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KMID : 0351619780190020174
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Kyungpook Medical Journal
1978 Volume.19 No. 2 p.174 ~ p.182
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Investigative Study on the Status of the Management of Medical Facilities in Rural Area
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Abstract
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This investigative study was conducted or order to determine the status of the management of medical facilities regarding medical treatment and facility financial analysis during the period of a month from November 16 to December 15, 1977.
The facilities investigated were four private rural clinics, a gun (county) health center and a provincial Hospital. This study investigated the records of fiscal year 1976.
The results can he summarized as follows:
1) There is no difference in the amount of investment for the facilities of hospitals and clinics in the urban area and those in the rural area.
2) There was a tendency for the private clinics to change location frequently, this was not observed for the public facilities.
3) The private clinics had a higher rate of patient treatments than the public facilities. For all facilities 80percent of the treatments were conducted on an outpatient basis.
4) The percentage of beds utilized in the provinical hospital (43.5%), was higher than that of private clinics (33.8%).
5) The average cast per case treatment per day for out patients was 256 won in the gun health centcr, 71l won in tile provinical hospital and from 806 won to 1,816 won for private clinces according to geographical location. Fur the more inpatient costs were higher in all cases, averaging 3,457 won in the provinical hospital and 7,486 won in the private clinics.
6) With regards to expenditures; fifty percent of the total was used for personal salaries in the public facilities, while in the private clinics, 50 percent of the total expenditure were used for medical materials with 20 to 50 percent being used for personnel salaries, general expenses and community medical services.
7) Over the fiscal year the public facilities expenditures exceeded the revenues although the amount of loss was subsidized by the government. As for the private clinics, they were able to show a profit albeit a small one considering the investment cost with interest and the overall expenditures.
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