Journal of Service Research and Studies (서비스연구)

The Society of service Science (서비스사이언스학회)
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Comparison of Operational Efficiency and Quality Efficiency of Medical Services by Country : Focused on OECD Member Countries

국가별 의료서비스의 운영효율성과 품질효율성 비교: OECD 회원국들을 중심으로

  • Hyunjung Kim (Department of Business Administration, Sunchon National University) ;
  • Jiyoon Son (Institute of Information and Operations Management, Seoul National University)
  • 김현정 (순천대학교 경영학과) ;
  • 손지윤 (서울대학교 경영정보연구소)
  • Received : 2021.11.16
  • Accepted : 2021.12.22
  • Published : 2021.12.31
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Abstract

This study analyzed the efficiency of medical services in OECD member countries by dividing it into operational efficiency and quality efficiency. For this purpose, data from 2017-2019 OECD Health Statistics were used. As the analysis method, super efficiency was measured by applying an output-oriented Variable Returns to Scale (VRS) model. As a result of the analysis, Switzerland, Korea, and Italy were included in the high group of operational efficiency, Canada, Greece, Denmark, etc. in the medium group, and Belgium, Germany, and Spain in the low group. Based on quality efficiency, Norway, Switzerland, and Spain are in the high group, and Greece, Denmark, Mexico, etc. are in the medium group, and the Netherlands, Germany, Belgium, etc. were included in the low group. As a result of comparative analysis of efficiency by OECD member countries as of 2018, it was found that Korea's operational efficiency was the most efficient and quality efficiency was inefficient. Korea (0.998) should improve life expectancy by 0.2 (0.2%) and subjective health perception by 44.2 (138.1%) by benchmarking Greece (0.422), Switzerland (0.207), and Spain (0.371) to improve quality efficiency. Unlike most previous studies that focused on operational efficiency, this study measured quality efficiency together and analyzed the efficiency of the medical service industry in each OECD member country. Through this, this study has implications in that it confirmed the international competitiveness of the domestic medical service industry and suggested ways to improve efficiency.

본 연구는 OECD 회원국들을 대상으로 의료서비스의 운영효율성과 품질효율성을 비교 분석하였다. 이를 위하여 2017~2019년의 OECD 보건통계(Health Statistics) 자료를 이용하였다. 분석 방법으로는 산출지향형(output-oriented) 규모수익가변(VRS: Variable Returns to Scale) 모형을 적용하여 초효율성(super efficiency)을 측정하였다. 분석결과, 운영효율성의 상위 그룹에는 스위스, 한국, 이탈리아, 노르웨이, 오스트리아, 네덜란드, 중위 그룹에는 캐나다, 그리스, 덴마크, 멕시코, 미국, 영국, 체코, 프랑스, 핀란드, 헝가리, 호주, 하위 그룹에는 벨기에, 독일, 스페인이 포함되었다. 품질효율성의 상위 그룹에는 노르웨이, 스위스, 스페인, 중위 그룹에는 그리스, 덴마크, 멕시코, 미국, 영국, 캐나다, 프랑스, 핀란드, 헝가리, 호주, 하위 그룹에는 네덜란드, 독일, 벨기에, 오스트리아, 이탈리아, 체코, 한국이 해당되었다. 2018년을 기준으로 OECD 회원국별로 효율성을 비교 분석한 결과, 운영효율성이 가장 효율적인 한국은 품질효율성이 비효율적이었다. 한국(0.998)은 그리스(0.422), 스위스(0.207), 스페인(0.371)을 벤치마킹하여 기대수명을 0.2(0.2%), 주관적 건강 인지를 44.2(138.1%)씩 개선하여 품질효율성을 향상시켜야 한다. 이는 국내에서 기대수명이나 유병률 같은 객관적 지표로 건강상태를 측정하고 있지만, 의학적 진단 여부와 별개로 국민들이 본인의 건강에 관하여 주관적으로 평가하는 것을 관리할 필요가 있음을 의미한다. 본 연구는 운영효율성에 초점을 맞춘 대부분의 선행연구들과 다르게 운영효율성과 품질효율성을 함께 측정했다는 점에서 학술적인 시사점을 지닌다. 또한 OECD 회원국별 의료서비스 산업의 효율성을 비교 분석함으로써, 국내 의료서비스 산업의 국제적인 경쟁력 수준을 확인하고 효율성 개선 방안을 제시했다는 점에서 실무적인 시사점을 지닌다.

Keywords

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