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KMID : 0387320230330030355
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Korean Journal of Health Policy and Administration
2023 Volume.33 No. 3 p.355 ~ p.362
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An Analysis of Factors Affecting Financial and Operating Efficiency at Regional Public Hospital
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Noh Jin-Won
Jeon Hui-Won
Kim Jung-Hoe
Kim Jeong-Ha
Bang Hlyo-Jung
Lee Hae-Jong
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Abstract
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Background: Financial efficiency in monetary units and operational efficiency in non-monetary units are separately classified andevaluated. This is done to prevent the duplication of monetary units and non-monetary units in inputs and outputs. In addition,analyses are conducted to determine the factors that affect each aspect of efficiency. To prevent duplication of monetary andnon-monetary units in inputs and outputs, financial efficiency, consisting of monetary units, and operational efficiency, comprisingnon-monetary units, are separately classified and evaluated. Furthermore, an analysis is conducted to identify the factors that affecteach aspect of efficiency.
Methods: This study conducted a panel analysis of 34 regional public hospitals and influencing factors on efficiency for 5 years from2015 to 2019. Financial efficiency and operational efficiency were calculated through data envelopment analysis. Moreover, multipleregression analysis was conducted to identify the factors that influence both financial efficiency and operational efficiency.
Results: The factors that affect financial efficiency include the number of medical institutions within the treatment area and the ratioof patients receiving medical care. Additionally, operational efficiency is influenced by the type of medical institution, the number ofmedical institutions within the treatment area, and the number of nursing positions per 100 beds.
Conclusion: In order for regional public hospitals to faithfully fulfill their functions and roles as regional base public hospitals, severalmeasures are necessary. Firstly, continuous monitoring and reasonable support are required to ensure efficient operation andperformance. Secondly, a financial support plan tailored to the characteristics of local medical centers is needed. Additionally, localmedical centers should strive to enhance their own efficiency.
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KEYWORD
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Regional Medical, Public Health Service, Efficiency, Data Envelopment Analysis
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