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

의원급 의료기관 간 경쟁이 진료행태에 미치는 영향 - 유·소아 급성중이염 중심 융합연구 -

  • Lee, Chae-Kyung (Dep. of Public Health, Gachon University Graduate School) ;
  • Suh, Won-Sik (Dep. of Healthcare Management, Gachon University)
  • 이채경 (가천대학교 일반대학원 보건학과) ;
  • 서원식 (가천대학교 헬스케어 경영학과)
  • Received : 2017.11.13
  • Accepted : 2018.01.20
  • Published : 2018.01.28


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.


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