Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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What Factors Are Linked to Profitability among Hospitals?: A Review on the Research Trends

병원의 수익성은 무엇으로 결정되는가?: 국내 연구의 동향 분석

  • Choi, Jae-Young (Department of Healthcare Management, Division of Business, Hallym University Business School) ;
  • Kim, Jee-Hyun (Department of Finance, Hallym University Business School)
  • 최재영 (한림대학교 경영대학 경영학부 의료경영전공) ;
  • 김지현 (한림대학교 경영대학 재무금융학과)
  • Received : 2013.08.16
  • Accepted : 2013.11.26
  • Published : 2013.12.31
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Abstract

There have been numerous attempts at finding factors associated with profitability among hospitals in the Republic of Korea. Factors that have been shown to be related to hospital profitability have not yet been systematically reviewed. The purpose of this study was to compile and summarize published works investigating the factors associated with hospital profitability in the Republic of Korea. We searched Research Information Sharing Service, Korea studies Information Service System, Database Periodical Information Academic, Korean Medical Database, KoreaMed, and Google Scholar from 1980 to November 2013. In addition, we manually searched reference lists from eligible studies. Review of 20 peer-reviewed articles revealed that very few of the variables employed in the eligible studies exerted consistent association with profitability, with the exception of personal cost (i.e., employee salaries). Future studies should take our findings into consideration before conducting research on hospital profitability.

Keywords

References

  1. Kim WJ, Lee HJ. The determinants of hospital profitability. Korean J Health Policy Admin 1994;4(1):123-137.
  2. Yoo K. The applicability of financial indices as a measure of managerial performance of general hospitals. Korean J Health Policy Admin 1996; 6(1):191-210.
  3. Jang HG, Kam S, Park JY, Park KS, Han CH, Cha BJ. Affecting factors on financial performance of medical institutions in Taegu metropolitan and Kyungpook province. Korean J Hosp Manag 1999;4(1):147-170.
  4. Kim YH. Analysis of factors affecting profitability of general hospital in Kyung-in region. Korean J Hosp Manag 1999;4(1):41-65.
  5. Kim WJ, Lee YC, Kang SH. Specialization of small and medium-size hospitals and managerial. Korean J Hosp Manag 1999;4(2):85-105.
  6. Hwang IK. Financial structural and operational characteristics and management decision-making behavior of the red-figured hospitals. Korean J Hosp Manag 1999;4(2):305-329.
  7. Youn KI. An analysis of the relationship among the hospital standardization survey score, efficiency, and profitability in acute care hospitals. Korean J Health Policy Admin 2001;11(4):38-53.
  8. Yi KH, Kwon SM. Performance of local government hospitals. Korean J Health Policy Admin 2003;13(2):101-124. https://doi.org/10.4332/KJHPA.2003.13.2.101
  9. Choi MK, Lee JH, Lee TR, Rhee HS, Rhim KH. Trends and determinants of the profitability of Korean provincial hospitals. J Allied Health Sci 2003;29(1):15-24.
  10. Lee YS, Yu SH. Profitability determinants of hospitals. Korean J Health Policy Admin 2003;13(3):129-147. https://doi.org/10.4332/KJHPA.2003.13.3.129
  11. Lee YS, Rhee HS, Choi MK. Factors affecting the profitability of private hospitals in Korea. Korean J Hosp Manag 2004;9(1):22-45.
  12. Moon JW, Park JS. Analysis on the relating factors of profitability of Korean public corporation medical centers (KPCMCs). Korean J Hosp Manag 2004;9(2):102-127.
  13. Kim JH, Ha HW, Lee HJ, Sohn TY. Factors affecting the operating performance of general hospitals. Korean J Hosp Manag 2005;10(3):45-66.
  14. Park JY. Some factors affecting profitability of local public hospitals. Korean J Hosp Manag 2007;12(3):47-67.
  15. Cho DY. Study of factors that affect hospital's profitability index. Korea Int Acc Rev 2008;21:43-66.
  16. Hong MY, Lee HJ, Lee DW, Joo HS. The determinants of profitability performance in regional public hospitals. Korean J Hosp Manag 2009; 14(2):1-20.
  17. Park BS, Lee YK, Kim YS. Factors affecting profitability of general hospitals: focused on operating margin. J Korea Contents Assoc 2009;9(6):196-206. https://doi.org/10.5392/JKCA.2009.9.6.196
  18. Yang JH, Chang DM, Suh CJ. The determinants of the profitability of university hospitals in Korea. Korean J Hosp Manag 2010;15(4):43-62.
  19. Jeong MJ, Suh CJ, Im JS, Oh DK. A study on factors affecting profitability of general hospitals by bed-size. Korea Int Acc Rev 2012;41:265-292.
  20. Ha OK, Jung YM. Investment efficiency and relationship between investment efficiency, profitability in national university hospitals. Manag Inf Syst Rev 2013;32(1):135-151.
  21. Gapenski LC. Understanding healthcare financial management. 4th ed. Chicago: AUPHA Health Administration Press; 2003.
  22. Younis M, Rice J, Barkoulas J. An empirical investigation of hospital profitability in the post-PPS era. J Health Care Finance 2001;28(2):65-73.
  23. Kim YK, Glover SH, Stoskopf CH, Boyd SD. The relationship between bed size and profitability in South Carolina hospitals. J Health Care Finance 2002;29(2):53-63.
  24. Long MJ, Ament RP, Dreachslin JL, Kobrinski EJ. A reconsideration of economies of scale in the health care field. Health Policy 1985;5(1):25-44. https://doi.org/10.1016/0168-8510(85)90064-8
  25. Dranove D. Economies of scale in non-revenue producing cost centers: implications for hospital. J Health Econ 1998;17(1):69-83. https://doi.org/10.1016/S0167-6296(97)00013-1
  26. Feldstein M. Economic analysis for health service efficiency: econometric studies of the British National Health Service. Amsterdam: North-Holland Publishing Company; 1967.
  27. Gosselin R. Decentralization/regionalization in health care: the Quebec experience. Health Care Manag Rev 1984;9(1):7-25. https://doi.org/10.1097/00004010-198424000-00003
  28. Goldstein SM, Ward PT, Leong GK, Butler TW. The effect of location, strategy, and operations technology on hospital performance. J Oper Manag 2002;20(1):63-75. https://doi.org/10.1016/S0272-6963(01)00081-X
  29. Gapenski LC, Vogel WB, Langland-Orban B. The determinants of hospital profitability. Hosp Health Serv Adm 1993;38(1):63-80.
  30. Nelson EC, Rust RT, Zahorik A, Rose RL, Batalden P, Siemanski B. Do patient perceptions of quality relate to hospital financial performance? J Healthcare Mark 1992;12(4):6-13.
  31. Vogel WB, Langland-Orban B, Gapenski LC. Factors influencing high and low profitability among hospitals. Health Care Manag Rev 1993; 18(2):15-26. https://doi.org/10.1097/00004010-199321000-00003
  32. Casalino LP, Devers KJ, Brewster LR. Focused factories? Physician-owned specialty facilities. Health Aff (Millwood) 2003;22(6):56-67. https://doi.org/10.1377/hlthaff.22.6.56
  33. Barro JR, Huckman RS, Kessler DP. The effects of cardiac specialty hospitals on the cost and quality of medical care. J Health Econ 2006;25(4): 702-721. https://doi.org/10.1016/j.jhealeco.2005.11.001
  34. Carey K, Burgess JF Jr, Young GJ. Specialty and full-service hospitals: a comparative cost analysis. Health Serv Res 2008;43(5 Pt 2):1869-1887. https://doi.org/10.1111/j.1475-6773.2008.00881.x
  35. Schneider JE, Miller TR, Ohsfeldt RL, Morrisey MA, Zelner BA, Pengxiang Li. The economics of specialty hospitals. Med Care Res Rev 2008; 65(5):531-553. https://doi.org/10.1177/1077558708316687
  36. Hersh PL. Competition and the performance of hospital markets. Rev Ind Organ 1984;1(4):324-341. https://doi.org/10.1007/BF02354130
  37. Robinson JC, Luft HS. The impact of hospital market structure on patient volume, average length of stay, and the cost of care. J Health Econ 1985;4(4):333-356. https://doi.org/10.1016/0167-6296(85)90012-8
  38. Fournier GM, Mitchell JM. Hospital cost and competition for service: a multiproduct analysis. Rev Econ Stat 1992;74(4):627-634. https://doi.org/10.2307/2109376
  39. Fama E, French K. Common risk factors in the returns on bonds and stocks. J Financ Econ 1993;33(1):3-56. https://doi.org/10.1016/0304-405X(93)90023-5

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