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KMID : 1002520160100010001
Korean Journal of Health Service Management
2016 Volume.10 No. 1 p.1 ~ p.11
Relationship between Medical Service Specialization and Operational Performance in Hospitals : Focusing on Length of Stay and Medical Expense
À¯ÇØ¿ø:Yoo Hai-Won
±è°æÈÆ:Kim Kyoung-Hoon
Abstract
Objectives : Medical service specialization could have positive effects on their profits and medical service quality. This study was to examine the relationship between medical service specializations and operational performance in hospitals.
Methods : We used the National Inpatient Sample data provided by the Health Insurance Review and Assessment Service from 2010 to 2013. The hospital operational performance was determined by measuring the specialization level of the hospital based on DRGs.

Results : The information theory index was 2.38 in 2010, 2.38 in 2011, 2.37 in 2012, and 2.37 in 2013. A multiple regression model was constructed which showed that if the specialization level becomes higher, it decreases the length of stay per case with an increase in medical expense.

Conclusions : Differentiation and concentrated medical service specialization strategy have had a positive effect on the operational performance of hospitals.
KEYWORD
Medical Service Specialization Level, Hospital Operational Performance, Length of Stay, Medical Expense
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