And lastly, as a result of multiple regression analysis, the factors had on significant effect on normal profit to total assets are fixed ratio(+), liability to total assets(-), bed occupancy rate(+), admissions of outpatients(+), etc. And the factors had on significant effect on normal profit to gross revenues are current ration(+), fixed ratio(+), personnel cost(-), administrative expenses(-), admissions of outpatients(+), etc. In conclusion, to improve the profitability of hospitals, the efforts to reduce personnel cost and average length of stay might be needed. And also beds utilization rate need to be increased.

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Policy Implications for Vitalizing U-health Services Based on the Consumer Survey and the Expert Interview (u-health 서비스 활성화를 위한 정책제언 - 소비자 설문 조사 및 전문가 조사에 기초하여 -)

  • Cho, Hyun-Seung;Koh, Dae-Young
    • Journal of Korea Technology Innovation Society
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    • v.14 no.3
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    • pp.488-515
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    • 2011
  • The purpose of this study is to provide policy implications for vitalizing u-health services. We carried out survey of 500 consumers and indepth interview with various experts. Both experts and consumers believe that u-health services will become prevalent in the longrun, although there exist obstacles against vitalization of u-health services. To vitalize u-health service, the Korean government should raise reliability and recognition of u-health service for consumers. Furthermore, law and institution regarding u-health services should be improved to give enough incentives for u-health suppliers and consumers.

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The Determinants of Profitability Performance in Regional Public Hospitals (지방의료원 수익성과에 대한 결정요인 분석)

  • Hong, Mi-Yeong;Lee, Hae-Jong;Joo, Hyun-Sil;Lee, Dong-Won
    • Korea Journal of Hospital Management
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    • v.14 no.2
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    • pp.1-20
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    • 2009
  • The purpose of this study is to find the determinant variables to make profitability in regional public hospitals. The data come from financial statements and annual reports of 34 regional public hospitals for five years (from year 2003 to year 2007). The T or F-test and hierarchical multiple regression analysis are used. The dependant variables are the profitability indicators, ordinary income to total asset and operating margin to gross revenue, and the independent variables are general characteristics, diagnosis and treatment patterns, financial and public benefits. The findings of this study are summarized as follows. First, Variables affecting the profitability indexes revealed from DEA results is the bed occupancy rate, number of hospitalized patients to outpatients, ratio of first medical examination for outpatients, number of daily patients per medical specialist, labor cost per patient and managerial expenses per patient. Second, the ordinary income to total asset representing the asset usage performance is affected by the average hospitalized days, bed occupancy rate, labor cost per patient and ratio of patients with medical insurance coverage. Third, the operating martin to gross revenue obtained from the actual operations of hospitals has its significance with the bed occupancy rate, number of hospitalized patients to outpatients, managerial expenses per patient and public benefit indicator. This study has some restriction not to use pannel data analysis, although it used data for five years. Accordingly, various additional studies should be done to supplement such problems.

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Relationship of Hospital Ownership and Profitability with Prices of Non-Covered Services (병원의 설립형태 및 수익성과 비급여 서비스 가격의 연관성)

  • Do Hee Kim;Tae Hyun Kim
    • Korea Journal of Hospital Management
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    • v.28 no.1
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    • pp.37-51
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    • 2023
  • Purposes: There exist many non-covered services that the National Health Insurance does not cover, and thus, their prices are set by individual health care providers. However, little study has been done to investigate how hospitals set prices for those services. The purpose of this study is to examine the relationship between ownership, profitability, and prices of those services for a sample of general hospitals. Methodology/Approach: Data regarding the prices of major non-covered services (e.g., upper-level hospital room fees, MRI, Da 7inci robot surgery, and LASIK) were obtained from the Health Insurance Review and Assessment Service and the financial information, as well as other characteristics, were derived from the financial reports from the Korea Health Industry Development Institute. Descriptive statistics, t-tests, and multiple linear regression analyses were used to test the relationship between the independent variables and the dependent variables. Findings: Hospitals owned by private universities appeared to have higher prices for non-covered services while regional public hospitals tend to have lower prices. Profitability, measured by operating margin, was not significantly related to the prices. Hospitals that charge higher prices were more likely to be located in the capital area (Seoul, Incheon, and Gyeonggi), and to employ larger number of personnel. Practical Implications: Public hospitals tend to charge lower prices for non-covered services. Relative market power appears to be related to pricing. Further research is needed to investigate whether such a relationship varies over time and its effects on the quality and access.

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THE CHANGES IN PRACTICE PATTERNS FOR THE LAST 8 YEARS (2001-2008) IN THE DEPARTMENT OF PEDIATRIC DENTISTRY, SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL (최근 8년간(2001-2008) 서울대학교치과병원 소아치과의 진료현황 및 수익분포 변화에 대한 조사)

  • Son, Yu-Jin;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Lee, Sang-Hoon;Kim, Chong-Chul;Hahn, Se-Hyun;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.1
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    • pp.97-101
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    • 2010
  • The practice pattern of pediatric dentistry in the university dental hospital has been changing for the last several decades, due to socioeconomic changes, developments in dental materials and increasing number of private pediatric dental clinics. The purpose of this study is to survey the changing patterns of pediatric dental treatment in the university dental hospital and to present the future direction for pediatric dentistry. Patient distribution and practice trends were reviewed based on the OCS (order communication system) records of the department of pediatric dentistry, Seoul National University Dental Hospital from 2001 to 2008. Results were as follows; 1. The number of patients increased up to 2005 and decreased in 2006, and has remained constant up to 2008. 2. The proportion of preventive and orthodontic treatment increased and the proportion of restorative and pulpal treatment decreased. 3. In restorative treatment, amalgam restoration decreased and resin restoration increased. 4. Frequency of sedation decreased in 2006, 2007 and increased in 2008. 5. Frequency of general anesthesia increased up to 2008.

Development of Residential Complex as a Base for Regional Revitalization in the Mature Level of City Development (성숙기 도시에서 지역활성화 거점으로서 복합주거단지 개발에 대한 고찰)

  • Park, Joon-Young;Lee, Young-Hwan;Kwon, Hyuk-Sam;Seok, Hye-June;Oh, Soo-Ho;Hong, Sung-Dok
    • Land and Housing Review
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    • v.5 no.1
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    • pp.25-34
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    • 2014
  • This study starts from the fact that we need residential complex for the purpose of public interests, rather than for profits, and find a new perspective on the concept of public-oriented residential complex in the cities that had slow growth. In this study, we 1) propose a new concept of the residential complex that can vitalize regional communities and maintain the interest of the public : 'functional-mix', 'social-mix', 'spatial-mix', 2) produce a model simulation based on the development principles including development direction, types of development, and design guidelines, ; six development principles(goal, concept, development type, spatial structure, space element, spatial hierarchy), diversity of housing types, facilities that can vitalize and contribute the regional communities 3) propose practical methods that can realize and promote the proposed concept and model simulation. ; need to amend the housing construction Law.