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우리나라 主要 綜合病院의 實態 및 病院利用度에 關한 調査硏究

A Study on the Existing Status and Utilization of Training Hospitals in Korea

공중보건잡지 1970년 7권 2호 p.587 ~ 594
송경섭 (  ) - 서울대학교 보건대학원

Abstract


As the result of a study conducted on the numbers of beds and personnel, and the therapeutic status of 53 hospitals in the country during the period form April 1, 1968 to March 30, 1969, the following findings were obtained:
1) The 53 hospitals surveyed comprised 11 national, seven municipal, five provincial, and 30 private hospitals.
2) The number of hospitals were broken down by the number of beds into 30.2 per cent constituted by the group of hospitals each with 51 to 100 beds.
3) The total number of beds installed at all the surveyed hostpitals was 9,845. The average number of beds per national hospital was the greatest, with 281 while that of beds per provincial hospital was the smallest with 108.
4) The average number of therapeutic divisions per hospitals was 10.9 or the greatest at national hospitals.
5) As for the status of personnel broken down by kind of occupation, a total of 12,271 personnel was broken down into 43.2 per cent or the greatest proportion constituted by auxiliary personnel, 14.0 per cent constituted by interns and residents, and 9.3 per cent or the smallest proportion by Staff physicians.
6) Medical specialists and regular nurses were employed by all the hospitals, while interns were employ ed by 39 of them, and advisory physician by only 24.
7) The average daily number of natients treated per national hospital was 438 or greater than that per any other category of hospital, and that per provincial hospital was 248 or the smallest among all categories of hospitals.
8) The average annual number of delivery cases per hospital was 843 or the greatest at priviate hospitals, and 279 or the smallest at provincial hospitals.
9) Neonatal Death Rate in hospital was 35.7 and 34.1 respectively at municipal and provincial hospitals, higher rates than those at national and private hospitals, which were 24.3 and 31.3 respectively. Morality in hospitals (not including still births) was 8.9 or the highest at municipal hospitals.
10) The average number of surgical operations conducted per hospital was 1,573 or the greatest at national hospitals, 1,432 at private, and 819 or the smallest atat provincial hospitals. The number of chest X-ray pictures taken with large film per hospital was 13,810 or the greatest at national hospitals, and 4,470 or the smallest at municipal hospitals.
11) The average duration of hospitalization was 13.6 days per patient. It was the longest with 19.1 days at national hospitals. By province, it was greatest with 179.0 days in Kyongsnag Namdo (at the Masan National Tuberculosis Hospital and the Masna Railroad Hospital). The average number of hospital visits per patient was 1.7. By kind of management, it was the greatest with 3.7 at private hospitals, and by province, it was the geatest with 3.8 in Kangwon Do (at the Wonju Christian Hospital and the Changsong Hospital of the Korea Coal Corp.)
12) The nation´s average monthly turnover of hospital beds was 1.5. By kind of management, the greal est was 2.0 at provincial hospitals, and the smallest 1.0 at municipal hospitals. By province, it was 2.4 or the highest in Kyonggi Do, and 0.1 or the lowest in Kyongsang Namdo.
13) The average bed utilization rate was 68.5 per cent. By kind of management, the greatest was 72.5 per cent at national hospitals, and the smallest was 60.0 per cent at provincial hospitals. By province, it was 100.5 per cent or the highest in Kyongsang Bukdo, and 34.0 per cent or the lowest in Cheju Do.
14) Above mentioned results of this study indicate that the increase of hospitals or improvement of their orgarnization and management are required in Korea.

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