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우리나라 市.道立病院 運營管理에 關한 調査硏究

A Study on Management of Municipal and Provincial Hospital in Korea

공중보건잡지 1969년 6권 1호 p.142 ~ 152
인선동 (  ) - 서울대학교 보건대학원

Abstract

As the result of surveys conducted on the personnel, budget, and therapeutical performance of municipal and provincial hospitals in this country from Jun. 1, 1965 to May, 30, 1966, the following conclusion has been reached:
1. Surveys were conducted on a total of 46 hospitals, comperising 12 city hospitals, one county hospital, 32 provincial hospitals, and one provincial branch hospital(branch of the Cheju provincial Hospital).
2. Classifying the personnel by kind of occupation, nurses constituted the greatest proportion of 30.02 per cent of the total of 2,023 hospital employees across the nation, and physicians 16.71 per cent, while there were only two dieticians(constitution 0.10 per cent).
3. All the hospitals had physicians and nurses, while 41 of them have pharmacists, and only two of them had dieticians.
4. To break them down by province, the Special City of Seoul had 39.36 per cent of the total number of personnel, while Gyeongsangnam-do had the smallest proportion or 2.07 per cent.
5. The special City of Seoul had 39.56 per cent, the greatest proportion of a total of 4,079 beds throughout the nation while Cheju Province occupied the smallestpercentage, 2.01 per cent.
The hospitals Surveyed were classefied into groups by the number of beds they had. The group of hospitals,
With 51 to 100 beds each, constitued the greatest proportion or 45.66 per cent, while only one hospital fell
under the category of hospisals with 151 to 200 besd, and another under that with 401 to 450 beds. Hospitals
with up to 100 beds occupied 73.82 per cent or more than two thirds of the total number of hospitals surveyed.
Not a single hospital had 500 or more beds.
7. A greatest proportion<41.31 per cent) of hospitals. from a total of 12 occupation were Hospitals with eight
different kind of occupational classification it had the nember. The more occpational classification it had, the nember
of Hospital was greater, and vice Versa Hospitals whose Personel were classified into seven to 10 kinds of occupation
constituted 93.29 per cent. only one hospital (taejon Provincal Hospital) was blessesed with all of the 12 occupational kinds. No
hospital, however, had six or less kinds of occupation.
8. The gross amount of receipt of all the municipal and provincial hospitals throughout the nation reached \558,43,026;
broken down into 44.84 per cent of their own income and 55.16 per cent greated by the government as subsidies.
9. The gross amount of expenditure of all the hospitals was equivalent to their receipt, and the goverment subsidies was same as the balanece between expenditure and income
10. The ratios of own income to gross receipt of 31hospitals ranged from 30 to 80 per cent. One hospital (Mapo Municipal Hospital of Seoul) was operated solely with
grvenment subsidies without its own income. Not a single hospital showed 100 per cent in ratio of its own income ??(원문파손으로 입력불가)gross receipt.
11. The hospitals in Kyonggi Province showed a highest average(86.03 per cent) ration of own income to gross receipt, with those in Gyeongsangnam-do indicated the lowest average ratio of 2.34 per cent.
12. The ratio of own income of Gyeonggi-do was highest or 27.57 per cent of that of whole nation, while Jeonlanam-do was lowest or 2.82 Percent .
13. The highest percentage(54.44 per cent) of the total amount of government subsidies was issued to the hospitals in the Special City of Seoul, and the smallest proportion(1.36 per cent) to those in Chungcheong bug-do
14. charged out-patients of the municipal and provincal hospitals constisued 41.20 per cent of newcomers and 50.75 per cent of oldtimers , and 43.37 per cend of their aggregate. Charged patient a constituted 48.60 per cent
of in-patients in actual number of persons and 26.01 per cent in terms of aggregate of days of hospitalization.
15. The hospitals in Gyeongsangnam-do showed a highest percentage (95.66 per cent) of charged patients amone new out-patients, and those in JeonJanam-do showed the lowest percentage(16.29 per cent). As for the ratio of charged regular out- patients.
the hospitals in Gyeongsangnam-do showed the highest percentage(92.95 per cent), and those in Jeonlabug-do the lowest percentage (9.88 per cent).
In terms of aggregate, the hospitals in gyeongsangnam-do also recorede the highet ratio of 93.95 per cent, and those in Gyeongsangbug-do the lowest ratio of 21.07 per cent. In terms of actual number of persons, the hospitals in Jeju-do indicated the
highest percentage(95.77 per cent)of chared in-patients, while those in Gyeongsangnam-do showed the lowest percentage (31.50 per cent). In terms of aggregate, the hospitals in Seoul showed the lowest 13.85 per cent while those in Jeju-do recorded the highest
87.36 per cent
16. Reviewing the numer of patients by province, Seoul constituted tthe greatest proportion or 39.83 per cent of newcomer outpatients, and Gyeongsangnam-do the smallest proportion or 1.34 per cent. In terms cf regular out-patients, Jeonlabug-do occupied the greatest
proportion or 23.43 per cent. and Jeonlanam-do the smallest proportion of 1.81 per cent. As for aggregate, Seoul recorded the greatest proportion of 29.03 per cent , and Gyeongsangnam-do 1.43 per cent. the smallest proportion.
In terms of the actual numer of persons. Seoul constituted the greatest proportion or 34.82 per cent of in-patients, and Pusan the smallest proportion or 1.19 per cent. In terms of aggregate, Swoul occupied the greatest proportion or 59.80 per cent, and Pusan 0.72 per cent,
the smallest proportion.
17. The average number of days of hospitalization was 28.40 days per governument-paid in patient. and 10.56 days per charged in patient.
The average number of days of hospitalization was the greatest at 483.95 days per government-paid inpatient in the sodaemun municipal Hospital in Seoul, but the smallest at 1.42 days in the Chinju Province Hospital in Gyeongsangnam-do. By province, the average number of days was the greatest at 45.50 days in Chungcheongbug-do, but the smallest at 1.88 days in Gyeongsangnam-do.
The average number of days of hospitalization per charged in-patient was the greatest at 81.97 days in the Sodaemun municipal Hospital in Seoul, but was the smallest at 2.34 days in the Chinju Provincial Hospital in Gyeongsangnam-do. By province, the average number of days was greatest at 28.67 days in Jeonlanam-do, but the smallest at 2.07 days in Gyeongsang-bug-do.
18. The average number of visits to hospital per out-patient was 2.35 days. By hospital, it was the greatest at 16.53 days in the Chonan Provincial Hospital in Chungcheongbug-do and the smallest at 1.00 day in the Dongbu Municipal Hospital in Seoul.
By province, it was the greatest at 4.41 days in Jeju-do, and the smallest at 1.23 days in Jeonlanam-do.
19. The average number of patient hospitalized per bed is 8.89 persons monthly. By hospital, the greatest number(37.74 persons) was recorded by the Inchon Provincial Hospital in Kyonggi-do, and the smallest number(0.86 persons) by the Sodaemun Municipal Hospital in Seoul. By province, the highest number(15.07 persons) was recorded by Kyonggi-do and the smallest number(2.60 persons) by Gyeong-sangnam-do.
20. The average bed utilization ratio was 48.02 per cent. By hospital, the Sodaemun Municipal in Seoul recorded the highest ratio of 98.03 per cent, while the ch´ongju Provincial Hospital in Chungcheongbug-do showed the lowest ratio of 3.51 per cent.
By province, Seoul showed the highest ratio of 74.47 per cent, and Gyeongsangnam-do the lowest ratio of 15.41 per cent.
21. Amount of expentiture for a bed was \136,899. That of Pusan was \307,804 the highest, while Gyeongsangnam-do showed \69,323 a bed, the lowest among 8 provinces and two special cities.

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