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J Korean Med Assoc > Volume 55(4); 2012 > Article
Im, Choi, Lim, Seo, and Park: A survey of the medical practitioners' offices in Korea 2011

Abstract

Because of various current problems and issues which are low health insurance medical fee of National Health Insurance Corporation, extreme competition with very large general hospitals, new supply of more than of 3,000 new doctors, many medical practitioner's offices who are suffering management difficulties are increasing. In order to investigate their current overall management situations, we made this study through statistical extraction procedures with the sample population of the medical practitioners which are registered in Korean Medical Association and subsequently we made the study with 1,031 selected cases. The average number of patients is 53.6 patients per day. 44.4% of the medical practitioners' offices are working at night and legal holidays and 8.5% are working at Sunday. Average working hours is 50.1 hours per week, which greatly exceeds 40 hours per week that is regulated in the Labor Standards Act. According to the management performance analysis of those medical clinics through profit and loss statements, average total annual sales revenue in 2010 fiscal year was 444,167,867 KRW, the expenses were 314,217,081 KRW and the earnings before taxes was 129,940,786 KRW. The average net profit (earnings before taxes) of the director of the medical practitioners' offices was 122,337,868 KRW per year and 10,194,822 KRW per month. According to the study results, we have found that we need to increase doctor's bill for outpatient, and establishment and its improvement of medical service delivery systems and classification standards of medical services for first and succeeding outpatients. Considering overall results of the study, readjustment of outpatients' treatment fees and reestablishment of more efficient medical service delivery systems which require the first medical service is to be provided properly should be realized in order to improve the management performance of the medical practitioners' offices.

References

1. Park YH, Im GJ, Min HY, Choi JW. Report of the medical practitioner's offices in Korea 2010;Seoul: Research Institute for Healthcare Policy.

2. Im GJ, Choi JW. Business analysis of the practitioners' offices in Korea 2009;Seoul: Research Institute for Healthcare Policy.

3. Park YH, Im GJ, Min HY, Choi JW. Report of the medical practitioner's offices in Korea 2010;Seoul: Research Institute for Healthcare Policy.

4. Health Insurance Review & Assessment Service. Current status of the opening, closing of clinics in Korea (2011) [Internet] 2012;cited 2012 Mar 19. Seoul: Health Insurance Review & Assessment Service. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020045010000&cmsurl=/cms/information/05/03/01/1210719_13603.html&subject=%ec%9a%94%ec%96%91%ea%b8%b0%ea%b4%80+%ea%b0%9c%ed%8f%90%ec%97%85+%ed%98%84%ed%99%a9%282011%eb%85%84%29

Figure 1
Motives opening of clinics (n=1,023).
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Figure 2
Daily average number of inpatients (n=155).
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Figure 3
Clinic hours.
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Figure 4
Reasons to work at nights and holidays.
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Figure 5
Daily average number of outpatients per doctor.
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Figure 6
Total amount of expenses for opening clinic per subject.
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Figure 7
Deptartment for operation expenses per subject (n=370).
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Figure 8
Profits improvement plans.
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Figure 9
Expense reduction plans.
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Figure 10
Reason of a fee reduction.
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Figure 11
Important factors for success of the medical practitioners' office (n=1,031).
jkma-55-390-g011-l.jpg
Figure 12
Management improvement plans of the medical practitioners' office (Likert 5-point scale is used to measure). 1. Increase outpatient medical service charges (to be considered relatively). 2. Reestablishment of medical service delivery systems. 3. Improve the classification standards for first and succeeding outpatients. 4. Improve outpatient charge decrease system. 5. Expansion of non-medical revenue making business, like patients convenience facilities etc. 6. Expansion of public health services.
jkma-55-390-g012-l.jpg
Table 1
Characteristics of respondents (n=1,031)
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Table 2
Average work forces (excluding director and doctors of the medical practitioners' offices) (unit: n)
jkma-55-390-i002-l.jpg
Table 3
Daily average number of outpatients per clinic
jkma-55-390-i003-l.jpg
Table 4
Comparison analysis of 2010 sales per subject (unit: 10,000 KRW)
jkma-55-390-i004-l.jpg
Table 5
Operation performance per subject in 2010 (unit: KRW)
jkma-55-390-i005-l.jpg
Table 6
The perception of the medical practitioners' office (n=1,031)
jkma-55-390-i006-l.jpg
Table 7
Reduction of a fee for consultation
jkma-55-390-i007-l.jpg
Table 8
Opinions about applying the regulations for overtime charges, based on the Labor Standards Act
jkma-55-390-i008-l.jpg


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