現役兵 健康保險制度 施行에 따른 病院 利用行態에 관한 硏究 = (A) Study on Behavior of Utilization of Hospital in Accordance with Execution of Medical Insurance for Active Duty in Military Service

다국어 초록 (Multilingual Abstract)

This research focuses the changes of hospital uses mainly with the satisfaction level of military hospitals and civil hospitals and preference to them, especially after the execution of medical insurance for active duty in military service started on April, 2004. Additionally, this study indicates the subsequent aims of military medical services analyzing result-related factors.
Inpatients of 3 modernized military hospitals including Sudo hospital, and dispatched Korean troops in Afghanistan were the object of this study. The survey had been conducted from April, 2005 to November, 2005, which withdrew 979 questionnaires.
The research has reached the conclusions below.
1. 71.9% of respondents' overall satisfaction level of military medical service is lower than civil hospitals'. Furthermore, medical examinations and treatment got 2.74 points, welfare and environmental condition of the hospital got 2.62, admission procedures and administrative services got 2.38 for each factor.
2. examination of frequencies of points of satisfaction at military hospitals showed a row of free medical service provision (26.7%), nursing officers’ kindness and considerateness (15.2%), military surgeons’ kindness and detailed explanation (11.2%).
3. frequencies of unsatisfactory items are lack of facilities for inpatients and their family (18.0%), intricacy of administrative procedures and repeated delay (13.9%), military surgeons’ unkindness and insincere explanation (12.0%).
4. preference to civil hospitals after the execution of medical insurance for active duty in military service was considered almost the same with formal circumstances by 55.5% of the respondents. However, 27.1% checked "a little higher," and 12.9% chose "much higher," finally, 40% of the respondents think inclination for civil hospital increased.
5. the result of frequency study of the factors which affect the changes shows, civill hospital is in favor because of decrease of cost charge (18%), chances to choose fine medical team of civil hospital (13.2%). In addition, the advantage of not shortened base leaves or staying outs (12.4%), administrative support of additional leaves or staying outs (11.1%)
6. now, under the system of medical insurance for active duty in military service, they are divided into two groups of civil hospital preferrers (79.5%) and military hospital choosers (20.5%).
7. if it were not for the former system without the medical insurance, the margin of two groups would have been narrower (62.9% and 20.5%). 16.5% of respondents are willing to move from civil hospital to military one.
8. respondents who answered they may be likely to go civil hospital in the both case scored the satisfaction level of military hospital 2.23 points and 2.27, which are even lower than 2.89 and 2.74 given by military hospital preferrers. At last, civil hospital preferrers’ satisfaction level of general military medical service is fundamentally negative whether the medical insurance for active duty in military service is run or not.
After all, reduction of hospital cost in accordance with execution of the medical insurance system, and expansion of the chances to choose fine medical team of civil hospital are the primary factors which heightened the preference to civil hospital. Moreover, basically inferior satisfaction level of military hospital may be another factor. Thus, the whole military medical service organs have to spontaneously try to elevate satisfaction level of military hospital and improve their medical service continuously.

목차 (Table of Contents)

• 목차
• Ⅰ. 서론 = 1
• Ⅱ. 연구 대상 및 방법 = 4
• 1. 연구 대상 = 4
• 2. 연구 방법 = 4
• 3. 자료 분석 = 5
• Ⅲ. 이론적 배경과 선행 연구 = 6
• 1. 현역병 건강보험제도 = 6
• 2. 실적 평가 = 9
• Ⅳ. 연구 결과 = 13
• 1. 조사 대상자의 특성 = 13
• 2. 군병원 의료서비스 만족도 = 16
• 3. 현역병 건강보험제도와 관련한 민간병원 선호도 및 이용 의지 분석 = 31
• Ⅴ. 고찰 = 43
• Ⅵ. 요약 및 결론 = 47
• 참고문헌 = 49
• （Summary） = 51
• 부록 = 53
• 감사의 글 = 59