A study on the standardization for outpatient management and adminstration process of some regional hospitals

Jin-A Kim, Moo-Sik Lee, Hye-Jung Hwang, Kwang-Hwan Kim
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Abstract

This study evaluated the standardization of the outpatient management process in several regions of South Korea. The hospital workers in the administration department of the different medical institutions that are registered with the Korean Hospital Association were surveyed. These institutions can be standard hospitals or hospitals greater in size. A summary of the research results are as follows. There was no significant correlation in their registration procedures in relation to the institution's founder, number of sickbeds, number of staff employed in the administration department, and average number of outpatients per day. On the other hand, the prepayment of medical fees occurred more frequently when the number of sickbeds was larger. In addition, there was no large difference in their appointment procedures in relation to those features. Nevertheless, the prepayment of medical fees accounted for 11.8 % of the entire payment in institutions with less than five hundred beds, while fifty percent of the payment was made in advance in larger institutions with five hundred or more beds. From this research, there was only a small difference among the institutions' outpatient management, but a notable difference was observed in their electronic data processing systems and facilities. Therefore, more financial support should be generated for the implementation of a more integrated process. As a follow-up study, to provide patients with quality medical services, it will be necessary to apply the standardized procedure to an actual medical institution and analyze the expected effect.
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部分地区医院门诊管理流程规范化研究
本研究评估了韩国几个地区门诊管理过程的标准化。对在韩国医院协会注册的不同医疗机构行政部门的医院工作人员进行了调查。这些机构可以是标准医院,也可以是规模较大的医院。研究结果总结如下。登记手续与机构的创办机构、床位数、行政部门雇员人数和平均每日门诊人数没有显著的相关性。另一方面,床位越多,预付医疗费的情况就越频繁。此外,就这些特征而言,他们的任用程序也没有大的差别。然而,在床位不足500张的机构中,预付医疗费用占全部支付费用的11.8%,而在床位超过500张的大型机构中,预付医疗费用占50%。从本研究来看,各机构的门诊管理差异不大,但在电子数据处理系统和设施方面存在显著差异。因此,应该提供更多的财政支助,以执行一个更加综合的进程。作为一项后续研究,为了给患者提供优质的医疗服务,有必要将标准化流程应用于实际医疗机构,并分析预期效果。
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