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본 연구는 영남(부산⋅대구⋅울산⋅경남⋅경북)지역 대규모 종합병원의 경영효율성 및 의료수익이 의료산업계의 큰 변화를 초래한 외환위기(IMF관리)와 의약분업 시대를 거치면서 어떻게 변화되어 왔는지에 관한 분석에 초점을 둔다. 시대변화에 따른 병원경영효율성 측정을 위해 DEA(Data Envelopment Analysis) 및 DEA윈도우분석(Window Analysis)기법을 사용한다. 분석결과의 대표적인 예를 들면, IMF관리시대 및 의약분업시대를 겪으면서 병원경영효율성이 악화되었음을 알 수 있었다. 한편 병원의 의료수익은 IMF관리시대에는 악영향을 받지 않았지만 의약분업으로 인해 낮아졌음을 알수 있었다. 특히 이러한 어려운 시대를 거치면서 비대학병원 그룹의 의료수익이 크게 낮아졌음을 알 수 있었고, 이는 중⋅단기적 측면에서의 비대학병원의 경영위기로도 볼 수 있다. 병원경영효율성과 의료수익 간의 설명적 관계는 통계적으로 유의하지 않았지만, 두 지표 모두 의약분업시대에 악화된 공통점을 가진다. 본 연구결과가 우리나라 대규모 종합병원들의 경영효율성 제고를 위한 자구노력의 긴급성을 일깨우고, 정부의 적절한 정책마련에도 도움이 되기를 기대한다.


This paper aims at exploring the dynamics of efficiencies and profits of large general hospitals in Youngnam at Korea over the six fiscal years between 1996 and 2001. For the Korean health care industry, the years 1996-2001 were a period of challenge and extreme transition due to an industry-wide downturn that began in 1997. During this period, short-term problems such as an economic recession and IMF control, plus long-term difficulties such as cost, regulatory, competitive, and environmental issues have caused substantial uncertainties for hospitals in Korea. Besides, the Korean government has introduced a new regulation in the health care services since early 2000, referred to as the separation of prescription and dispensing(SPD). Therefore, an issue of rising importance has been the discussion on the efficiency and profit dynamics involved in the aforementioned challenge and extreme transition era. To accomplish this, we utilize Data Envelopment Analysis(DEA) and DEA Window Analysis techniques to arrive at the efficiency dynamics of hospital operations and, subsequently, employ statistical tests. Major findings can be summarized as follows. The resulting efficiencies are decreased moving from 1996 to 1998, which is comparable to the Korean economy recession referred to as IMF control. The lowering pattern of the efficiency happens again in 2000, comparable to SPD era. While the profits of hospitals are subsequently increased until 1999 which is non-comparable to IMF era, the increased profits are drastically lowered in 2000 as comparable to SPD era. One of the other significant features we uncover from our statistical analyses indicates a critical moment of management for non-university hospitals. All the results will be of interest and provide sources and information for short/long-term decision-making in the hospital management and the regulation establishment of health care services in Korea.


This paper aims at exploring the dynamics of efficiencies and profits of large general hospitals in Youngnam at Korea over the six fiscal years between 1996 and 2001. For the Korean health care industry, the years 1996-2001 were a period of challenge and extreme transition due to an industry-wide downturn that began in 1997. During this period, short-term problems such as an economic recession and IMF control, plus long-term difficulties such as cost, regulatory, competitive, and environmental issues have caused substantial uncertainties for hospitals in Korea. Besides, the Korean government has introduced a new regulation in the health care services since early 2000, referred to as the separation of prescription and dispensing(SPD). Therefore, an issue of rising importance has been the discussion on the efficiency and profit dynamics involved in the aforementioned challenge and extreme transition era. To accomplish this, we utilize Data Envelopment Analysis(DEA) and DEA Window Analysis techniques to arrive at the efficiency dynamics of hospital operations and, subsequently, employ statistical tests. Major findings can be summarized as follows. The resulting efficiencies are decreased moving from 1996 to 1998, which is comparable to the Korean economy recession referred to as IMF control. The lowering pattern of the efficiency happens again in 2000, comparable to SPD era. While the profits of hospitals are subsequently increased until 1999 which is non-comparable to IMF era, the increased profits are drastically lowered in 2000 as comparable to SPD era. One of the other significant features we uncover from our statistical analyses indicates a critical moment of management for non-university hospitals. All the results will be of interest and provide sources and information for short/long-term decision-making in the hospital management and the regulation establishment of health care services in Korea.