Measurement of Physician's Work for Korean Medicine Services Using Analytic Hierarchy Process

계층화 분석법(Analytic Hierarchy Process)을 활용한 한의사 업무량 산출

  • Lim, Byung-Mook (Division of Humanities and Social Medicine, School of Korean Medicine, Pusan National University) ;
  • Kwon, Hyuk-Sang (Management Strategy Team, Korea Institute of R&DB Resources Development) ;
  • Han, Chang-Ho (Department of Korean Medicine, College of Korean Medicine, Dongguk University) ;
  • Shin, Byung-Cheul (Division of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 임병묵 (부산대학교 한의학전문대학원 인문사회의학부) ;
  • 권혁상 (연구개발인력교육원 경영전략팀) ;
  • 한창호 (동국대학교 한의과대학 한의학과) ;
  • 신병철 (부산대학교 한의학전문대학원 임상의학부)
  • Published : 2009.04.30

Abstract

Background: The resource-based relative value scale has been applied to Korean medicine services as part of the National Health Insurance, yet the proper scoring method for physician's work needs to be developed. Objectives: To measure physician's work for Korean medicine services using Analytical Hierarchy Process(AHP) and to compare results abstracted by AHP with those by Magnitude Estimation method. Methods: We developed the AHP questionnaires for Korean Medicine services and administered it to 12 Korean medicine insurance experts. Weighted scores were calculated and were converted into physician's work scores. Results: In AHP measurement, the physician's work scores for acupuncture activities, especially special acupunctures, far increased, while those for diagnosis and basic consultations decreased. Variations in the scores enlarged. Conclusions: As an alternative, AHP method can be considered for measuring the physician's work for Korean medicine services with careful management of scoring variation.

Keywords

References

  1. 김한중. 의료보험 수가구조개편을 위한 상대가치 개발. 연세대학교 보건정책 및 관리연구소, 한국보건의료관리연구원. 1997.
  2. 양봉민, 김진현, 임병묵, 정현진, 오현주, 천동환, 서동민, 박은하. 한의의료의 상대가치에 대한 연구. 대한한의사협회. 2002.
  3. 조우현, 손명세, 박은철, 김한중, 김양균, 허 영주, 강형곤. 의사 업무량 측정 및 분석. 보건행정학회지. 1995 : 5(2) ; 213-229.
  4. 대한한의사협회. 한국한의표준의료행위분류. 2001.
  5. 임병묵, 김진현, 장인수, 한창호, 민지현, 양진욱. 한의표준의료행위에 대한 상대가치 개발. 대한한의사협회. 2003.
  6. 이충섭 외. 상대가치점수 개정연구 보고서. 건강보험심사평가원. 2006.
  7. 김동욱.김민철. 제주특별자치도의 외국의 료기관 유치선택방안: AHP 분석결과 중심으로. 한국정책과학학회보. 2008 : 12(2) ; 57-76.
  8. Saaty, T.L. The Analytic Hierarchy Process : Planing, Priorty Setting, Resource Allocation. New York : McGraw-Hill, 1980.
  9. Saaty, T.L. How to make a decision : The analytic hierarchy process, Interfaces. 1984 : 24(6). 19-43.
  10. 이성근.윤민석. AHP기법을 이용한 마케팅의사결정. 서울: 석정, 1994.
  11. 김윤주.심준섭. 가중치 추출 기법의 비교: AHP, JA, Swing 기법을 중심으로, 국가정책연구. 1997 : 21(1) ; 5-33.
  12. 최숙자, 고수경, 김정희, 이상이. 계층화분석법(AHP)을 이용한 건강보험급여확대상병 우선순위 결정. 보건행정학회지. 2006 : 16(1) ; 73-94.