A Study on Decisive Factors Impacting Business Profits of Regional Medical Centers

Lee, Jin Woo; Kim, Young-Jong; Kim, Yong-Ha; Kim, Kwang-Hwan

doi:10.14400/jdc.2014.12.7.315

Cited by 4 publications

(1 citation statement)

References 3 publications

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“…The constant deficits faced by local public hospitals are largely due to outdated facilities, lack of medical staff, the perception that they are only for low-income people, and failure to properly adapt to a rapidly changing health care environment. 32 , 40 Such deficits are an inevitable byproduct of providing public health services. Some argue that such deficits should be subsidized as local public hospitals offer essential medical care and public health services.…”

Section: Public Control System During the Life Cycle Of Local Public mentioning

confidence: 99%

Closure of a local public hospital in Korea: focusing on the organizational life cycle

Yeo

Lee

Kim

2016

JHL

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Just as living organisms have a creation-maintenance-extinction life cycle, organizations also have a life cycle. Private organizations will not survive if they fail to acquire necessary resources through market competition. Public organizations, however, continue to survive because the government has provided financial support in order to enhance public interest. Only a few public organizations in Korea have closed. With the introduction of new public management since the economic crisis in 1997, however, public organizations have had to compete with private organizations. Public hospitals are not free to open or close their business. They are also controlled by the government in terms of their prices, management, budgets, and operations. As they pursue public interest by fulfilling the government’s order such as providing free or lower-priced care to the vulnerable population, they tend to provide a lower quality of care and suffer a financial burden. Employing a case study analysis, this study attempts to understand the external environment that local public hospitals face. The fundamental problem of local public hospitals in Korea is the value conflict between public interest and profitability. Local public hospitals are required to pursue public interest by assignment of a public mission including building a medical safety net for low-income patients and managing nonprofitable medical facilities and emergent health care situations. At the same time, they are required to pursue profitability by achieving high-quality care through competition and the operation of an independent, self-supporting system according to private business logic. Under such paradoxical situations, a political decision may cause an unexpected result.

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Section: Public Control System During the Life Cycle Of Local Public mentioning

confidence: 99%

Closure of a local public hospital in Korea: focusing on the organizational life cycle

Yeo

Lee

Kim

2016

JHL

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Factors affecting the hospital profitability (Focusing on the convergence of differences in financial performance of the surplus and deficit hospital)

Lee¹,

Park²

2015

Journal of Digital Convergence

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Changes of Inpatient Health Care Utilization in Public and Private Hospitals during the COVID-19 Pandemic

et al. 2022

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Background: This study aimed to compare the difference in healthcare utilization public and private hospitals (by hospital ownership) during Coronavirus disease (COVID-19) pandemic in Republic of Korea. Methods:The study analyzed the national health insurance claim data from January 1, 2019 to December 31, 2021. We performed a panel regression with a fixed effects model using balanced panel data (n=406, time=36). The response variables are the number of inpatients per bed and the proportion of COVID-19 inpatients. The uncertainty was measured by volatility (calculating standard deviation) of daily confirmed cases of COVID-19. An interaction term between volatility and public hospital was included as an explanatory variable. In addition, region population, geospatial accessibility, the number of beds, the ratio of negative pressure isolation beds, and COVID-19 severity were included as control variables. Results: As a result of panel regression analysis, for aggregation of data, (1) the volatility of daily confirmed cases of COVID-19 was not directly related to the number of inpatients per bed. For public hospitals, an increase in the number of inpatients per bed was observed with increasing volatility of daily confirmed cases of COVID-19. (2) For the log-transformed value of the number of inpatients per bed, the time effect of the first wave was -0.488, which was lower than those of the second (-0.328), third (-0.468), and fourth (-0.276) waves. (3) The interaction of volatility and public hospitals was positively associated with the ratio of COVID-19 inpatients. Conclusion:In this study, quantification of uncertainty is proposed to reduce uncertainty of new infectious diseases. Therefore, it is expected to contribute to the policies on health resources.

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A Study on Decisive Factors Impacting Business Profits of Regional Medical Centers

Cited by 4 publications

References 3 publications

Closure of a local public hospital in Korea: focusing on the organizational life cycle

Closure of a local public hospital in Korea: focusing on the organizational life cycle

Factors affecting the hospital profitability (Focusing on the convergence of differences in financial performance of the surplus and deficit hospital)

Changes of Inpatient Health Care Utilization in Public and Private Hospitals during the COVID-19 Pandemic

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