The analysis of Factors associated with the Health Examination expenditure in a General Hospital based on the cased

일개 종합병원 종합(민간)검진 비용 영향요인 분석

  • Lim, Ji Hyun (Graduate School of Public Health, GaCheon University) ;
  • Suh, Won Sik (Department of Healthcare Management, Gachon University)
  • 임지현 (가천대학교 일반대학원 보건정책관리학과) ;
  • 서원식 (가천대학교 의료경영학과)
  • Received : 2020.10.29
  • Accepted : 2020.12.14
  • Published : 2020.12.30

Abstract

Purpose: In this study, the general characteristics of subjects who spent more than a certain amount of cost for general medical examination at the general hospital health promotion center, and the characteristics of disease, family history, and lifestyle (smoking, alcohol, physical activity, oral care) significantly differed in cost expenditure. We intend to provide basic data for establishing an appropriate marketing strategy for comprehensive examination. Method: It was conducted for users who received comprehensive checkups at a health promotion center at a general hospital in Seoul. The research data collection period is for 979 people who performed comprehensive examinations from January 2019 to December 2020. In order to carry out a comprehensive examination, a questionnaire before the examination was distributed to the subjects who visited the hospital to prepare, and the investigation was conducted in a way that the subjects of the investigation directly filled in. Results: There was a significant influence on the difference in expenditure for comprehensive examination according to the gender, age, and type of health insurance of the subject. In addition, there were significant differences in expenditure according to the presence or absence of disease and the type of family history. Weight loss, smoking history, smoking period, smoking frequency, drinking history, and drinking frequency all had significant effects on cost expenditure. Also, strength training and oral treatment management showed a significant effect on the cost of comprehensive examination. The number of flossing and interdental brushing was also found to have a significant effect. According to the results of multiple regression analysis, disease history (t=2.683, p<.01) and mean smoking frequency (t=4.315, p<.001) appeared to have the most significant effect on expenditure statistically. In other words, when the subject has a history of disease and when the average number of smoking is large, it means that the comprehensive examination cost is remarkably large. Conclusion: By using these contents, hospitals can further refine the marketing of the examination center. In addition, a more convenient and specialized process should be used by patients by linking the general medical department and the examination center well. In terms of management of operating medical institutions, this can be expected to create patients and increase profits.

Keywords

References

  1. Bang EP, Kim JH, Factors Influencing Intent to Revisit of Health Screening Center Visitors. Journal of Digital Convergence. 2020;18(1): 147-157. https://doi.org/10.14400/JDC.2020.18.1.147
  2. Lee WI, Jang KH. The effects of medical service quality and relationship quality on customer loyalty-Small and medium hospitals. Journal of Distribution and Management Research. 2016;17(1): 35-51. https://doi.org/10.17961/jdmr.17.1.201403.35
  3. Park AJ. An empirical study of comprehensive health screening medical service quality with Kano model and PCSI Index. Journal of Industrial Distribution & Business. 2019;10(7): 71-82. https://doi.org/10.13106/IJIDB.2019.VOL10.NO7.71
  4. Im BH, Choi HS. Determination factors and satisfaction of health screening center by health examination at hospital. Journal of Digital Convergence. 2014;12(12): 457-467. https://doi.org/10.14400/JDC.2014.12.12.457
  5. Han Y, Lee JJ. A strategy based on revenue management for revenue increase in hospital health promotion center. Korean Journal of Hospital Management. 2010;15(1): 13-26.
  6. National Health Insurance Service. [Internet]. Avail from https://www.nhis.or.kr/nhis/healthin/wbhaca04500m01.do
  7. Georgette, M, Zifko-Baliga & Robert, F. K. Managing Perceptions of Hospital Quality. Marketing Health Service Spring. 1997;43(6): 28-35.
  8. Park I, Kang H, Kim Y. A Study on the Determinants of Rescreening for Using the Private Health Screening Program. Journal of Digital Convergence. 2015;13(1): 383-396. https://doi.org/10.14400/JDC.2015.13.1.383
  9. McMahon LF, Tipirneni R, Chopra V. Chopra. Health system loyalty programs: An innovation in customer care and service. 2016. Journal of the American Medical Association. 2016;315(9): 863-864. https://doi.org/10.1001/jama.2015.19463
  10. Park KH. Determination factors of health promotion center by health screening examinees at medical institute. Unpublished master's thesis: Catholic University of Pusan, Busan; 2014.
  11. Gwak JK, Choi NG, Kim GC, Choi SG, Lee SG. A Comparison of the Results of Abdominal Ultrasonography and Abdominal Ct Scan of Medical Check-up Patients. Journal of Radiation Industry. 2018;12(3): 169-176.
  12. Min SA, Lee, MJ, Im MJ. Effects of the Result of In-Company Medical Checkup and Diet and Exercise Monitoring using a Mobile Application on Changes in Employees' Body Composition. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities and Sociology. 2018;8(5): 559-568.
  13. Choi DY. The Study on Payment Difference of Health Examination Users in University Hospital Medical Center. Management & Information Systems Review. 2013;32(2):. 47-58. https://doi.org/10.29214/DAMIS.2013.32.2.003
  14. Kim HJ, Yu MJ. Factors Affecting Cancer Screening Behavior in the Elderly: Based on Andersen's Model and Health Belief Model. Korean Academic Society Of Rehabiltation Nursin. 2020;23(1): 58-68. https://doi.org/10.7587/kjrehn.2020.58
  15. Becker, M. H. The tyranny of health promotion. Public Health Review. 1986;14(1): 15-23.
  16. Kim RG, Shim HS. Development and Effectiveness Evaluation of Teaching/Learning Plan for Clothing Safety Education in Home Economics Based on the Health Belief Model. Journal of Korean Home Economics Education Association. 2020;32(1): 127-143. https://doi.org/10.19031/jkheea.2020.03.32.1.127
  17. Kim GR, Cho SY. Factors Influencing Sexually Transmitted Diseases Prevention and Screening Intentions (Behaviors) Among Young Koreans in their 20s. Journal of Public Relations. 2020;.24(.2): 92-126.
  18. Woo HS. Factors related to behavior for radiation protection of operating room nurses applying a health belief model. Unpublished master's thesis, Gachon University, Seongnam; 2016.
  19. Lee JS. Factors influencing of colorectal cancer screening behavior. Journal of Digital Convergence 2019;17(7): 179-186. https://doi.org/10.14400/JDC.2019.17.7.179
  20. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. Social Learning Theory and the Health Belief Model. Health Education Quarterly. 1988;15(2):175-183. https://doi.org/10.1177/109019818801500203
  21. Rosenstock, I. M. Historical origins of the health belief model. Health Cduc Monogr. 1974;2(1): 328. https://doi.org/10.1177/109019817400200403
  22. Kasl, S. V., & Cobb, S. Health behavior, illness behavior and sick role behavior: Health and illness behavior. Archives of Environmental health. 1966;12(4): 246-266. https://doi.org/10.1080/00039896.1966.10664365
  23. Kim BS, Kim HS. A Study on the Factors affecting Behavioral Intention of Health Check-up Tourists: Based on the Model of Goal-directed Behavior. 2020;17(4): 27-55.
  24. Ha Hj, Kim EA. Factors Affecting the Cervical Cancer Screening of Nursing Students: Application of the Health Belief Model. Korean society for Wellness. 2020;14(1): 13-24.
  25. Kim JW, Lim JW, Kim SH, Kang JK. The Correlation Between Cognition on Cervical Cancer Screening Project of Women in Their 20s in Korea and Intention of Screening. 2019;19(3): 349-356. https://doi.org/10.5392/JKCA.2019.19.03.349
  26. R, M. Andersen. Revisiting the behavioral model and access to medical dare:Does it matter. Journal of Health and Social Behavior. 1995;36(1): 1-10. https://doi.org/10.2307/2137284
  27. Andersen R, M and Newman J. F. "Social and individual determinations of medicare utilization in the United States" Milbank Memorial Fund Quarterly Journal. 1973;51(95): 12-40.
  28. Andersen R, M "National health survey and the behavioral model of health services use" Medical Care. 2008;46(7): 647-653. https://doi.org/10.1097/MLR.0b013e31817a835d
  29. A Study on Chinese Cancer Patients' Intention to Visit Korea Medical Institution using Andersen Model and the Theory of Planned Behavior. 2018;12(2): 27-44. https://doi.org/10.18014/HSMR.2018.12.2.27
  30. ANDERSEN, R.(1968). A behavioral model of families' use of health services. Research Ser. 25, xi-111.
  31. Sang JH. Analysis on the Differences in Outpatient Service Use among the Pre-Elderly with Disability Applying the Anderson Model. Journal of Digital Contents Society. 2019;20(5): 973-980. https://doi.org/10.9728/dcs.2019.20.5.973
  32. Hoe SJ. Factors influencing unmet needs for health care by income groups. Master Thesis. University, Seoul;2010.
  33. Yang JY. The longitudinal trend and association factors of unmet medical need. Doctoral dissertation. Korea University, Seoul;2010.
  34. Song TM. An Anderson Model Approach to the Mediation Effect of Stress-Vulnerability Factors on the Use of Outpatient Care by the Elderly. Journal of population and health studies. 2013;3(1): 547-576.
  35. Sung HH. Study on the Professionalism of Medical Technologists' Work in Health Examination Centers: Focusing on the General Health Examination. Department of Clinical Laboratory Science 2020;52(3):. 271-277.
  36. A Study on the Hair Dyeing Behavior of Adult Women Based on the Health Belief Model. Unpublished Ddoctor's thesis: Dongduk Women's University.;2018
  37. Jeong JH. A Structural Equation Modeling of Prostate Cancer Screening Intention. Unpublished Ddoctor's thesis: Inje University.;2018
  38. Park. EK. Health check-up service design using customer experience analysis. Unpublished Master's thesis: SungKyunGwan University.;2015
  39. Kim YT, Chae BS, Hwang BJ. The Effect of Physical Environments in the Comprehensive Health Examination Center on Medical Service Value, Satisfaction and Switching Barrier. service science. 2019;9(4): 63-80.
  40. Kim YT, Hwang BJ, So KS. The Effect of Usability and Physical Environment on the Brand Loyalty of the General Checkup Center: The Mediating Effect of Medical Service Value, Satisfaction and Switching Intention. Korean Association Of Business Education. 2019;34(5): 345-365.
  41. Park HK, Oh JY. Characteristics of User's Behavior across Generations for space planing in General Hospital. Korea Institute of Exhibition Industry convergence. 2017;28(3): 105-116.
  42. Kang MK. The Influence of Health Lifestyle on Health Care Utilization. Unpublished Doctor's thesis: Yonsei University.;2001
  43. Park SY. Development and Evaluation of Nutrition education Program for Hypertension based on Health Belief Model. Unpublished Doctor's thesis: The Catholic University.;2017
  44. Jeong JY. An Evaluation Research on the Quality Components for the Service Design of Health Screening - Focusing on KANO Model. Unpublished Doctor's thesis: Hong ik University.;2016
  45. LEE HI. A Study on the Effects of Medical Care Service Quality Factor of Medical Examination Center on Service Value, Customer Satisfaction and Behavioral Intention.- Based on the Kano model. Unpublished Doctor's thesis: Hong ik University.;2016
  46. National Health Insurance Service. Health Checkup Questionnaire go down [Internet]. Available from https://www.nhis.or.kr/nhis/minwon/wbhaba03900m01.do?mode=list&&articleLimit=10&srSearchVall=%EB%AC%B8%EC%A7%84 %ED%91%9C&article.offset=10
  47. Kim YT, Hwang BJ, So KS. The Effect of Convenience of the Comprehensive Screening Center on the Medical Service Value, Satisfaction and Brand Loyalty. The Korea Service Management Society. 2019;20(1): 223-245. https://doi.org/10.15706/jksms.2019.20.1.011
  48. Kim YE, Kim CT. A Study on Selective Comparison of Comprehensive Medical Examination Center according to General Characteristics of Residents in Busan and Gyeongnam. Korean Academic Society Of Business Administration. 2020;84(1): 39-40.
  49. Occupational safety and health Law, NO. 129(1), NO. 175(4)
  50. Lee BJ, A Study on Specialized hospitals and protection of appellations by Medical Service Act - Focused on the regulation of internet medical advertisement in Specialized hospitals - Journal of Law. 2017;58(4): 117-145.
  51. National Cancer Center. National Cancer Management Project go down [Internet]. Avail from https://www.ncc.re.kr/main.ncc?uri=manage01_4
  52. Kang SY, Lee JA, Kim YS. Knowledge and Attitude of Health Care Providers for Korean National Health Examination. Korean J Health Promot. 2017;17(4): 252-258. https://doi.org/10.15384/kjhp.2017.17.4.252
  53. Kim YM, Park JH, Kim WJ. Analysis of utilization characteristics, health behaviors and health management level of participants in private health examination in a general hospital. Journal of the Korea Academia -Industrial cooperation Society. 2013;14(1): 301-311. https://doi.org/10.5762/KAIS.2013.14.1.301