[논문]이차자료원을 활용한 의원 의료서비스 수입 및 비용 산출

김선제; 임민경

이차자료원을 활용한 의원 의료서비스 수입 및 비용 산출
The Income and Cost Estimate for the Medical Clinic Services Based on Available Secondary Data 원문보기

병원경영학회지 = Korea journal of hospital management, v.26 no.1, 2021년, pp.71 - 82

김선제 (국민건강보험공단 건강보험연구원) , 임민경 (국민건강보험공단 건강보험연구원)

Abstract ▼ AI-Helper

Purpose: The purpose of this study is to estimate incomes and costs of the medical clinics by using secondary data. Methodology: The medical incomes and costs were estimated from 405 clinics operated by sole practitioner providing out-patient services among all clinics subject to the Medical Cost Survey on National Health Insurance Patients in 2017, excluding dental clinics and oriental medical clinics. The incomes and costs of the medical clinics were reflected with incomes and costs of health insurance benefits and were calculated by types of medical services (i.e., basic care, surgery, general treatment, functional test, specimen test and imaging test). The costs were classified as follows: labor costs, equipment costs, material costs and overhead costs. Secondary data was used to estimate the incomes and costs of the medical clinics. For allocation bases for costs for each type of the medical service, the ratio of revenue from health insurance benefits by types of medical services was applied. However, labor costs were calculated with the activity ratio by types of medical services and occupations, using clinical expert panel data. Finding: The percentage of health insurance income for all medical income was 73.1%. The health insurance cost per clinic was 401,864 thousand won. Labor cost accounted for the largest portion of the health insurance income was 191,229 thousand won (47.6%), followed by management cost was 170,018 thousand won (42.3%), materials cost was 35,434 thousand won (8.8%), and equipment costs was 5,183 thousand won (1.3%). Practical Implications: This study suggests a method of estimating incomes and costs of medical clinic services by using secondary data. It could efficiently provide incomes and costs to assess an appropriate level of the health insurance fee to the clinics.

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참고문헌 (21)

Statistic Korea. Status of Health Care Institution by Cities. [Internet] Seoul : the Health Insurance Statistics. 2021 [cited 2021 Feb 15] Avaliable from: https://kosis.kr/statHtml/statHtml.do?orgId354& tblIdDT_HIRA4B
Lim SM, Im GJ, Park KJ, Park YH. An Analysis on Patients Trend and Income of Primary Care Clinic. HPM 2014;24(1):92-99.
Lee SY, Kam S, Park IS. Distribution of Private Medical Clinics' Income from National Health Insurance. Health and Social Science 2006;19(0):5-30.
Kim JS, Park JY, Han CH. Distribution of Dental Clinic`s Income from Health Insurance. HPM 2002;12(1):84-101.
Kim Y, Kim NY, Kim YH, Kim JH, Kim TH, Park JH, et al. A Study on the Improvement of New Diagnosis-Related Groups(DRG) based payment model and Healthcare Management: Health Insurance Review & Assessment Service: 2020 Jan. Report No. : HETA G000DD5-2020-13.
Kang GW, Kim HS, Kim YD, Shin KS, Kang MS, Jang HY. A Study on the Development and Adjustment of 7Diagnosis-Related Groups(DRG): Health Insurance Review & Assessment Service: 2019 Dec. Report No. : HETA G000DD8-2019-105.
Kang GW, Kim YD, Shin KS, Kang MS, Na YJ, Jang HY, et al. A Study on the Application and Development of Private Hospital New Diagnosis-Related Groups(DRG) based payment: Health Insurance Review & Assessment Service: 2018 Aug. Report No. : HETA G000JA1-2018-85.
Shin HY, Lee HJ, Kim TI, Yeo NG, Ahn SI, Oh SJ, et al A Study on the Cost Analysis Methodology of Clinic Diagnosis-Related Groups(DRG): National Health Insurance Service. Korea Inst for Health and Soc Aff: 2017 Dec.
Shin YS, Kang HJ, Yoon GJ, Hwang DK, Park S, Lee SH, et al. Research on Accounting Survey of Medical Institution to Improve the Third Relative Value. Korea Inst for Health and Soc Aff ; 2019 Dec. Report No.: HETA G000EV2-2019-150.
Kim HS, Shin HW, Cha JY. An Analysis on Appropriateness of Health Insurance Fee Using the Activity Based Costing(ABC) Approach. Korean Journal of Hospital Management 2015;20(3):36-44.
Kim YG, Oh HJ. A Study on Health Insurance Reimbursement Rate through Cost Analysis of Standardized Clinics. Research Institute for Healthcare Policy. 2009.
Jung SW, Hwang IK, Jung DC. Original Articles : Determinants of the Operating Profitability of the Medical Clinics. Korean Journal of Hospital Management 2006;11(1):54-90.
Shin HY, Bae JY, Yeo NG, Oh SJ, Yoo HY, Kim Y, et al. A Study on Health Insurance Conversion Factor by Type of Medical Institution in 2020. Korea Inst for Health and Soc Aff ; 2019 Dec. Report No. : HETA 11-1352000-002563-14.
Shin YS, Yoon KJ, Kim SY, Lee NK, Im JW, Lee JH, et al. Actual Condition Investigation : Health Care Personnel. Korea Inst for Health and Soc Aff ; 2018 Dec. Report No.: HETA 11-1352000- 002563-14.
Park SK, Kim JE, Lee HJ, Chwa YK, Kwak MS, Kim YS, et al. Actual Condition Investigation : Health Care. National Health Care Survey; 2017 Nov. Report No.: HETA 11-1352000-000524-13.
Kim HS. Without Objective Income Data, It is possible to raise only fundamental problems in Health Insurance Fee Negotiation. Young Doctor. 2018. Mar 21; Sect 33.
Son YR. HIRA Policy Trend : Policy Direction for Strengthening Health Insurance Coverage. Wonju-Si: Health Insurance Review & Assessment Service; 2018;12(1):7-18.
O DI. A Conversion factor of Oriental Medicine based on the Publicly Available Information. JKAIS 2008;9(2):535-543.
Enforcement regulation of Medical Service Act. No 34 (Sep 11, 2020)
Health Insurance Review & Assessment Service. Health Insurance Medical Health Care Benefit. March 2020.
Jung SC. HIRA Policy Trend : Application Plan of cost information : focused on the medical expenses payment system. Wonju-Si: Health Insurance Review & Assessment Service; 2013;7(2):7-18.

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이차자료원을 활용한 의원 의료서비스 수입 및 비용 산출
The Income and Cost Estimate for the Medical Clinic Services Based on Available Secondary Data 원문보기

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이차자료원을 활용한 의원 의료서비스 수입 및 비용 산출 The Income and Cost Estimate for the Medical Clinic Services Based on Available Secondary Data 원문보기

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이차자료원을 활용한 의원 의료서비스 수입 및 비용 산출
The Income and Cost Estimate for the Medical Clinic Services Based on Available Secondary Data 원문보기