한국병원경영학회지 (Korea Journal of Hospital Management)

한국병원경영학회 (Korean Society of Hospital Management)
권호 표지

우리나라 도시별 의료쇠퇴 유형과 건강결과 분석

Classification of Healthcare Decline and Analysis on the Healthcare Outcomes

  • 김효정 (을지대학교 대학원 의료경영학과) ;
  • 김영훈 (을지대학교 대학원 의료경영학과)
  • Kim, Hyo Jeong (Dept. of Healthcare Management, Graduate School of Eulji University) ;
  • Kim, Young Hoon (Dept. of Healthcare Management, Graduate School of Eulji University)
  • 투고 : 2017.09.08
  • 심사 : 2017.12.04
  • 발행 : 2017.12.29
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초록

[Purpose] This study aims to classify of healthcare decline and analyze the corresponding health outcomes among cities in Korea. In pursuing the above, this paper gives the particular attention to draw policy implications. [Methodology/Approach] Public healthcare data of 81 cities between 2014 and 2015 was obtained from the National Medical Center of Korea. A matrix analysis, t-test, ANOVA and multivariate regression were applied. [Findings] The study results indicated that declining cities tend to have the most healthcare resources, compared to growing or maintaining cities. However, accessibility to healthcare appeared to be lower in declining cities. Based on the classification of cities on healthcare decline, 42 out of 81 cities were categorized as a maintain/improvement group, while 39 cities were characterized as decline/depression. The group with a decline/depression type has significantly more healthcare facilities than maintain/improvement type. In contrast, maintain/improvement cities indicated lower incidence of morbidity and mortality than decline/depression cities. Lastly, according to the multivariate regression analysis for the healthcare outcomes by the type of healthcare decline, incidence of morbidity and mortality tended to decrease as the number of healthcare workers, the proportion of people who have healthcare accessibility, and the Timely Relevance Index increased regardless of the number of medical facilities including hospital beds and special beds. [Practical Implications] In conclusion, focusing on the improvement of healthcare accessibility as well as staffing, rather than expanding facilities is essential to set the healthcare policies.

키워드

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