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KMID : 0387320220320030317
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Korean Journal of Health Policy and Administration
2022 Volume.32 No. 3 p.317 ~ p.322
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Analysis of Determinants of Hospital Closures: Focusing on Cox Proportional Hazard Model
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Ok Hyun-Min
Kim Sung-Hyun
Ji Seok-Min
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Abstract
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Background: Limited access to medical services causes problems in patients’ health and life. Also, hospital closures causeconcentration towards general hospitals, which leads to worsening National Health Insurance finance. Therefore, hospital closure isan important topic to be analyzed.
Methods: This paper analyzed the factors that affect hospital closures using survival analysis with the data of 970 hospitals openedbetween 2010 and 2019 in Korea. The number of medical personnel, hospital rooms, sickbeds, and medical departments were usedas explanatory variables.
Results: The number of medical personnel and hospital rooms increased the survival probability while the number of sickbeds andmedical departments decrease the survival probability.
Conclusion: The results suggest that hospitals have economies of scale and diseconomies of scope in management.
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KEYWORD
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Health facility closure, Survival analysis, Economies of scale, Economies of scope
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