Department of Internal Medicine and Hospital Medicine Center, Seoul National University Hospital, Seoul, Korea.
Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Korean J Intern Med. 2023 May;38(3):434-443. doi: 10.3904/kjim.2022.284. Epub 2023 Apr 11.
BACKGROUND/AIMS: Although a management fee for hospitalist service was established in Korea, the number of hospitalists required for the system to run remains outmatched.
In January 2020 and February 2022, before and after the establishment of the hospitalist fee system respectively, cross-sectional online surveys were conducted among internal medicine board-certified hospitalists.
There were 59 and 64 respondents in the 2020 and 2022 surveys, respectively. The percentage of respondents who cited financial benefits as a motive for becoming a hospitalist was higher in the 2022 survey than in the 2020 survey (34.4% vs. 10.2%; p = 0.001). The annual salary of respondents was also higher in the 2022 survey than in the 2020 survey (mean, 182.9 vs. 163.0 million in South Korean Won; p = 0.006). A total of 81.3% of the respondents were willing to continue a hospitalist career in the 2022 survey. In multivariate regression analysis, the possibility of being appointed as a professor was found to be an independent predictive factor of continuing a hospitalist career (odds ratio, 4.00; 95% confidence interval, 1.09-14.75; p = 0.037).
Since the establishment of the hospitalist fee system, monetary compensation has improved for hospitalists. The possibility of being appointed as a professor could predict long-term work as hospitalists.
背景/目的：尽管韩国已经设立了医院医师服务管理费用，但仍需要更多的医院医师来维持该系统的运转。
分别在 2020 年 1 月和 2022 年 2 月（即医院医师费用制度建立前后），对经过内科委员会认证的医院医师进行了横断面在线调查。
2020 年和 2022 年的调查分别有 59 名和 64 名受访者。在 2022 年的调查中，将经济利益作为成为医院医师的动机的受访者比例高于 2020 年的调查（34.4%比 10.2%；p=0.001）。2022 年调查的受访者年薪也高于 2020 年的调查（平均值，18290 万韩元比 16300 万韩元；p=0.006）。在 2022 年的调查中，共有 81.3%的受访者愿意继续从事医院医师职业。在多变量回归分析中，被任命为教授的可能性被发现是继续从事医院医师职业的独立预测因素（优势比，4.00；95%置信区间，1.09-14.75；p=0.037）。
自医院医师费用制度建立以来，医院医师的经济补偿有所提高。被任命为教授的可能性可以预测长期从事医院医师工作的情况。
