원 저 : 의사의 진료비 심사기준 준수행동 분석

Abstract

This study was conducted by extending Ajzen`s Theory of Planned Behavior(TPB) model in analyzing physician`s observance behavior of National Health Insurance review standards. An extended TPB model was proposed by including ``background knowledge` and ``organizational commitment` in original model to predict physician``s review standards observance behavior. Surveys for data collection were carried out on the physicians who were working in a general hospital, clinics, specialized hospitals, local medical centers and long term care hospitals located in Daegu and Kyoung-Buk province in Korea. Two hundreds twenty copies of questionnaires were distributed and 166 physicians responded. Data were analyzed using a structural equation model. The results show that an affirmative attitude and subjective norms have significant positive effects on physicians` behavior of observing review standards. However, the effect of perceived behavioral control on intention to behavior is not significant. The organizational commitment and background knowledge have a positive effect on the intention of observance of review standards. In conclusion, because physician`s observance behaviors are affected by background knowledge and organizational commitment as well as attitudes, subjective norms, hospital managements should establish a communication system to share information on the review standards among physicians and provide appropriate measures to increase physician``s organizational commitment.