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질적 연구를 통한 대형병원 환자집중의 영향 요인 분석 : 대형병원 의료이용자와 관리자 관점에서

A Study on Influencing Factor of Patient Leaning Phenomenon in Tertiary Hospitals through Qualitative Research: From the Perspective of Tertiary Hospital Users and Managers

병원경영학회지 2021년 26권 1호 p.55 ~ 70
이근정, 엄혜은, 고정애, 박다혜,
소속 상세정보
이근정 (  ) - Health Insurance Review & Assessment Service
엄혜은 (  ) - Health Insurance Review & Assessment Service
고정애 ( Ko Jung-Ae ) - Health Insurance Review & Assessment Service
박다혜 (  ) - Health Insurance Review & Assessment Service

Abstract


Purpose: The purpose of this study was to examine the influencing factors of the patient leaning phenomenon in tertiary hospitals. Based on the results of this study, we intended to find implications for improving the problems of the delivery system imbalance in tertiary hospitals caused by patient leaning phenomenon.

Methodology/Approach: Qualitative studies were conducted, using focus group interviews and in-depth interviews. The focus group interviews were conducted for 12 users of tertiary hospitals by 2 groups. And in-depth interviews were conducted for 6 tertiary hospital managers. This was considered to be the most effective approach to gather diverse and in-depth information about the influencing factor of patient leaning phenomenon in tertiary hospitals.

Findings: In focus group interviews, the reason for choosing tertiary hospitals was the reliability of the hospital(physician, reputation, etc.). And the effect of the policy to strengthen coverage of National Health Insurance and private medical insurance was relatively small. In other words, we found that the individual's desire to receive medical services suitable for one's health status and disease condition was the biggest factor, rather than the cost and policy factors.

Practical Implications: We suggested that the appropriate medical care provision should be strengthened according to the role and function of medical institutions. In addition, the education system needs to be reorganized to activate the referral program, expand community medical capabilities, and foster quality primary medical care.

키워드

leaning phenomenon; tertiary hospital; qualitative research; focus-group interview; in-depth interview

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