미국 영리병원과 비영리병원의 의료이용도와 재무성과 비교Health Services Utilization and Financial Performance of For-Profit versus Nonprofit Hospitals: A Study of General Acute Care Hospitals in the United States
- Other Titles
- Health Services Utilization and Financial Performance of For-Profit versus Nonprofit Hospitals: A Study of General Acute Care Hospitals in the United States
- Authors
- 최만규; 이건형; 이보혜
- Issue Date
- 2008
- Publisher
- 한국보건행정학회
- Keywords
- hospital; for-profit; nonprofit; financial performance; health services utilization
- Citation
- 보건행정학회지, v.18, no.4, pp.148 - 169
- Indexed
- KCI
- Journal Title
- 보건행정학회지
- Volume
- 18
- Number
- 4
- Start Page
- 148
- End Page
- 169
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/125469
- ISSN
- 1225-4266
- Abstract
- As the Korean Government began to perceive healthcare as one of
foundational industries for national dynamics, there has been mounting
advocacy for the introduction of for-profit hospitals with a view to bringing
efficiency in healthcare services industries and improvement of their
international competitiveness. The Government is now considering the issue
from all angles in favor of permitting for-profit hospitals. However, There
have been few precedent studies on this subject to provide helpful data for the
discussion and in the health policy making. This study used private hospitals -for-profit and nonprofit - in Florida, USA as study subjects to accumulate basic data that may be utilized for those involved in debates and health policy making relating to the introduction of for-profit hospitals in Korea. Among all the private general hospitals in Florida, those surveyed by AHA(American Hospital Association) for four consecutive years from 2001 and 2004 and others reported about to MCR(Medicare Cost Report) included in the collected data for analysis. In total 139 private general hospitals consisting of 73 for-profit hospitals and 66 nonprofit hospitals were included in the collected
analysis data.
Results of analysis revealed no significant difference between for-profit
hospitals and nonprofit hospitals in the usage aspects of healthcare services
including the average length of stay and the ratio of Medicare vs Medicaid
patients. However, financial performances indicated by such factors as the
pre-tax return on assets and the pre-tax operating margin showed to be
significantly higher in for-profit hospitals compared with nonprofit hospitals.
And the ratio of personnel expenses and the turn period of total assets
showed to be significantly lower in for-profit hospitals. Based on the
hypothesis that arguments about the introduction of for-profit hospitals have
considerably different viewpoints depending on the size of hospitals
represented by the number of bed, these two hospital types were compared
again using the number of beds as a controlled factor, but the results were
similar.
We, therefore, could conclude that the for-profit hospitals in Florida included
in this study could, in their for-profit operation, improve their financial
performance by pursuing cost reduction and effectively utilizing their assets
without limiting the amount and the range of their services or avoiding less
medically protected groups such as Medicare and Medicaid patients.
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