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외래 초진환자의 만족진료시간과 관련 추가비용 지불의사

Other Titles
 Analysis of New Patient’s Willingness to Pay Additional Costs for Securing Satisfactory Consultation Time 
Authors
 이찬희  ;  임현선  ;  김영남  ;  윤수진  ;  박양숙  ;  김선애  ;  박은철  ;  강중구 
Citation
 Korean Journal of Health Policy and Administration, Vol.27(1) : 39-46, 2017 
Journal Title
 Korean Journal of Health Policy and Administration (보건행정학회지) 
ISSN
 1225-4266 
Issue Date
2017
Keywords
New patient ; Satisfactory consultation time ; Pay additional costs ; Consultation fee calculating system
Abstract
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 gen eral hospital and measured their real consultation time (RCT). To compare WPAC and payable amount, we divided RCT into 4 groups (≤3 minutes, 3-5 minutes, 5-10 minutes, and >10 minutes), and SCT into 3 groups (≤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 ≤3 minutes (odds ratio=1.78). Payable amount was highest in RCT >10 minutes (6,950 Ko rea 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.
Files in This Item:
T201701024.pdf Download
DOI
10.4332/KJHPA.2017.27.1.39
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154591
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