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A Study on the Medical Resource and Floor Area Characteristics of Comprehensive Secondary General Hospitals - Focusing on a Comparison with Tertiary General Hospitals and General Hospitals

  • JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE
  • Abbr : KIHA
  • 2026, 32(3), pp.7~14
  • Publisher : Korea Institute Of Healthcare Architecture
  • Research Area : Engineering > Architectural Engineering
  • Received : August 13, 2026
  • Accepted : September 1, 2026
  • Published : September 15, 2026

Kim, Eunseok 1 Cho, Junyoung 2

1서울특별시 서울의료원 공공보건의료지원단
2한국의료복지건축학회 부설 의료복지건축연구소

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ABSTRACT

Purpose: In July 2025, Korea's Ministry of Health and Welfare began designating general hospitals meeting three criteria - acute-care accreditation, regional emergency institution status or higher, and 350+ surgical/procedural service types - as "Comprehensive Secondary General Hospitals," creating a new intermediate tier between tertiary and general hospitals. This study examines the actual facility and staffing characteristics of this new category, comparing medical resource allocation and architectural floor area across hospital tiers. Methods: Using data from 376 general hospitals and above nationwide (47 tertiary, 175 comprehensive secondary, 154 general secondary), the study compared beds, specialist physicians, major medical equipment, and floor area by category, testing statistical significance (ANOVA) and calculating coefficients of variation (CV) to assess within-category dispersion. Results: All indicators - including number of beds, number of specialist physicians, major medical equipment, and floor area - showed statistically significant differences across hospital categories (p < .001). Medical-facility floor area per bed differed markedly by category (105.6 ㎡ for tertiary general hospitals, 76.9 ㎡ for comprehensive secondary hospitals, and 56.2 ㎡ for general secondary hospitals; F = 56.95, p < .001). However, the coefficient of variation within the comprehensive secondary hospital category (44.0%) was notably higher than that of tertiary general hospitals (26.4%), indicating substantial internal variation in facility levels within the same category. The coefficient of variation for the number of DRGs was likewise the largest among comprehensive secondary hospitals (31.0%) of the three groups. Implications: These findings suggest that although comprehensive secondary general hospitals constitute a single category institutionally, they may in practice be a heterogeneous group. This offers exploratory evidence for the need to establish minimum facility standards that architecturally support the intent of this designation.

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* References for papers published after 2025 are currently being built.