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의료전달체계 운영성과의 분석(Analysis on management of medical delivery system)

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  • 의료전달체계 운영성과의 분석(Analysis on management of medical delivery system)
  • 명재일; 정영철
  • 한국보건사회연구원


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Title 의료전달체계 운영성과의 분석(Analysis on management of medical delivery system)
Similar Titles
Material Type Reports
Author(Korean)

명재일; 정영철

Publisher

서울:한국보건사회연구원

Date 1991-12
Series Title; No 연구 / 1991-01
Pages 319
Subject Country South Korea(Asia and Pacific)
Language Korean
File Type Link
Subject Social Development < Health
Holding 한국보건사회연구원

Abstract

This determines and suggests solutions for problems that occurred after the implementation of the medical delivery system. It analyzes results of the patient referral system, which had been conducted for one year. The study focuses on the patient referral system between medical institutions, patient return after referral, and changes in patient behavior of using medical services.
The medical delivery system which started to be implemented in July 1989 was introduced to solve problems in the Korean public medical services with the momentum of achieving national medical insurance coverage. It was developed to increase the convenience of patients who require special medical services from large hospitals, and to prevent resources waste by treating patients who do not need special medical care in primary and secondary hospitals. Although the number of outpatients from tertiary hospitals decreased after the implementation of the medical delivery system, the losses in the medical insurance fund was found to be very small.
The reason for referring patients to other hospitals is to provide more specialized examination and treatment. In reality, however, there are many patient referrals which were requested by patients themselves. The process of patient referral shows that primary hospitals refer patients to other primary, secondary, or tertiary hospitals. From general hospitals patients are sent mostly to tertiary hospitals. The most significant problem is the excess of patient-returns due to the lack of focused care, check-up or the lack of wards. There are also problems of excessive issuance of medical treatment requests, and the lack of a patient return system. The right of treatment, medical insurance fees, and responsibility for medical malpractice have been the main issues of the patient referral system.
After the implementation of the medical delivery system, there was a change in patient share in primary, secondary, and tertiary hospitals. The number of noncritical cases decreased in large hospitals. However, there are still many complaints about short treatment and long waiting times, and there are still complaints about insufficient wards due to the patients who occupy wards even though they do not need tertiary treatment making patient with serious case go to emergency room to get hospitalized. More resources should be allocated to specialize hospitals at each level and to reduce the number of patients who .isit large hospitals without sufficient cause. Resources would be efficiently distributed by maximizing the gap of social benefit that widens through the inputted resources.