Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
권호 표지

Market share of specialty hospitals in the region and out of the region

전문 질환에 대한 전문병원의 권역내·외 시장점유율 비교

  • Myung-II Hahm (Department of Health Administration and Management, Soonchunhyang University, College of Medical Science ) ;
  • Ji Eun Kim (Department of Medical Science, Soonchunhyang University Graduate School ) ;
  • YoonKung Kang (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Hyewon Lee (Department of Health Administration and Management, Soonchunhyang University, College of Medical Science ) ;
  • Sun Jung Kim (Department of Health Administration and Management, Soonchunhyang University, College of Medical Science )
  • 함명일 (순천향대학교 의료과학대학 보건행정경영학과) ;
  • 김지은 (순천향대학교 일반대학원 의료과학과) ;
  • 강윤정 (순천향대학교 일반대학원 보건행정경영학과) ;
  • 이혜원 (순천향대학교 의료과학대학 보건행정경영학과) ;
  • 김선정 (순천향대학교 의료과학대학 보건행정경영학과)
  • Received : 2022.12.06
  • Accepted : 2023.02.18
  • Published : 2023.03.30
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Abstract

Purposes: The Specialty hospital designation policy had launched in 2011 and 110 designated specialty hospitals have been operating nationwide in 2022. This study was to estimate the market share of specialty hospitals for the specific diseases compared to other types of hospitals. Methodology: Data were derived from the National Health Insurance Claim data from 2018 to 2019. Subjects were all the inpatients with MDC(Major Disease Category) that specialty hospitals specialized in. A total of 34,231,387 claims were analyzed to estimate the market share. Findings: 90 specialty hospitals were responsible for 2.4 percent of inpatient care with specific diseases for specialty hospitals. There were regional variations in the market share of the specialty hospitals as the number of specialty hospitals in regions. Specialty hospitals' market shares were relatively high in burn(31.3%), ophthalmology(16.4%), obstetrics and gynecology(7.1%), alcohol(6.0%), joint(3.7%), spine(2.7%). After adjusting the number of inpatients per hospital, hospitals specialized in burn, alcohol, ophthalmology, breast, joint, obstetrics and gynecology, and hand replantation had treated more patients than tertiary hospitals. Practical Implications: Although specialty hospitals' market share was small, some types of specialty hospitals had an impact on the regional market as well as the national level market. To improve patients' accessibility to a specialty hospital, it is necessary to government supports non-specialized hospitals to change into specialty hospitals in certain fields and regions where the number of specialty hospitals is insufficient.

Keywords

Acknowledgement

이 논문은 2022학년도 순천향대학교 교수 연구년제에 의하여 연구하였음, 이 논문은 2021년 건강보험심사평가원의 지원을 받아 수행되었음(전문병원제도 확대를 위한 중장기로드맵 수립 연구, 2021, G000EFA-2021-181)

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