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Relationship between Medical Service Specialization and Operational Performance in Hospitals: Focusing on Length of Stay and Medical Expense
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 Title & Authors
Relationship between Medical Service Specialization and Operational Performance in Hospitals: Focusing on Length of Stay and Medical Expense
Yoo, Hai-Won; Kim, Kyoung-Hoon;
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 Abstract
Objectives : Medical service specialization could have positive effects on their profits and medical service quality. This study was to examine the relationship between medical service specializations and operational performance in hospitals. Methods : We used the National Inpatient Sample data provided by the Health Insurance Review and Assessment Service from 2010 to 2013. The hospital operational performance was determined by measuring the specialization level of the hospital based on DRGs. Results : The information theory index was 2.38 in 2010, 2.38 in 2011, 2.37 in 2012, and 2.37 in 2013. A multiple regression model was constructed which showed that if the specialization level becomes higher, it decreases the length of stay per case with an increase in medical expense. Conclusions : Differentiation and concentrated medical service specialization strategy have had a positive effect on the operational performance of hospitals.
 Keywords
Medical Service Specialization Level;Hospital Operational Performance;Length of Stay;Medical Expense;
 Language
Korean
 Cited by
 References
1.
K.S. Lee, K.H. Chun, J.S. Lee(2008), Reforming the hospital service structure to improve efficiency: Urban hospital specialization, Health Policy, Vol.87(1);41-49. crossref(new window)

2.
D. Farley, C. Hogan(1990), Case mix specialization in the market for hospital services, Health Services Research, Vol.25(5);757-783.

3.
S.R. Eastaugh(2015), Hospital Specialization: Benefits-Focused Product Line Planning, J. of Health Care Finance, Vol.41(3);1-11.

4.
R.A. Krishnan, S. Josh, H. Krishnan(2004), The influence of mergers on firm's product-mix strategies, Strategic Management Journal, Vol.25(6);587-611. crossref(new window)

5.
H.S. Kim(2012), The relationship between specialization strategic factors and organizational performance in Korea, Ulji Univ, pp.7-8.

6.
R.S. Huckman, D.E. Zinner(2008), Dose focus improve operational performance? Lessons from the management of clinical trials, Strategic Management Journal, Vol.29(2);173-193. crossref(new window)

7.
M.S. Sohn, M.K. Choi(2014), Association between Efficiency and Quality of Healthcare in South Korea Long-term Care Hospitals: Using the Data Envelopment Analysis and Matrix Analysis, J. of Korean Academy of Nursing, Vol.44(4);418-427. crossref(new window)

8.
H.J. Lee, Y.K. Ko, M.W. Kim(2011), The effects of medical staffing level on length of stay, J. of Korean Academy of Nursing Administration, Vol.17(3);327-335. crossref(new window)

9.
A. Nelson, C.G. Powell, P. Palacios, S.L. Luther, T. Black, T. Hillman, B. Christiansen, P. Nathenson, J.C. Gross(2007), Nurse staffing and patient outcomes in inpatient rehabilitation settings, Rehabilitation Nursing, Vol.32(5);179-202. crossref(new window)

10.
Y.M. Kim, S.H. Cho, K.J. June, S.A. Shin, J.Y. Kim(2012), Effects of hospital nurse staffing on in-hospital mortality, pneumonia, sepsis, and urinary tract infection in surgical patients, J. of Korean Academy of Nursing, Vol.42(5);719-729. crossref(new window)

11.
J.R. Barro, R.S. Huckman, D.R. Kessler(2006), The effects of cardiac specialty hospitals on the cost and quality of medical care. J. of Health Economics, Vol.25(4);702-721. crossref(new window)

12.
S.R. Eastaugh(2011), Hospital Specialization: product line planning during the market reformation, J. of Health Care Finance, Vol.38(1);71-82.

13.
D. Farley(1989), Measuring casemix specialization and the concentration of diagnoses in hospitals using information theory, J. of Health economic, Vol.8(2);185-207. crossref(new window)

14.
K.S. Lee, K.H. Chun(2008), Analyzing the specialization status of hospital's services in Korea, Korean Journal of Health Policy & Administration, Vol.18(2);67-85. crossref(new window)

15.
J.M. Kwak, K.S. Lee(2014), Is the hospital caseload of diagnosis related groups related to medical charges and length of stay?, The Korean Journal of Health Service Management, Vol.(4);13-24.

16.
J.M. Kwak, K.S. Lee, H.J. Kwon(2015), A study on the relationship between the concentration status of inpatient services and medical charges per case between 2009 and 2011, Knowledge Management Research, Vol.16(1);209-224.

17.
C. Vedran, M. Martin, R. Clemens(2012), Service specialization and operational performance in hospitals, Int J. of Operations & Production Management, Vol.32(4);468-495. crossref(new window)

18.
L.Y. Kim, J. Sakong, Y. Kim, S.R. Kim, S.K. Kim, B.Y. Tchoe, H.S. Jeong, T.R. Lee(2013), Developing the inpatient sample for the national health insurance claims data, Health Policy and Management, Vol.23(2);152-161. crossref(new window)

19.
Health Insurance Review & Assessment Service(HIRA)(2015), Health insurance claim data analysis manual for evidence-based health care, HIRA, pp.22-29.

20.
C.L. Covell(2008), The middle-range theory of nursing intellectual capital, J. of Advanced Nursing, Vol.63(1);94-103. crossref(new window)

21.
W.K. Kim, H.I. Chung(2012), Effects of Intellectual Capital on Organizational Performance of Nurses in Medium and Small Hospitals, J. of Korean Academy of Nursing Administration, Vol.18(4);452-459. crossref(new window)

22.
National Health Insurance Service, The causes and evaluation of medical expenses, Health Insurance Policy Institute, 2012-01, pp.96-97.