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KMID : 0387320230330010055
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Korean Journal of Health Policy and Administration
2023 Volume.33 No. 1 p.55 ~ p.65
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An Analysis of Factors Affecting Medical Operating Income at Regional Public Hospital
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Noh Jin-Won
Kim Jeong-Hoi
Jeon Hui-Won
Kim Jeong-Ha
Bang Hyo-Jung
Lee Hae-Jong
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Abstract
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Background: Despite the various activities of the regional public hospitals, discussions are being made as to whether or not tocontinue due to the issue of financial deficit. Therefore, the main factors affecting the fiscal deficit were analyzed with 10-year data.
Methods: This study is a panel analysis that analyzed the characteristics of 34 regional public hospitals and influencing factors onmedical benefits for 10 years from 2010 to 2019. First, we analyze the determinants of medically vulnerable areas set by thegovernment, analyze the trend of medical profit per 100 beds and medical profit rate from 2010 to 2019, and identify the factors thataffect them.
Results: Differences in medical profit per 100 beds and medical profit-to-medical profit rate were caused by market sharerepresenting regional characteristics, and both indicators improved as the number of outpatients increased. The importantinfluencing variables are the number of doctors and nurses, and both indicators improve when there are specialists, but medicalbenefits decrease as the number of doctors increases when judged by the number of people per 100 beds. In addition, the numberof nurses per 100 beds does not contribute to medical profit and has a negative effect on the medical profit ratio.
Conclusion: As only regional characteristics were taken into account for medically vulnerable areas, operational characteristics needto be considered. The greatest impact on the finances of local medical centers is the proper staffing of doctors and nurses, and theirefficient arrangement is the most important factor in financial stability.
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KEYWORD
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Regional public hospital, Operating income, Operating margin, Medical vulnerability region
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