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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

Abstract

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.

Keywords

Clinic;HHI;Physician behavior;convergence factor;Total medical expenses;Antibiotics prescription rate

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