Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist career

Background/Aims Although a management fee for hospitalist service was established in Korea, the number of hospitalists required for the system to run remains outmatched. Methods In January 2020 and February 2022, before and after the establishment of the hospitalist fee system respectively, cross-se...

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Main Authors: Seung Jun Han, Dong-Ho Shin, Nak-Hyun Kim, Eun Sun Kim, Junhwan Kim, Hye Won Kim, Sung do Moon, Sang Wook Park, Jung Hun Ohn, Chang-Yun Woo, Ki Byung Lee, Jae Hyun Lee, Han Sung Lee, Yejee Lim, Seungha Hwang
Format: Article
Language:English
Published: The Korean Association of Internal Medicine 2023-05-01
Series:The Korean Journal of Internal Medicine
Subjects:
Online Access:http://www.kjim.org/upload/kjim-2022-284.pdf
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author Seung Jun Han
Dong-Ho Shin
Nak-Hyun Kim
Eun Sun Kim
Junhwan Kim
Hye Won Kim
Sung do Moon
Sang Wook Park
Jung Hun Ohn
Chang-Yun Woo
Ki Byung Lee
Jae Hyun Lee
Han Sung Lee
Yejee Lim
Seungha Hwang
author_facet Seung Jun Han
Dong-Ho Shin
Nak-Hyun Kim
Eun Sun Kim
Junhwan Kim
Hye Won Kim
Sung do Moon
Sang Wook Park
Jung Hun Ohn
Chang-Yun Woo
Ki Byung Lee
Jae Hyun Lee
Han Sung Lee
Yejee Lim
Seungha Hwang
author_sort Seung Jun Han
collection DOAJ
description Background/Aims Although a management fee for hospitalist service was established in Korea, the number of hospitalists required for the system to run remains outmatched. Methods In January 2020 and February 2022, before and after the establishment of the hospitalist fee system respectively, cross-sectional online surveys were conducted among internal medicine board-certified hospitalists. Results There were 59 and 64 respondents in the 2020 and 2022 surveys, respectively. The percentage of respondents who cited financial benefits as a motive for becoming a hospitalist was higher in the 2022 survey than in the 2020 survey (34.4% vs. 10.2%; p = 0.001). The annual salary of respondents was also higher in the 2022 survey than in the 2020 survey (mean, 182.9 vs. 163.0 million in South Korean Won; p = 0.006). A total of 81.3% of the respondents were willing to continue a hospitalist career in the 2022 survey. In multivariate regression analysis, the possibility of being appointed as a professor was found to be an independent predictive factor of continuing a hospitalist career (odds ratio, 4.00; 95% confidence interval, 1.09–14.75; p = 0.037). Conclusions Since the establishment of the hospitalist fee system, monetary compensation has improved for hospitalists. The possibility of being appointed as a professor could predict long-term work as hospitalists.
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spelling doaj.art-c000aa5fee8e4c199460241806e25bf32023-05-09T04:52:47ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482023-05-0138343444310.3904/kjim.2022.284170784Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist careerSeung Jun Han0Dong-Ho Shin1Nak-Hyun Kim2Eun Sun Kim3Junhwan Kim4Hye Won Kim5Sung do Moon6Sang Wook Park7Jung Hun Ohn8Chang-Yun Woo9Ki Byung Lee10Jae Hyun Lee11Han Sung Lee12Yejee Lim13Seungha Hwang14 Department of Internal Medicine and Hospital Medicine Center, Seoul National University Hospital, Seoul, Korea Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine and Hospital Medicine Center, Seoul National University Bundang Hospital, Seongnam, Korea Department of Internal Medicine and Hospital Medicine Center, Seoul National University Bundang Hospital, Seongnam, Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Internal Medicine and Hospital Medicine Center, Seoul National University Bundang Hospital, Seongnam, Korea Department of Internal Medicine and Hospital Medicine Center, Seoul National University Hospital, Seoul, Korea Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Internal Medicine and Hospital Medicine Center, Seoul National University Bundang Hospital, Seongnam, Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea Department of Internal Medicine and Hospital Medicine Center, Seoul National University Hospital, Seoul, Korea Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine and Hospital Medicine Center, Seoul National University Bundang Hospital, Seongnam, Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaBackground/Aims Although a management fee for hospitalist service was established in Korea, the number of hospitalists required for the system to run remains outmatched. Methods In January 2020 and February 2022, before and after the establishment of the hospitalist fee system respectively, cross-sectional online surveys were conducted among internal medicine board-certified hospitalists. Results There were 59 and 64 respondents in the 2020 and 2022 surveys, respectively. The percentage of respondents who cited financial benefits as a motive for becoming a hospitalist was higher in the 2022 survey than in the 2020 survey (34.4% vs. 10.2%; p = 0.001). The annual salary of respondents was also higher in the 2022 survey than in the 2020 survey (mean, 182.9 vs. 163.0 million in South Korean Won; p = 0.006). A total of 81.3% of the respondents were willing to continue a hospitalist career in the 2022 survey. In multivariate regression analysis, the possibility of being appointed as a professor was found to be an independent predictive factor of continuing a hospitalist career (odds ratio, 4.00; 95% confidence interval, 1.09–14.75; p = 0.037). Conclusions Since the establishment of the hospitalist fee system, monetary compensation has improved for hospitalists. The possibility of being appointed as a professor could predict long-term work as hospitalists.http://www.kjim.org/upload/kjim-2022-284.pdfhospitalistscareer choicesurveys and questionnaires
spellingShingle Seung Jun Han
Dong-Ho Shin
Nak-Hyun Kim
Eun Sun Kim
Junhwan Kim
Hye Won Kim
Sung do Moon
Sang Wook Park
Jung Hun Ohn
Chang-Yun Woo
Ki Byung Lee
Jae Hyun Lee
Han Sung Lee
Yejee Lim
Seungha Hwang
Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist career
The Korean Journal of Internal Medicine
hospitalists
career choice
surveys and questionnaires
title Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist career
title_full Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist career
title_fullStr Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist career
title_full_unstemmed Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist career
title_short Nationwide survey of internal medicine hospitalists in Korea: motivation and sustainability of a hospitalist career
title_sort nationwide survey of internal medicine hospitalists in korea motivation and sustainability of a hospitalist career
topic hospitalists
career choice
surveys and questionnaires
url http://www.kjim.org/upload/kjim-2022-284.pdf
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