Analysis of Productivity by Environmental Factors in Regional Base Public Hospitals

지역거점 공공병원의 환경적 요인에 따른 생산성 분석

  • Lee, Jinwoo (Dept. of Public Health Administration, Busan Digital University)
  • 이진우 (부산디지털대학교 보건행정학과)
  • Received : 2017.03.16
  • Accepted : 2017.05.16
  • Published : 2017.09.30

Abstract

The purpose of this study is to analyze the difference of productivity according to environmental factors among 25 Regional base public hospitals. Also this study is to propose a method to improve the productivity of Regional base public hospitals in the future by improving the public performance and stable management performance by studying the productivity variables affecting profitability. The survey period was based on the last three years, and 25 Regional base public hospitals were selected for the survey. The dependent variable is the total capital medical marginal profitability and the medical profit marginal profitability which are the indicators of profitability. The independent variable, productivity, is classified into three indicators: capital productivity, labor productivity, and value added productivity. The ANOVA analysis method was used to analyze the productivity difference according to the frequency factor and the environmental factors of the Regional base public hospitals. Finally, we conducted a hierarchical regression analysis to examine the productivity variables affecting profitability. The results of this study showed that there were differences in productivity due to environmental factors such as hospital size, competition in the local medical market, and differences in management performance. The difference in productivity and profitability depending on the environmental factors suggests that it is difficult for Regional base public hospitals in each regional base to perform a balanced public service. In order to overcome this, it is necessary to provide balanced medical services such as government financial support expansion, regional medical demand forecasting and facility infrastructure construction.

Keywords

References

  1. Lee JW, Public hospitals and Private hospitals analysis of productivity differences, Journal of the Korea Academia-Industrial cooperation Society, 2015;16(11):7885-7892. https://doi.org/10.5762/KAIS.2015.16.11.7885
  2. Yang DH, Chang YJ, Productivity Changes and Its Determinants of Regional Public Hospitals, Korean Jouranl of Business Administration, 2011;24(6): 3273-3293
  3. Yang DH, Analysis on the Difference in Efficiencies between Environmental Factors of Regional Public Hospitals in Korea using Super-Efficiency Model, JOURNAL OF THE KOREA CONTENTS ASSOCIATION, 2012;12(7):284-294 https://doi.org/10.5392/JKCA.2012.12.07.284
  4. Kim YM, Hyung SY, Evaluation of relative efficiency of Veterans Hospitals using DEA, Journal of Public Society, 2016;6(4):226-257 https://doi.org/10.21286/jps.2016.11.6.4.226
  5. Ko MS, A Study on Productivity of Public Hospital in Korea, Graduate School of Wonkwang University, 2008:115-124
  6. Jeon JH, Kim JK, Analyzing Regional Public Hospitals' Efficiency and Productivity Change, JOURNAL OF THE KOREA CONTENTS ASSOCIATION, 2010;10(5):303-313 https://doi.org/10.5392/JKCA.2010.10.5.303
  7. Oh DW, Lee JH, Min IS, Analysis on Efficiency and Productivity of Korean Regional Public Hospital between before and after the Separation of Dispensary from Medical Practice : using Parametric and Non-parametric Statistical approaches, The Korean Journal of Health Economics and Policy, 2007;13(1):173-198
  8. Kim YT, An Exploration on Changes in Productivity Index of Public Medical Centers by Management System, Korean Industrial Economic Association, 2010;23(3):1159-1184
  9. Cho HM, Kim YH, Kang MN, Impact of market competition on local public hospital performance: The two-stage DEA-Regression approach, The Korean Journal of Health Economics and Policy, 2013;19(4), 53-77
  10. Kim SM, Lee HJ, Lee DW, Review on Interchangeability between Efficiency Ranking and Profitability Ranking in Public Medical Centers, Journal of Hospital Management, 2016;19(1), 43-50
  11. Ha AH, Kim YJ, Cho DY, Investment Efficiency and Management Performance of Korean Regional Public Hospitals, The Korean Journal of Health Service Management, 2016;10(3):1-12. https://doi.org/10.12811/kshsm.2016.10.3.001
  12. Dimas. GA. Goula, & S. Soulis, Productivity performance and its component on Greek public hospital, Operation Research International Journal, 2010, doi:10.1007/s12351-010-0082-2.
  13. NG. YC, The productivity efficiency of Chinese hospitals, China Economic Review, 2011, doi:10.1016/j.CHIECO-00522, 1-12.
  14. Jo NK, The Relationship between Publicness and Profitability of Regional Public Hospitals, Gachon University; 2014.
  15. Lee JW, Complex relationship between Hospital management performance and the degree of the regional competition(Focusing on the Regional Public Hospital), Journal of Digital Convergence, 2015;13(10):405-413 https://doi.org/10.14400/JDC.2015.13.10.405
  16. Kim SE, Choi SM, A Comparative Study of Performance between Public Medical Organizations and Private Medical Centers, KOREAN SOCIETY AND PUBLIC ADMINISTRACTION, 2014;24(4):9-52
  17. Kim MH, Suh WS, A Comparative Analysis on Determinants of Financial Performance between Public and Private Hospitals, Journal of Hospital Management, 2016;19(4), 1-8
  18. McCue MJ, ML Diana, Assessing the performance of freestanding hospitals, J Healthc Manag, 2007;52(5):299-307 https://doi.org/10.1097/00115514-200709000-00005
  19. Sakong J, Kwon EJ, A Study of the Effect of Competition on the Behavior of the Health Care Suppliers, The Korean Journal of Health Economics and Policy, 2011;17(2):1-33
  20. Lee JW, Park CH, Factors affecting the hospital profitability (Focusing on the convergence of differences in financial performance of the surplus and deficit hospital), Journal of Digital Convergence, 2015;13(11):267-276 https://doi.org/10.14400/JDC.2015.13.11.267
  21. Lee HJ, Whang SW, Lee SH, A Comparative Study of Financial Performance between National University Hospitals and Private University Hospitals, Health Service Management Review 2007;1(1):33-39