외래 초진환자의 만족진료시간과 관련 추가 비용 지불 의사

이찬희; 임현선; 김영남; 윤수진; 박양숙; 김선애; 박은철; 강중구

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자료유형: 학술저널

저자정보: 이찬희 (국민건강보험 일산병원 내과) 임현선 (국민건강보험 일산병원 연구분석팀) 김영남 (국민건강보험 일산병원 적정진료실) 윤수진 (국민건강보험 일산병원 적정진료실) 박양숙 (국민건강보험 일산병원 간호부) 김선애 (국민건강보험 일산병원 간호부) 박은철 (연세대학교 의과대학 예방의학교실) 강중구 (국민건강보험 일산병원 외과)

저널정보: 한국보건행정학회 보건행정학회지 보건행정학회지 제27권 제1호

발행연도: 2017.1

수록면: 39 - 46 (8page)

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Background: We evaluated new patient's satisfactory consultation time (SCT) and their willingness to pay additional costs (WPAC) for their SCT. Methods: We surveyed medical service satisfaction, SCT, WPAC for their SCT, and payable amount to 612 new patients of single general hospital and measured their real consultation time (RCT). To compare WPAC and payable amount, we divided RCT into 4 groups (${\leq}3$ minutes, 3-5 minutes, 5-10 minutes, and > 10 minutes), and SCT into 3 groups (${\leq}5$ minutes, 5-10 minutes, and > 10 minutes). On the basis of WPAC, we estimated new patient's SCT. Results: RCT was 6.2 minutes, SCT was 8.9 minutes, and medical service satisfaction score was 4.3 (out of 5). The number of patients having WPAC (payable group) was 381 (62.3%) and the amount was 5,853 Korean won. Their RCT and SCT were longer than non-payable group (6.4 minutes vs. 5.7 minutes, 9.3 minutes vs. 8.2 minutes). From multiple logistic regression analysis, WPAC of RCT 5-10 minutes was higher than that RCT ${\leq}3$ minutes (odds ratio= 1.78). Payable amount was highest in RCT > 10 minutes (6,950 Korea won) and SCT > 10 minutes (7,458 Korean won). Intuitively we suggest 10 minutes as SCT, based on payable group's SCT (9.3 minutes) and cut-off time differentiating payable group with non-payable group (10 minutes). Conclusion: We found that new patient had WPAC for their SCT and the longer the SCT, the greater the amount. From this, we hope that current simplified new patient consultation fee calculating system should be modified combining the consultation time factor.

#New patient #Satisfactory consultation time #Pay additional costs #Consultation fee calculating system

참고문헌 (10)

참고문헌 신청

Ministry of Health and Welfare / 2014 / National Health Insurance Service benefit schedule book / Aram Edit :31

Lee CS / 2006 / Update of health insurance relative value scales / Health Insurance Review Assessment Service

Park SK / 2009 / Revaluation study for medical basic scores of hospital fee in Korean RBRVS / Korean Hospital Association

Lee JC / 2012 / A study on the problems and improvement of the evaluation and management fee schedule

Research Institute for Healthcare Policy, Korean Medical Association / 2016 / Comparison of domestic and overseas’ evaluation and management fee / Health Policy Forum 14:83~84

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