J Korean Surg Soc.  2011 Jun;80(6):373-383. 10.4174/jkss.2011.80.6.373.

The effective distribution system for the concentration of patients to extra-large hospitals

• Hong DP
• Song J

• KMID: 2212181
• DOI: http://doi.org/10.4174/jkss.2011.80.6.373

Abstract

PURPOSE
In Korean society, extra-large hospitals are congested with the majority of patients. Because of the congestions, the urgent patients need to wait anywhere from as short as a month to around three months. These concentrations of the patients on the extra-large hospitals causes not only the economic problem in terms of loss of opportunity cost and resources of other medium and large hospitals but also the fear and the consequential stress of the patients and the families of the patients who are waiting for the surgeries. The phenomenon of the concentrations derived due to the insufficient information to the medical consumers. If the information on medical treatment services such as surgery schedule is provided before the selection of hospital, we expect that the selection of hospital for the patients and their family will differ, resulting in redistribution of concentration phenomenon. In this paper, we propose and verify the effective distribution system for the concentration on the extra-large hospitals.
METHODS
Web simulation survey was conducted. A total 100 respondents were divided into 4 groups of 25 respondents and the different information was provided to each group.
RESULTS
Through multiple comparisons among groups, only group which was provided with both information about 'the difference of surgical results' and 'the waiting time for surgery', had difference in significance.
CONCLUSION
By providing two sets of information to patients, reckless selection of extra-large hospitals can be spread to more appropriate hospitals and therefore achieve effective distribution of the population concentration on extra-large hospital.

Keyword

Hospital distribution systems; Patient self-determination act; Decision theory; Appointments and schedules

MeSH Terms

Appointments and Schedules
Decision Theory
Estrogens, Conjugated (USP)
Hospital Distribution Systems
Humans
Patient Self-Determination Act
Surveys and Questionnaires
Estrogens, Conjugated (USP)

Figure

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  Fig. 1 Patient's behavior on selection of 3rd medical institution.

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  Fig. 2 The effective patients distribution system to medium/large hospitals.

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