지방의료원 수익성과에 대한 결정요인 분석 = The Determinants of Profitability Performance in Regional Public Hospitals

다국어 초록 (Multilingual Abstract)

The purpose of this study is to find the determinant variables to make profitability in regional public hospitals. The data come from financial statements and annual reports of 34 regional public hospitals for five years (from year 2003 to year 2007). The T or F-test and hierarchical multiple regression analysis are used. The dependant variables are the profitability indicators, ordinary income to total asset and operating margin to gross revenue, and the independent variables are general characteristics, diagnosis and treatment patterns, financial and public benefits. The findings of this study are summarized as follows. First, Variables affecting the profitability indexes revealed from DEA results is the bed occupancy rate, number of hospitalized patients to outpatients, ratio of first medical examination for outpatients, number of daily patients per medical specialist, labor cost per patient and managerial expenses per patient. Second, the ordinary income to total asset representing the asset usage performance is affected by the average hospitalized days, bed occupancy rate, labor cost per patient and ratio of patients with medical insurance coverage. Third, the operating martin to gross revenue obtained from the actual operations of hospitals has its significance with the bed occupancy rate, number of hospitalized patients to outpatients, managerial expenses per patient and public benefit indicator. This study has some restriction not to use pannel data analysis, although it used data for five years. Accordingly, various additional studies should be done to supplement such problems.

참고문헌 (Reference)

1 박종영, "지방의료원의 재무성과 영향요인" 한국병원경영학회 12 (12): 47-67, 2007

2 전국지방의료원연합회, "지방의료원 재무제표 2007"

3 전국지방의료원연합회, "지방의료원 재무제표 2006"

4 전국지방의료원연합회, "지방의료원 재무제표 2005"

5 전국지방의료원연합회, "지방의료원 연보 2007"

6 전국지방의료원연합회, "지방의료원 연보 2006"

7 전국지방의료원연합회, "지방의료원 연보 2005"

8 최만규, "지방공사의료원의 수익성 추이 및 관련요인 분석" 29 (29): 15-24, 2003

9 전국지방공사의료원연합회, "지방공사의료원 재무제표 2004"

10 전국지방공사의료원연합회, "지방공사의료원 재무제표 2003"

11 전국지방공사의료원연합회, "지방공사의료원 연보 2004"

12 전국지방공사의료원연합회, "지방공사의료원 연보 2003"

13 박재산, "지방공사 의료원의 수익성 관련요인 분석" 한국병원경영학회 9 (9): 2004

14 이경희, "지방공사 의료원의 경영성과에 영향을 미치는 요인 연구" 서울대학교 2002

15 김기훈, "재원일수 단축에 따른 효과분석" 서울대학교 1956

16 이윤석, "병원의 수익성관련요인" 연세대학교 2002

17 이해종, "병원의 경영성과에 영향을 미치는 관련 요인 분석" 연세대학교 1990

18 이해종, "국립대병원 경영 효율화 방안 연구" 교육정책연구 2003

19 류시원, "공공병원의 경영효율화 방안" 보건사회연구원 2000

20 김영훈, "경인지역 종합병원의 수익성 관련요인 분석" 4 (4): 41-65, 1999

21 유준석, "경영형태별 비교분석을 통한 지방공사 의료원의 운영형태 개설방안 in: 강남병원 및 보라매 병원을 중심으로" 고려대학교 1998

22 Gapenski LC, "Understanding Health Care Financial Management" AUPHA press/Health Administration Press 1999

23 Trinh HQ, "The Strategic Behavior of U.S. Rural Hospital in a Longitudinal and Path Model Examination" 25 (25): 48-64, 2000

24 Hanh Q. Trinh, "The Strategic Behavior of U.S. Rural Hospital in A Longitudinal and Path Model Examination" 25 (25): 48-64, 2000

25 Gapenski LC, "The Determinants of Hospital Profitability" 38 (38): 63-80, 1993

26 Ginn GO, "Business Strategy and Financial Structure in an Empirical Analysis of Acute Care Hospital" 40 (40): 191-209, 1995

27 Banker RD, "An application of Data Envelopment Analysis to the Empirical Investigation of a Hospital Production Function" (5) : 125-163, 1986