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우리나라 病院手術酬價에 關한 調査硏究

A Study of Surgical Operation Charges of a Korean Hospital

공중보건잡지 1969년 6권 1호 p.101 ~ 108
김용일 (  ) - 서울대학교 보건대학원

Abstract


As the result of surveys conducted on the National Medical Center and the assigned to it during the period of June 1 to October 31, 1968, and on the basis of the data thus collected and complied during the one-month period of July 1 to 31, 1968, the following conclusion has been reached:
1. The operating cost of hospital was broken down into 40.4 per cent in personnel expenses, 33.3 per cent in material expenses, and 26.3 per cent in managerial expenses, thereby indicating the irrational status of operating cost
2. The cost of 68 kinds of surgical operation was surveyed and calculated.
3. Cost was compared with the receipt of income, and as a result, the profit ratio was calculated at 64.5 per cent.
4. The net profit ratio for each kind of surgical operation was as follows:
Orthopedic surgery 128.9 per cent
Chest surgery 171.4 per cent
Ear, nose and throat 364.6 per cent
Internal medicine 59 per cent
Ophthalmology 15 per cent
Neuro-surgery 47.77 per cent
However, the following operations incurred loss as indicated below:
General surgery 35 per cent
Obstetrics and gynaecology 8 per cent
Dermatology 11 per cent
5. Comparison was made with the minimum amount of charges of other hospitals in this country. As a result, it has been concluded that the profit ratio would be 70.5 per cent if their corresponding minimum amounts were charged.
6. The profit ratio of the National Medical Center was 64.5 per cent, that of the Seoul National University Hospital 49.6 per cent, that of the Yonsei Uniiversity Hospital 111 per cent, that of the Catholic Medical Center 58 per cent, and that of the Ewha Woman´s University Hospital 69.4 per cent.

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