[논문]질적 연구를 통한 대형병원 환자집중의 영향 요인 분석 : 대형병원 의료이용자와 관리자 관점에서

이근정; 엄혜은; 고정애; 박다혜

질적 연구를 통한 대형병원 환자집중의 영향 요인 분석 : 대형병원 의료이용자와 관리자 관점에서
A Study on Influencing Factor of Patient Leaning Phenomenon in Tertiary Hospitals through Qualitative Research : From the Perspective of Tertiary Hospital Users and Managers 원문보기

병원경영학회지 = Korea journal of hospital management, v.26 no.1, 2021년, pp.55 - 70

이근정 (건강보험심사평가원 심사평가연구실) , 엄혜은 (건강보험심사평가원 심사평가연구실) , 고정애 (건강보험심사평가원 심사평가연구실) , 박다혜 (건강보험심사평가원 심사평가연구실)

Abstract ▼ AI-Helper

Purpose: The purpose of this study was to examine the influencing factors of the patient leaning phenomenon in tertiary hospitals. Based on the results of this study, we intended to find implications for improving the problems of the delivery system imbalance in tertiary hospitals caused by patient leaning phenomenon. Methodology/Approach: Qualitative studies were conducted, using focus group interviews and in-depth interviews. The focus group interviews were conducted for 12 users of tertiary hospitals by 2 groups. And in-depth interviews were conducted for 6 tertiary hospital managers. This was considered to be the most effective approach to gather diverse and in-depth information about the influencing factor of patient leaning phenomenon in tertiary hospitals. Findings: In focus group interviews, the reason for choosing tertiary hospitals was the reliability of the hospital(physician, reputation, etc.). And the effect of the policy to strengthen coverage of National Health Insurance and private medical insurance was relatively small. In other words, we found that the individual's desire to receive medical services suitable for one's health status and disease condition was the biggest factor, rather than the cost and policy factors. Practical Implications: We suggested that the appropriate medical care provision should be strengthened according to the role and function of medical institutions. In addition, the education system needs to be reorganized to activate the referral program, expand community medical capabilities, and foster quality primary medical care.

주제어

참고문헌 (40)

Kang HJ. Policy Direction for Decreasing the Concentration of Patients to Extra-large Hospitals. Health and welfare policy forum 2014;210(0):65-76
Kim HS. Current Status and Tasks of the Patient's Medical Utilization Leaning Phenomenon. Hira Issue 2018;(4):1-4.
Kim KH. Recent diagnosis of patient concentration in large hospitals. Research Institute for Healthcare Policy Korean Medical Association 2020;17(4):10-15.
Ministry of Health and Welfare. Tertiary Hospital will shift to Serious Patient-centered .2019 Sep 4;
World Health Organization. Primary Health Care : Now and more than ever [Internet]. Geneva: World Health Organization; 2008. Available from https://www.who.int/whr/2008/en/.
Jeong YS. Is there Acceleration of patient concentration in large hospitals after the new healthcarepolicy in Korea?... "Obscurity". Medical Observer[Internet]. 2019 Jul 19[cited 2019 Jul 20]. Available from https://www.monews.co.kr/news/articleView.html?idxno203883
Lee KJ, Han SJ, Cho DY, Cho SA, Park DH, Lee DH, et al. A Study on Improvement of Health Care Utilization Monitoring Methods. Health Insurance Review and Assessment Service;2020.
Ha JB. A Study on the Determinants of Selective Attributes of General Hospitals: Focusing on outpatients at Big 5 General Hospital. HSMR 2018;12(3):31-41.
Cha JB. A Study on the Selective Attributes of General Hospitals using Revised IPA: Focusing on Comparison of Outpatients and Inpatients. HSMR 2018;12(1):27-38.
Oh IY, Kim YK. A study on the cause of the leaning phenomenon of healthcare consumers toward the largest-sized general hospitals-Focusing on comparison of clinics and the largest-sized hospitals-. HSMR 2009;3(2):25-33.
Moon SW, Kang TW, Oh HR, Suh NK, Jang SH, Jeong DI, et al. Korea Health Panel Survey 2017. National Health Insurance;2019.
Lee SU, Kwak BH, Oh SG. Significance of Qualitative Evaluation and Its Congruence in Evaluating Social Policy. Korea Social Policy Review 2015;22(3):165-196.

상세보기
Creswell JW. Qualitative inquiry and research design: choosing among five approaches. 3rd ed. SAGE Publications;2013.
Marshall C, Rossman GB. Designing qualitative research. 5th ed. SAGE Publications;2011.
World Health Organization. Statistical indicators for the planing and evaluation of public health programmes: Fourteenth report of the WHO expert committee on health statistics. [Internet]. Geneva: World Health Organization; 1971. Available from https://apps.who.int/iris/handle/10665/40905.
Park YH. The Characteristics and Utilization Factors of Tertiary Hospital Inpatients : Evidence from Korea Health Panel(2008-2011). The Korean Journal of Health Service Management. 2014;8(3):13-25.

원문보기 상세보기
You CH, Kwon YD. Factors influencing medical institution selection for outpatient services. J Korean Med Assoc 2012;55(9):898-910

상세보기
Lee JY, Shin JY, Kim KN, Kim MS, Kim HJ, Kim JY, et al. Analysis of Healthcare Utilization of Tertiary Hospital and the improvement to normalize role. Health Insurance Review and Assessment Service, Seoul Metropolitan Government Seoul National University Boramae Medical Center;2019.
Ministry of Health and Welfare. The government will fix the inefficient Healthcare Delivery .2010 Mar 17;
Heo SU. 2 years after Moon-care, Small and Medium-sized Hospital will collapse. The Chosun Ilbo[Internet]. 2019 Jun 20[cited 2019 Jun 28]. Available from https://www.chosun.com/site/data/html_dir/2019/06/20/2019062000127.html
Go SJ. Small and medium-sized hospital with louder Warining horn, "The patients srop visiting". Doctor's news[Internet]. 2019 Mar 29[cited 2019 Apr 3]. Avaliable from http://www.doctorsnews.co.kr/news/articleView.html?idxno128433&sc_word&sc_word2.
Im GJ. Reorganization of the medical delivery system: a cause for the patients. J Korean Med Assoc, 2010;53(6):442-444.

상세보기
Sin YS, Kang HJ, Kim NS, Jeong YH, Kim DJ, Hwang DG. Improving the Sustainability of Healthcare Delivery in Line with NHI Coverage Enhancement. Korea Institute for Health and Affairs;2013.
de Cruppe W, Geraedts M. Hospital choice in Germany from the patient's perspective: a cross-sectional study. BMC Health Services Research. 2017;17(1):720.

상세보기
Liu Y, Kong Q, Yuan S, van de Klundert J. Factors influencing choice of health system access level in China: A systematic review. PLoS One. 2018;13(8)

상세보기
Linhorst D. A Review of the Use and Potential of Focus Groups in Social Work Research. Qualitative Social Work. 2002;1:208-28.

상세보기
Peter JP, Olson JC. Consumer Behavior and Marketing Strategy. 6th ed. Boston :McGrawHill; 2002.
National Patient Experience Survey 2018. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs;2018.
Patient Experience Evaluation Results 2017. Health Insurance Review and Assessment Service; 2018.
Burge P, Devlin N, Appleby J, Rohr C, Grant J. London Patient Choice Project Evaluation: A model of patients’ choices of hospital from stated and revealed preference choice data: RAND Corporation; 2005.
Kleij KS, Tangermann U, Amelung VE, Krauth C. Patients' preferences for primary health care - a systematic literature review of discrete choice experiments. BMC Health Serv Res. 2017;17(1):476.

상세보기
Kim, KY, Lee YS, Park KS, Son JH, Kam S, Chun BY, et al. On the Determinants of Health Care Utilization of the Physically Disabled. J Peve Med Public Health 1998;31(2):323-334.
Lee SR, Park EW, Cheong YS, Choi EY, Lim SJ, Sung HJ, et al. Patient's Perspective of Common Cold and Health Care Utilization. Korean J Fam Med 2009;30(6):440-448.

상세보기
Yoon HS, Kang HY, Hong IK, Kim HJ, Lee MK, Lee JH, et al. A Study on Selection Factors for Dental Institutionin universityStudents in a Particular Region J Korean Oral Health Sci 2014;2(1):71-77
Kim SJ, Kim HJ, Lee KJ, Lee SO. The metjod of Focus Group analysis. 2nd ed. HYUNMOON Publishing Co;2004.
Kim HJ, Kim CN. Review of literatures on focus group method in qualitative study. Keimyung Journal of Nursing Science 2001;5(1):1-21.
Lee SS, Kim EH. Teachers' Perception of Learning Desabilities : A Focus Group Study with General and Soecial Education Teachers [dissertation]. Seoul: Dankook University;2005.
Krueger, RA, Mary AC. Focus Groups: A Practical Guide for Applied Research. 4th ed. SAGE Publications;2008.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006;3(2):77-101.

상세보기
Patton M.Q. Qualitative Research and Evaluation Methods. 3rd ed. SAGE Publication; 2002.

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Abstract ▼ AI-Helper

주제어

참고문헌 (40)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트