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将患者集中到超大型医院的有效分配系统。

The effective distribution system for the concentration of patients to extra-large hospitals.

作者信息

Hong Du Pyo, Song Jaeki

机构信息

Department of Service Systems Management & Engineering, Sogang University Graduate School of Business, Seoul, Korea.

出版信息

J Korean Surg Soc. 2011 Jun;80(6):373-83. doi: 10.4174/jkss.2011.80.6.373. Epub 2011 Jun 9.

Abstract

PURPOSE

In Korean society, extra-large hospitals are congested with the majority of patients. Because of the congestions, the urgent patients need to wait anywhere from as short as a month to around three months. These concentrations of the patients on the extra-large hospitals causes not only the economic problem in terms of loss of opportunity cost and resources of other medium and large hospitals but also the fear and the consequential stress of the patients and the families of the patients who are waiting for the surgeries. The phenomenon of the concentrations derived due to the insufficient information to the medical consumers. If the information on medical treatment services such as surgery schedule is provided before the selection of hospital, we expect that the selection of hospital for the patients and their family will differ, resulting in redistribution of concentration phenomenon. In this paper, we propose and verify the effective distribution system for the concentration on the extra-large hospitals.

METHODS

Web simulation survey was conducted. A total 100 respondents were divided into 4 groups of 25 respondents and the different information was provided to each group.

RESULTS

Through multiple comparisons among groups, only group which was provided with both information about 'the difference of surgical results' and 'the waiting time for surgery', had difference in significance.

CONCLUSION

By providing two sets of information to patients, reckless selection of extra-large hospitals can be spread to more appropriate hospitals and therefore achieve effective distribution of the population concentration on extra-large hospital.

摘要

目的

在韩国社会,绝大多数患者都涌向超大型医院。由于人满为患,急症患者需要等待短则一个月、长则约三个月的时间。患者集中于超大型医院不仅造成了机会成本损失以及其他大中型医院资源浪费等经济问题,还让等待手术的患者及其家属产生恐惧和随之而来的压力。这种集中现象是由于医疗消费者信息不足导致的。如果在患者选择医院之前提供手术安排等医疗服务信息,我们预计患者及其家属对医院的选择将会不同,从而导致集中现象的重新分布。在本文中,我们提出并验证了一种针对超大型医院患者集中问题的有效分流系统。

方法

开展了网络模拟调查。总共100名受访者被分为4组,每组25人,且向每组提供不同的信息。

结果

通过组间多重比较,只有同时获得“手术结果差异”和“手术等待时间”这两种信息的组存在显著差异。

结论

通过向患者提供这两类信息,可以避免患者盲目选择超大型医院,而是分流到更合适的医院,从而实现超大型医院患者集中现象的有效分流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766d/3204691/3ca87f1b8b7b/jkss-80-373-g001.jpg

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