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우리나라 病院數, 病床數 및 病院利用度의 變動(1959~1968年)에 關한 調査 硏究

A Study on the Trends of Hospital Beds Utilization in Korea from 1959 to 1968

공중보건잡지 1971년 8권 1호 p.97 ~ 106
신영수,
소속 상세정보
신영수 (  ) - 서울대학교 보건대학원

Abstract


The yearly changes in the number of hospitals, hospital beds and hospital utilization rates in Korea were investigated during the period from 1959 to 1968.
The obtained results are as follows;
1. The number of hospitals in Korea increased from 123 in 1959 to 217 in 1968 (rate of increase: 76%), the hospital beds per 100.000 population increased from 12.004 to 16,166 (rate of increase: 35%), hospital beds per 100,000 population increased from 49.4 in 1959 to 52.0 1968 (rate of increase: 5.2%).
2. Hospital beds were classified into 4 groups-general beds, communicable disease beds, tuberculosis beds, tuberculosis beds and psychiatry beds.
During the 10 years, the percentage of general beds and psychiatry beds of total hospital beds in Korea increased from 66.4% to 76.0% and 4.0% to 6.5%, respectively. Tuberculosis, however, beds decreased from 26.5% of total hospital beds in 1959 to 14.0% in 1968. The percentage of communicable disease beds showed no significant changes during the 10 years, remaining at the level of 3% of total hospital beds. In private hospital, most beds were composed with general beds which possessed 89.1% of total hospital beds in 1959 and 88.8% of total hospital beds in 1968. Most of tuberculosis beds and communicable disease beds were belonged to public hospitals.
3. In 1959, beds of public hospitals possessed 60.9% of all hospital beds and beds of private hospitals possessed 39.1%. But with remarkable increase in beds of private hospitals in 1968, the proportion of public hospital beds fall to 43.5% and private hospital beds came to possess 56.5% of all hospital beds. Particularly, during the 10 years, the beds of public hospitals decreased from 7,335 to 7,049. This result suggests that increase in total hospital beds were mainly from the increase in the beds of private hospitals.
4. The distribution of hospitals according to community showed that 81.3% (1959) and 80.6%(1968) of all hospital beds were localized in city areas. The increase of total number of hospitals and hospital beds were mainly due to the increase of hospitals and hospital beds in large city areas. Small and moderate city areas showed very low rate of increase. The number of hospital beds per 100,000 population in country areas were only 1/20(1959) and 1/27(1968) of city areas in 1959, but it increased to the level of 1/11(1954)and1/15(1968) in 1968.
5. The average number of beds (median number) in a hospital was 65 in 1959, but decreased to 45 in 1968. It was 88∼94 in public hospital and 40∼42 in private hospital. The average number of beds in a public hospital was remarkably larger in big city areas than small city or county areas.
6. The average occupancy rate of hospital bed in Korea was 51.6% in 1959 and 59.4% in 1968. The occupancy rate of public hospital beds has increased markedly during the 10 years whereas that of the private hospital beds was stationary either decreasing during the 10 years. Difference in occupancy rate of hospital beds could be observed in city areas and county areas. The rate was very low in county areas. The average yearly admission days in county areas was 1/45-1/50 of city areas in 1959 but improved progressively during the 10 years, it was 1/20-1/25 of city areas in 1968. In moderate and large city areas, the occupancy rate of private hospital beds were higher than that of public hospital beds but in city areas the occupancy rate of public hospital beds was much higher. The average yearly admission days per capita was 0.093 days in 1959 but increased slightly to the level of 0.110 days in 1968. In hospitals with more than 200 beds, the occupancy rate of hospital beds was the highest.

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