CAJ | 학술논문

目的从患者角度了解公立医院的公益性状况,并分析不同的三级医院在公益性方面的情况差异,为提高公立医院公益性提出政策建议.方法对公立医院就诊患者进行现场调查,分析患者对医院公益性的评价情况;通过聚类分析,将纳入调查的公立医院划分为不同类别；通过F检验,分析不同类别公立医院的各公益性指标得分情况.结果通过聚类分析,将纳入研究的17所三级医院划分为四类；各类三级医院的12个公益性指标得分差异均有统计学意义,得分在1.12～2.70之间.结论发挥政府主导作用,三级医院承担相应的惠民公益服务,并从控制费用、合理检查等方面增强服务适宜性,将有助于提高其公益性.
목적 종환자각도료해공립의원적공익성상황,병분석불동적삼급의원재공익성방면적정황차이,위제고공립의원공익성제출정책건의.방법 대공립의원취진환자진행현장조사,분석환자대의원공익성적평개정황;통과취류분석,장납입조사적공립의원화분위불동유별；통과F검험,분석불동유별공립의원적각공익성지표득분정황.결과 통과취류분석,장납입연구적17소삼급의원화분위사류；각류삼급의원적12개공익성지표득분차이균유통계학의의,득분재1.12～2.70지간.결론 발휘정부주도작용,삼급의원승담상응적혜민공익복무,병종공제비용、합리검사등방면증강복무괄의성,장유조우제고기공익성.
Objective To compare the differences in public welfare among tertiary public hospitals from patients' perspective and provide policy recommendations to improve the social responsibility of public hospitals.Methods Field survey data were collected in public hospitals.The patients' assessment (12 items) on public welfare of public hospitals was analyzed using a hierarchical cluster analysis to classify the tertiary public hospitals into different categories.F-test was applied to detect the differences of public welfare among the hospitals by category.Results According to the hierarchical cluster analysis,the sample of tertiary public hospitals was divided into four different categories.The differences in each patient-reported item of public welfare among the categories were statistically significant.Conclusion Under guidance of the government,tertiary hospitals are expected to provide due public benefits,and enhance service fitness in terms of expense control and justifiable medical examinations.