한국보건사회연구원 전자도서관

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외래 초진환자의 만족진료시간과 관련 추가 비용 지불 의사(Analysis of New Patient’s Willingness to Pay Additional Costs for Securing Satisfactory Consultation Time)

개인저자
이찬희
수록페이지
39-46 p.
발행일자
2017.03.24
출판사
한국보건행정학회
초록
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 general 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 qqqgt;10 minutes), and SCT into 3 groups (≤5 minutes, 5–10 minutes, and qqqgt;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 qqqgt;10 minutes (6,950 Korea won) and SCT qqqgt;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.