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KMID : 0926620150200020028
Korean Journal of Hospital Management
2015 Volume.20 No. 2 p.28 ~ p.38
Analysis of Physician¡¯s Observance Behavior of Health Insurance Review Standards
Lee Eun-Sil

Youn Kyung-Il
Abstract
This study was conducted by extending Ajzen¡¯s Theory of Planned Behavior(TPB) model in analyzing physician¡¯s observance behavior of National Health Insurance review standards. An extended TPB model was proposed by including ¡¯background knowledge¡¯and ¡¯dorganizational commitment¡¯in original model to predict physician¡¯s review standards observance behavior. Surveys for data collection were carried out on the physicians who were working in a general hospital, clinics, specialized hospitals, local medical centers and long term care hospitals located in Daegu and Kyoung-Buk province in Korea. Two hundreds twenty copies of questionnaires were distributed and 166 physicians responded. Data were analyzed using a structural equation model. The results show that an affirmative attitude and subjective norms have significant positive effects on physicians¡¯ behavior of observing review standards. However, the effect of perceived behavioral control on intention to behavior is not significant. The organizational commitment and background knowledge have a positive effect on the intention of observance of review standards. In conclusion, because physician¡¯s observance behaviors are affected by background knowledge and organizational commitment as well as attitudes, subjective norms, hospital managements should establish a communication system to share information on the review standards among physicians and provide appropriate measures to increase physician¡¯s organizational commitment.
KEYWORD
Health insurance review standards, physician behavior, Theory of Planned Behavior, organizational commitment, background knowledge
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