Yonsei Med J.  2005 Dec;46(6):769-778.

Determinants of Private Clinics' Productivity: a Comparison of City and County Clinics in Korea

Affiliations
  • 1Department of Preventive Medicine and Public Health, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Social Welfare, College of Songho, Hoengseong-gun, Korea.
  • 3School of Social Welfare, Yonsei University, Seoul, Korea.
  • 4Department of Preventive Medicine and Public Health, Kwandong University College of Medicine, Gangneung, Korea.

Abstract

This study was designed to assess determinants of private clinics' productivity, and to compare city and county clinics in South Korea. We analyzed the revenue and patient data from all 9, 212 private clinics in South Korea. This data was obtained from the Korean National Health Insurance Corporation, during the period between 1996 and 1999. We used a mixed model for repeatedly measured data. The following listed variables were used in our analysis: sex and age of physician, number of beds of clinics, competitiveness of medical institution, inhabitants' incomes, the proportion of elderly in the administrative unit, and time effects. Age, sex, number of beds, and specialty were found to be the most relevant determinants for the productivity of private clinics in both urban and rural settings, and number of clinics and beds per 100, 000 and income of the administrative unit were found to be significant determinants, but only in city environments.

Keyword

Ambulatory care facilities; productivity; private sector; solo practice; health insurance

MeSH Terms

Urban Health
Rural Health
Private Practice/*organization & administration
Korea
Geography
Efficiency, Organizational/*statistics & numerical data
Cities
Ambulatory Care Facilities/economics/*organization & administration/statistics & numerical data

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