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KMID : 1138720220480040087
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Korean Public Health Research
2022 Volume.48 No. 4 p.87 ~ p.112
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Association between Efficient Number of Beds and Management Performance in Long-term Care Hospitals of South Korea using DEA
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Kim Seon-Ho
Wang Jin-Woo
Suh Won-Sik
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Abstract
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Object: This study was performed to estimate the number of effective beds in a long-term care hospital and to investigate the relationship between the characteristics of the long-term care hospital and the management performance according to the effective beds.
Methods: Estimation of the effective number of beds in the long-term care hospital was performed using the calculated efficiency score by Data Envelope Analysis. A linear regression analysis was performed measuring the total return of capital and medical income with the management performance of the long-term care hospital as the dependent variable and the structural, operational, and financial characteristics of the long-term care hospital as the independent variables. The data used for the analysis were the financial statements announced by the National Tax Service and the results of evaluation of the adequacy of long-term care hospital by the Health Insurance Review and Assessment Service.
Result: About 80% of all long-term care hospital studied were technically inefficient, and 85% of long-term care hospital operated on an inefficient scale. The effective minimum number of beds estimated using the results of the efficiency analysis was 225.95, and the number of efficient long-term care hospital was about 17%. The management performance of public long-term care hospital was lower than those of private long-term care hospitals, and the management performance of long-term care hospital with a high debt ratio was low, but the management performance of long-term care hospitals with high total capital turnover was high. The management performance of long-term care hospitals with high labor cost value added ratio and medical income added value ratio was high.
Conclusion: The results of this study can be used in establishing health care policies or management strategies for long-term care hospitals, and can be an important source of data. This suggests that efforts are needed to improve the management performance of long-term care hospitals.
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KEYWORD
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DEA, Efficiency, Scale of Economy, Long-term Care Hospital, Management Performance
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