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KMID : 0904520200540010073
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Health and Medical Sociology
2020 Volume.54 No. 1 p.73 ~ p.111
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Perception and Response to Tertiary Hospital Designation System: Focusing on the Health Service Area
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Lee Geun-Chan
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Abstract
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The tertiary hospital designation system is aimed to provide specialized medical practice for severe diseases, by designating excellent general hospitals as advanced general hospitals for each health service area. This study was intended to analyze the meaning of hospital bed, awareness of demanded bed amount by health service area, and the dynamic behavioral patterns of applied hospitals for the tertiary hospital designation system in Korea. The author did literature review on organizational response to regulation and medical resources and conducted interviews with hospital administers experienced with the tertiary hospital designation process. The findings of the study summarized as follows; The bed size has a “large” and “high-quality” image, and there coexisted the rational view of regionalizing medical care and the political view to reduce the patients’ inflow concentration in Seoul area on motive of introducing needed bed amount for health service areas. In the phase of setting the standard for designation of tertiary hospitals, hospitals with moderate potential for designation showed non-compliance demand changing standards and hospital with higher potential showed compliance with the current standard. Health and medical policies require consensus among stakeholders, and measures are needed to enhance the solidarity within hospital population. It is necessary to increase the predictability of the criteria by advancing the timing of announcing the criteria for designation and evaluation of tertiary hospitals.
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KEYWORD
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Tertiary Hospital Designation, Strategic Response, Health Service Area, Bed Demand, In-depth Interview
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