COVID-19이 지역거점공공병원의 수익성과 고용에 미친 영향
Effect of COVID-19 on the Profitability and Employment of Regional Hub Public Hospitals
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives: This study assessed the effect of COVID-19 on the profitability and employment of regional hub public hospitals and its variation by hospital location. Methods: Data from 35 public hospitals operating between 2018 and 2022 were analyzed using a generalized linear regression model. Profitability was assessed as a financial measure, while employment measures included the number of doctors, nurses, healthworkers, administrators, and new employees per 100 beds, and the average doctor's salary. Results: Operating revenues declined while expenses increased, reducing operating income and margins. The number of nurses per 100 beds increased, whereas the number of other staff members did not change significantly. Hospitals in the capital region experienced a greater decline in profitability. Conclusions: The COVID-19 pandemic has negatively influenced the profitability of regional hub public hospitals without reducing employment. The effects also varied between hospital locations.
Abstract
Objectives: This study assessed the effect of COVID-19 on the profitability and employment of regional hub public hospitals and its variation by hospital location. Methods: Data from 35 public hospitals operating between 2018 and 2022 were analyzed using a generalized linear regression model. Profitability was assessed as a financial measure, while employment measures included the number of doctors, nurses, healthworkers, administrators, and new employees per 100 beds, and the average doctor's salary. Results: Operating revenues declined while expenses increased, reducing operating income and margins. The number of nurses per 100 beds increased, whereas the number of other staff members did not change significantly. Hospitals in the capital region experienced a greater decline in profitability. Conclusions: The COVID-19 pandemic has negatively influenced the profitability of regional hub public hospitals without reducing employment. The effects also varied between hospital locations.
참고문헌 (28)
- "Accessed 2024, July 28, Ministry of Health and Welfare to provide KRW 94.8billion for public hospital management innovation" (2024)[URL]
- J. E. Lee, "A study on financial support methods for medical institutions in response to COVID-19 : Focusing on the cases of foreign countries", Health Insurance Review and Assessment Service, 2023, pp.1~128 (2023)
- J. H. Yang, "Analysis of Factor Affecting the profitability of Regional Public Hospitals Before and After COVID-19", Asia-pacific Journal of Convergent Research Interchange, 9(5), pp.231~241 (2023)
- J. H. Rhodes, "The early impact of the COVID-19 pandemic on hospital finances", Journal of Healthcare Management, 68(1), pp.38~55 (2023)
- Y. Wang, "COVID-19and hospital financial viability in the US", JAMA Health Forum, 3(5), pp.e221018~e221018 (2022), American Medical Association
- A. Küçük, "Financial impacts of COVID-19pandemic for Turkish public hospitals", Süleyman Demirel Üniversitesi Vizyoner Dergisi, 13(34), pp.354~363 (2022)
- Y. Wang, "Financial outcomes associated with the COVID-19 pandemic in California hospitals", JAMA health forum, 3(9), pp.e223056~e223056 (2022), American Medical Association
- M. Zhao, "Hospital staffing decisions : does financial performance matter?, INQUIRY : The Journal of Health Care Organization", Provision and Financing, 45(3), pp.293~307 (2008)
- "After the COVID-19 hospital was established, the remaining problems were piled up" (2022)[URL]
- J. H. Bae, "Factors Influencing the Turnover Intention of COVID-19 Ward and General Ward Nurses in Public Hospitals", Journal of Korean Occupational Health Nursing, 30(2), pp.46~56 (2021)
- S. Hwang, "Burnout among Healthcare Workers during COVID-19 Pandemic", Korean Journal of Healthcare-Associated Infection Control and Prevention, 27(1), pp.28~34 (2022)
- G. H. Lee, "Effects of Profitability Determinants before and after the Implementation of the Coverage Enhancement Policy at Regional Public Hospitals", The Korean Journal of Health Service Management, 15(3), pp.1~8 (2021)
- "Seoul area hospitals specializing in COVID-19 are 'turning back' due to nursing shortage" (2020)[URL]
- "Coronavirus disease (COVID-19) pandemic" (2019)[URL]
- R. O. Reid, "Physician compensation arrangements and financial performance incentives in US health systems", JAMA Health Forum, 3(1), pp.e214634~e214634 (2022)
- G. Bai, "A more detailed understanding of factors associated with hospital profitability", Health Affairs, 35(5), pp.889~897 (2016)
- B. R. Ahn, "Impact of COVID-19 on healthcare organizations : Focusing on financial losses", The Korean Society for Public Health and Medicine, 7(1), pp.6~6 (2023)
- American Hospital Association, "America’s Hospitals and Health Systems Continue to Face Escalating Operational Costs and Economic Pressures as They Care for Patients and Communities", 1~10 (2024)
- J. H. Yang, "Factors affecting the performance of local public hospitals", The Korean Journal of Health Service Management, 11(3), pp.1~11 (2017)
- D. Y. Cho, "The Study on the Difference of Management Performance in Public Health Care Institution", The Korean Journal of Health Service Management, 6(2), pp.133~140 (2012)
- The financial stability of America’s hospitals and health systems is at risk as the costs of caring continue to rise, "American Hospital Association", American Hospital Association, 1~9 (2023)
- K. R. Shin, "COVID-19 Counter Measures and Action Plan for Improvement of Nursing Treatment", Health Insurance Review &Assessment Service Research, 1(1), pp.103~107 (2021)
- S. K. Bose, "The cost of quarantine : projecting the financial impact of canceled elective surgery on the nation's hospitals", Annals of Surgery, 273(5), pp.844~849 (2021)
- A. S. Do, "Impact on Health Systems from COVID-19 and the Role of Social Determinants of Health", American Academy of Family Physicians, 31(2), pp.23~26 (2024)
- "Professors leaving hospitals… Contract doctors filling the gaps" (2023)[URL]
- "Announcement of the 2nd Comprehensive Plan for Supporting the Nursing Workforce" (2023)[URL]
- D. D. Akinleye, "Correlation between hospital finances and quality and safety of patient care", PloS one, 14(8), pp.e0219124~ (2019)