• Journal of the Korean hospital association
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• v.20 no.9 s.187
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• pp.62-65
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• 1991

• Journal of the Korean hospital association
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• v.25 no.12 s.240
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• pp.43-46
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• 1996

• RED RIBBON
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• s.65
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• pp.46-46
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• 2005

의료혜택을 받지 못하는 노숙자 및 국내거주 외국근로자를 대상으로 입원 및 수술비 등을 무료로 지원하는 사업을 실시하기로 발표하였다. 보건복지부의 무료진료사업 지침에 따르면 현재 입원 및 수술이 필요한 환자나 자원봉사단체 등은 적십자병원 또는 지방공사의료원을 방문하거나 입원 및 전원을 의뢰할 경우 우선적으로 진료를 받을 수 있다고 밝혔다.

• Journal of The Korea Institute of Healthcare Architecture
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• v.14 no.2
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• pp.35-42
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• 2008

Over the last 10 years several Provincial Medical Center has been carried out rapidly in the welfare facilities in Korea. Provincial Medical Center is for public and economic. So This study is an analysis of the areal composition between the Provincial Medical Center and General Hospital in Korea. The changes of Provincial Medical Center are caused by role in the environments. The Factor of economic is more important than for public in this situation. This paper analyzes architectural drawings for 4 Korean medical center which constructed in recent 10 years in aspects of the spacial composition, presents areal composition and pattern of spacial allocation for researching hospitals. According to the areal composition of Provincial Medical Center is important in healthcare facility environment.

• Health Policy and Management
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• v.13 no.2
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• pp.101-124
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• 2003

Performance of public hospitals is difficult to define and measure because not only their managerial or financial performance but also their role as a public entity is important. The purpose of this paper is to examine the internal and external factors that influence the performance of local government hospitals. A multiple regression was performed to analyze the effects of the environmental, organizational, operational, and cost-related factors on the return on total assets(ROA), operating margin(OM), and the ratio of Medicaid patients. Empirical results show that financial performance (ROA and OM) are more influenced by operational or cost-related factors, while the ratio of Medicaid patients is more affected by environmental or organizational characteristics. It is noteworthy that competition and the contract with private sector management have negative effects on the ratio of Medicaid patients that local government hospitals treat.

• Korea Journal of Hospital Management
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• v.2 no.1
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• pp.22-47
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• 1997

This paper evaluated the relative efficiency of 33 provincial medical centers using Data Envelopment Analysis(DEA) and compared the DEA efficiency results with those of the current method conducted by the management evaluation team. DEA Was selected as an alternative efficiency evaluation method since it could handle multiple inputs and multiple outputs simultaneously and identify the sources of inefficiency. To analyze the sensitivity of productivity values to the variable sets, four different sets of input and output variables were identified. Results showed that most of the medical centers are operating far away from the efficiency frontier supporting the previous results. Some centers showed 100% efficiency regardless of the selected variable sets. DEA results are compared with current management evaluation results. Some inconsistencies were found for some DMUs between the results of two methods showing the existence of methodology bias. DEA results and ratio analyses results mostly agree for 1992 data.

• Health Policy and Management
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• v.6 no.2
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• pp.91-114
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• 1996

In this research, the Data Envelopment Analysis(DEA) was applied to measure production efficiency of Public Corporation Medical Centers(PCMCs) operating in Korea. The focus of this research is triple. First, identifing convenience and usefulness of DEA to measure the relative efficiency among PCMCs. Second, assessing magnitudes of the relative efficiency for each PCMC. Third, adding insights into some factors resulting inefficiency in PCMCs. Then, in this paper technical efficiency and scale efficiency measured by DEA[introduced by Charnes, Cooper, and Rhoides(1978) and Banker, Charnes, and Cooper(1984)] were analyzed and a new separate variable was introduced which makes it possible to determine whether operations were conducted in regions of increasing, constant or decresing returns to scale(in multiple input and output situations). And a multi-factor Tobit analysis was conducted to see which variables are associated with PCMC's efficiency.

• Health Policy and Management
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• v.15 no.2
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• pp.53-69
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• 2005

This study has two different objectives. First of all is to comparing results of size efficiency scoring on Public Corporation Medical Center(PCMC) by years of 1993, 1997 and 2003 using Data Envelopment Analysis (DEA). The second is to explore the relationship between revenue and PCMCs' efficiency score, and the relationship between expenses and the efficiency score in 2003. The average efficiency scores were significantly decreased by years of 1993, 1997 and 2003. The revenue per bed(revenue) in 2003 was smaller than the expenses per bed(expenses) in 2003, therefore PCMCs had deficits in 2003. The expenses was negatively related to the efficiency score. Therefore its means was that improving efficiency score decreased expenses. Contrarily, the revenue had any significant relation to the efficiency score. PCMC needs to various endeavors to improve their productivity and efficiency. One of the alternatives is reduce of work load through integration of PCMC and development of new performance index reflecting their situation and future direction.

• Korea Journal of Hospital Management
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• v.6 no.1
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• pp.147-163
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• 2001

The purpose of this study was to find out the restructuring strategy for five provincial hospitals through the business analysis and survey of the service area. Through the survey of the service area of 5 hospitals. service area was classified into three groups, such as underserved area, adequate area, and overserved area. The strategy for the restructuring the clinical departments was set up based on the result of the business analysis and characteristics of the service area. The result of the study was as follows; 1) Whether or not a provincial hospital has specialized in specific area according to the circumstances and the needs of the community was the major factor influencing on the operating result of the hospital. 2) Provincial hospitals at the underserved area has to invest according to the changes of the occupancy rate and increasing pattern of the number of patients while maintaining the status as a general hospital. 3) Provincial hospitals at the adequate area has to lower the grade from the general hospital down to the hospital first and has to upgrade the competency through the restructuring the clinical departments and investment in specific area. 4) Provincial hospitals at the overserved area has to lower the grade from the general hospital down to the hospital first and has to seek ways to change the hospital fundamentally into geriatric hospital, pneumoconiosis hospital or psychiatric hospital etc. Provincial hospitals incapable to compete with private hospitals and clinics has to lower the grade from the general hospital down to the hospital first, to specialize in specific area and to restructure some clinical departments into rental base or self-operating basis. In case such methods are judged not so good solution, provincial hospitals has to find out ways such as shut-down of several departments or operating under the attending system.

• Korea Journal of Hospital Management
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• v.12 no.2
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• pp.43-68
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• 2007

The administration of a regional public hospitals are expending from profit preference to publicity preference. The weight rate for a profitability and publicity of performance assessment has changed from 84:16 which was resulted by the assessment executed firstly in 1989 to 39:61 as resulted in 2004, the final assessment execution in 2005. Regional public hospitals are exerting and promoting a magnification in public sector to raise up the public-score. With comparison between publicity scores and profitability scores in original scores basis excluding weight rate, the publicity scores ranked higher than profitability scores although the latter was higher by 2002. However, for the administration performance of the regional public hospitals, the deficits increased 11 times from \92.6billion deficits with \460.3billion cost increased by 457% although income as \367.7billion increased by 394% comparing the last 2004 year to the first 1989 year for profit & loss statement of a regional public hospitals. There was analysis for the relation in yearly basis partitioning publicity and profitability for the assessment scores of the to regional public hospitals confirm the accumulated deficits of the hospitals like this attribute to the extension of public sector. The result showed that there was distinct plus relationship from 1999 although a minus relationship in general until 1997 except 1992 and there is a more plus relationship as approaching 2004. That is, it is hard to tell that the accumulated deficits increase of regional government medical center attributed to extension of public sector. On the contrary, the analysis showed the extension of public sector has a mutual relationship with uplift of profitability Meanwhile, it showed that operation cost rate and labor cost are the factors which influence a revenue & expenditure rate among the profitability index according to the results of relation analysis for the representative index of profitability and that of publicity.