초록 열기/닫기 버튼

최근의 의료 환경은 수많은 사회적, 환경적 변화에 직면하며 다양한 어려움에 부딪히고 있다. 병원에서는 이러한 어려움을 극복하기 위하여 다양한 노력을 하고 있으며, 본 연구에서는 건강검진에 관해 연구하고자 한다. 본 연구의 목적은 최근 급속히 증가하는 기업체 근로자의 건강검진 병원의 선정과 관련하여 기업체의 보건관리자를 통하여 건강검진 병원 선정 시 가장 중요하게 여기는 요인이 무엇인가에 대하여 검증하는 것이다. 이를 위하여 병원규모, 구전, 의료서비스 품질(시설, 의료장비, 의료진), 검진비용, 이용편리성(출장검진)에 따라 선호하는 병원의 형태(대형병원 vs. 중․소형 병원)를 기업체 보건관리자 134명을 대상으로 설문지를 이용하여 조사하였다. 제안된 연구모형과 가설들은 확증 요인분석, 로짓(logit) 분석 등을 이용하여 검증되었다. 연구결과 병원규모 및 이용편리성(출장검진)의 중요성은 대형병원을, 구전 및 검진비용의 중요성은 중․소형 병원을 선호하게 만드는 것으로 나타났다. 반면 의료서비스 품질의 경우 대형병원과 중․소형 병원의 유의적인 차이가 없는 것으로 나타났다. 이러한 결과를 바탕으로 대형병원의 경우 업무의 운영적인 부분이 강조되는 것이 필요하며, 중․소형 병원의 경우에는 질적인 부분이 중요시되는 것으로 확인되었다. 따라서 병원의 형태(대형병원 vs. 중․소형 병원)에 따라 차별화된 전략 수립이 필요할 것이다. 또한 기업체에서 건강검진병원 결정은 검진담당 실무자 또는 관련부서 책임자 선에서 주로 결정되므로 이들을 주 타깃으로 영업활동을 전개하는 것이 필요할 것임을 알 수 있다.


Against dynamic changes in the medical sector, medical institutions make lots of efforts to survive under harsh circumstances to tide over such difficulties. For example, they direct their energy into their own reform and the establishment of specialized hospitals. Also, they try to extend convenience facilities and to stir up health checkups among people in general. Especially, there is a rapid increase in the number of people who undergo health checkups, on which this study paid attention. The purpose of this study is to examine the top priority of corporate health administrators who were responsible for hospital selection for employee health checkups. It's also meant to investigate their awareness of large hospitals and small or mid-sized hospitals and their view of the importance of these hospitals in an effort to suggest some of the right directions for customized health checkups for each type of business. Hypotheses were formulated in relation to the preference of corporate health administrators for large and small or mid-sized hospitals as medical institutions for employee health checkups and the impact of hospital size, word of mouth, medical quality(facilities, medical equipment, medical personnels), health checkup cost and user convenience(out-of- hospital health checkups). The final sample of 134 people collected by a questionnaire were analyzed by using confirmatory factor analysis and logit. The findings of the study were as follows. Large hospitals were preferred in terms of hospital size and user convenience(out-of-hospital health checkups). On the other hand, small and mid-sized hospitals were preferred in terms of cost, word of mouth and medical quality, which imply that they gave more weight to quality. There are some implications based on the empirical findings. Small and mid-sized hospitals should make a lot of investment in facilities and personnels to improve their operation. When companies mostly have their employees undergo both general and special health checkups, they have a preference for out-of-hospital health checkups. On the other hand, large hospitals should try to enhance their medical quality by taking more flexible attitudes to cost and making the best use of word of mouth. Finally, it's required to deal with working-level employees or department managers concerned as main targets, because these people mostly have an option to choose a hospital for employee health checkups.