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경희대학교 경영연구원> 의료경영학연구

의료경영학연구 update

Health Service Management Review

  • : 경희대학교 경영연구원
  • : 사회과학분야  >  경영학
  • : KCI등재
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  • : 계간
  • : 1976-636X
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수록정보
수록범위 : 1권1호(2007)~13권1호(2019) |수록논문 수 : 189
의료경영학연구
13권1호(2019년 03월) 수록논문
최근 권호 논문
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The purpose of this study is to evaluate priority of the quality improvement of medical services in dental clinics by analyzing the dual quality classification of Kano model and the potential customer satisfaction improvement(PCSI) index. It is aimed to provide basic data of customer marketing and service improvement of dental department of general hospitals and professional dental clinics.
Data were input in dual evaluation table of Kano model analysis to classify the quality characteristics, and the satisfaction and dissatisfaction coefficients of Timko(1993) were calculated. In addition, it was measured the present satisfaction level and prioritized improvement of the quality of medical service attributes using the calculation of the PCSI index.
The key findings of the study are as follows: In the analysis using the Kano model, 23 quality factors were classified as one-dimentional quality in professional dental clinics and dental department of general hospitals. When the one-dimentional quality elements are satisfied, the satisfaction increased, and the dissatisfaction increases when it is not satisfied. Therefore, continuous management and improvement efforts are required for customer satisfaction management.
According to the PCSI index, which shows improvement priorities, the professional dental clinic is more urgent than the dental department of general hospital in terms of human service quality factors such as empathy, reliability, and assurance. Quality factors with low priority of improvement was tangibility in both hospital groups. In order to increase the satisfaction of medical consumers, it is effective to prioritize efforts to improve human service factors such as empathy, reliability, and assurance rather than tangible changes such as introduction of the latest facilities and equipment or expansion of space.

KCI등재

2병원의 전문화 수준에 따른 재원일수, 진료비 차이에 대한 연구 : 대장항문질환, 관절질환, 뇌혈관질환을 중심으로

저자 : 서슬기 ( Seo Seulki ) , 최재영 ( Choi Jaeyoung )

발행기관 : 경희대학교 경영연구원 간행물 : 의료경영학연구 13권 1호 발행 연도 : 2019 페이지 : pp. 17-26 (10 pages)

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This study investigated the relationship of hospital specialization with length of stay and inpatient medical charge using claims data of the Health Insurance and Review Assessment National Inpatient Sample from 2016 (HIRA-NIS-2016) for colon-rectal, joint, and cerebrovascular conditions. To this end, we employed multivariate hierarchical linear models using two-tier data from 78,693 patients discharged with colon and rectal conditions from 653 hospitals, from 16,409 patients discharged with joints conditions from 316 hospitals, 13,236 patients discharged with cerebrovascular conditions from 246 hospitals. Multivariate results indicate that patients who were discharged with colon-rectal and joint conditions from specialized hospitals stayed shorter and paid more inpatient charge than those who were discharged from less specialized hospitals, after controlling for patient demographic and clinical factors and hospitals'structural, operational and ecological factors. We also found that patients who were discharged with cerebrovascular conditions from specialized hospitals stayed longer and paid more inpatient charge than those who were discharged from less specialized hospitals. This finding suggests that one size does not fit all when it comes to the hospital specialization. We discussed several managerial and health policy implications below.

KCI등재

3의료기관 유형별, 진료과별 의료서비스 경험 차이비교 : 외래와 입원서비스를 중심으로

저자 : 조성찬 ( Jo Seong Chan ) , 차재빈 ( Cha Jae Bin )

발행기관 : 경희대학교 경영연구원 간행물 : 의료경영학연구 13권 1호 발행 연도 : 2019 페이지 : pp. 27-38 (12 pages)

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The issue of medical service experience is considered to be more important than the quality of medical service, which is the essential product of medical service. The medical service experience is actually a consumer experience in the process of using the service. Medical service experience is different from patient satisfaction. Medical service experience is objective compared to patient satisfaction. From this point of view, this study compared the difference of experience of medical service according to type of medical institution and clinic centered on outpatient and inpatient services.
The results of this study are summarized as follows. First, in outpatient clinics, the hospital has a good experience with respectful care of the doctor and experience of cleanliness of the medical institution. Also, it has been shown that they have good experience in the oriental hospital 's physician authenticity, nurse' s polite response and easy explanation, cleanliness and comfort. Second, outpatient patients have good experience in physician 's counseling, reflection of opinions and privacy protection in internal medicine. Also, it has been shown that they have good experience about comfort and administration service of oriental medicine department. Third, the hospitalized patients had a good experience in administrative services in hospitals and clinics. Fourth, hospitalized patients had good experience with hospitals.
The implications of this study are summarized as follows. Efforts to improve patient response during the implementation of health care services are required. In addition, the hospital is required to continuously improve the treatment process, and the attitude of the doctor and the nurse in charge should be continuously improved.

KCI등재

4민간의료보험 보유개수가 외래이용횟수와 의료비에 미치는 처리효과 -다중처리효과(multivalued treatment effects) 추정

저자 : 백미라 ( Baek Mi Ra ) , 민인식 ( Min Insik )

발행기관 : 경희대학교 경영연구원 간행물 : 의료경영학연구 13권 1호 발행 연도 : 2019 페이지 : pp. 39-47 (9 pages)

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This research, using medical panel data in 2015, analyzed the relation between outpatient by private health insurance and medical expenses, among 15,264 medical insurance subscribers.
Using a multivalued treatment effects, we studied that how much impact on outpatient visit and medical expenses depends on the number of private health insurance they have (1, 2, 3, over 4) compared with uninsured group.
Analysis showed that the frequency, who has 3 private medical insurances, increased, resulted the statistical-significance compared with uninsured group. on the other hand, it was not the same result in the other group.
Secondly, we studied that how much will number of having a private medical insurance, impact on medical expenses.
the group. who has a private medical insurance spends 36,765 won more, who has 2 spends 58,615 more, who has 3 spends 56,758 more, and who has 4 spends 110,040 won more than uninsured one. It is showed that group, who has over 4 private medical insurance spends the most expenses.
Therefore, we can interpret private medical insured choose the more expensive treatment. However, there is limit that this research only used data in 2015, and examined in only outpatient visit and medical expenses.

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1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

(2006)홍길동 외 1명심리학41회 피인용

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(2006)홍길동41회 피인용

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