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KMID : 0926620210260010055
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Korean Journal of Hospital Management
2021 Volume.26 No. 1 p.55 ~ p.70
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A Study on Influencing Factor of Patient Leaning Phenomenon in Tertiary Hospitals through Qualitative Research: From the Perspective of Tertiary Hospital Users and Managers
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Lee Keun-Jung
Eom Hye-Eun
Ko Jung-Ae
Park Da-Hye
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Abstract
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Purpose: The purpose of this study was to examine the influencing factors of the patient leaning phenomenon in tertiary hospitals. Based on the results of this study, we intended to find implications for improving the problems of the delivery system imbalance in tertiary hospitals caused by patient leaning phenomenon.
Methodology/Approach: Qualitative studies were conducted, using focus group interviews and in-depth interviews. The focus group interviews were conducted for 12 users of tertiary hospitals by 2 groups. And in-depth interviews were conducted for 6 tertiary hospital managers. This was considered to be the most effective approach to gather diverse and in-depth information about the influencing factor of patient leaning phenomenon in tertiary hospitals.
Findings: In focus group interviews, the reason for choosing tertiary hospitals was the reliability of the hospital(physician, reputation, etc.). And the effect of the policy to strengthen coverage of National Health Insurance and private medical insurance was relatively small. In other words, we found that the individual's desire to receive medical services suitable for one's health status and disease condition was the biggest factor, rather than the cost and policy factors.
Practical Implications: We suggested that the appropriate medical care provision should be strengthened according to the role and function of medical institutions. In addition, the education system needs to be reorganized to activate the referral program, expand community medical capabilities, and foster quality primary medical care.
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KEYWORD
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leaning phenomenon, tertiary hospital, qualitative research, focus-group interview, in-depth interview
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