• The Journal of the Korea Contents Association
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• v.14 no.11
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• pp.772-782
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• 2014

The aim of the study is to examine the factors affecting publicness and efficiency of the regional public hospitals and specify their relationship, thereby drawing out the policy implications for further improvement of regional hospital management. The analytical results showed the followings. First, there were statistically significant mean differences between the above-the-mean group and the below-the-mean group in terms of the internal and external environmental factors and intensity of competition. Second, When the hospitals were divided into two groups based on the mean value of efficiency, the ratio of material costs, of operational costs, and of doctors, and GRDP per capita of the above-the-mean group and the below-the-mean group showed the significant mean differences. Finally, among the variables of publicness, the ratio of medical aid patients and the number of deliveries had the negative relationships with efficiency whereas the medical costs of medical aid recipients had a positive relationship. The general argument that the government should enlarge its support for the regional hospitals' publicness needs to be specified in terms of the particular components of publicness based on this study. Also, to determine the extent of government support, the further research on the external environmental factors that cannot be controlled by the hospitals, for instance, intensity of competition, GRDP per capita, and fiscal self-reliance, should be encouraged.

• Journal of the Korean Regional Science Association
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• v.37 no.1
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• pp.3-14
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• 2021

Due to COVID-19, the importance of public medical facilities, especially hospitals specializing in infectious diseases, is rising. Despite the government's strong will, the establishment of public medical facilities and infectious disease hospitals has not been properly established. This is because the overall system related to the construction of public medical facilities does not sufficiently reflect social and economic changes and the trend of the times. The purpose of this study is to derive limitations and problems related to the guidelines for preliminary feasibility studies of public medical facilities and to present alternatives. This study proposes 'Option Value' as an alternative. Since the option value is a willingness to pay for an uncertain situation, it is theoretically reasonable and reasonable to reflect it as an additional benefit. Normally, the value of existence is not seen, but the system that is seen in a crisis is in the 'medical and health'. Therefore, it is necessary to find a system that is invisible even in the feasibility evaluation in the medical and health, and constantly improve and develop a methodology that can estimate changes in the welfare of citizens within the system. I expect this study to play a role as a catalyst.

• The Journal of the Convergence on Culture Technology
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• v.8 no.3
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• pp.385-392
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• 2022

The purpose of this study was to identify the degree of medical inequality in medical vulnerable areas, especially in the southwestern islands, and to prepare improvements. As a research method, 14 pieces were analyzed by systematic literature review with keywords such as 'medical vulnerability', 'medical inequality', and 'island area', and a focus group or in-depth interview (FGI) was conducted on 9 medical personnel in the public medical delivery system to identify the current status and demand. As a result of the study, medical inequality in the southwest region, especially in island areas, was confirmed, and the lack of professional manpower and administrative support system were confirmed through FGI. As a result of the study, it was confirmed that realistic measures should be prepared to increase the efficiency of public health care as well as active administrative support to improve the vulnerability of island areas.

• Journal of The Korea Institute of Healthcare Architecture
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• v.20 no.1
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• pp.69-78
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• 2014

• KDI Journal of Economic Policy
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• v.1 no.4
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• pp.74-87
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• 1979

• Journal of the Korean hospital association
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• v.34 no.6 s.298
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• pp.74-91
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• 2005

• 한국보건간호학회:학술대회논문집
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• 1997.12a
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• pp.46-47
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• 1997

• Korean Journal of Social Welfare Studies
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• v.47 no.1
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• pp.291-315
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• 2016

This paper analyzed experientially political conducts of the political players on privitization of healthcare service and public healthcare sercive aftrer the democratization in order to determine the influence of democracy on the development of a welfare state. For this purpose, the contents of the major daily newspaper reports from 1993 to 2012 were analyzed. As a result of such analysis, it was found that the political parties did not drive the policy even after the democratization reflecting the demands of the people, political parties had a strong conservative stance and did not show a consistent ideological inclination in their policies. Second, even though the role of the civic movement in the public healthcare service issue became larger after the democratization, policy decisions were driven by the government in an authoritative manner. In addition, the degree of contribution by the civic movements to the development of public healthcare service did not offset the influence of the president and the finance ministry on the development of privatization. Third, both the development of public healthcare service and privatization progressed simultaneously under the Kim Dae Jung, Rho Mu Hyun and Lee Myung Bak administrations after the democratization and it is thus difficult to argue that the qualitative nature as a welfare state was changed after the democratization. However, the degree of development as a welfare state differed depending on the ideological inclination of the presidents, the capacity of the welfare ministry and the ministry that drove the privatization.

• 한국방재학회:학술대회논문집
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• 2011.02a
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• pp.112-112
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• 2011

오늘날 우리 사회의 생활과 문화의 질이 향상됨에 따라 공공 및 개인의 안전과 건강에 대한 관심이 증대되고 있다. 특히, 재난과 비상사태는 생명에 대한 희생뿐만 아니라 훨씬 더 심각한 경제적인 결과를 초래한다. 이러한 응급사태에 개비하여 적절히 준비되지 않았거나 재난의 예방 및 완화시킬 방법을 가지고 있지 못한다면 도시의 발전적인 프로젝트는 예고 없이 도시를 강타하는 재난 및 비상사태에 의해 무산되고 만다. 이러한 여건 하에 재난과 응급사고를 효율적으로 대처하는 응급처치와 서비스에 대한 급격한 관심과 함께 일정한 결정적 대응시간 내에 각종사고와 재해로부터 방어할 수 있는 공공서비스에 대한 필요성이 크게 증가되었다. 본 연구에서는 신고, 응급구조, 환자이송 등 도시의 병원 전 단계 의료환경에 대해서 조사하였다. 본 연구의 목적은 반응시간과 출동거리를 분석함으로써, 응급사고에 즉시 응급구조서비스를 제공하기 위해 안전센터(119센터)의 최적 입지를 확인하는 것이다. 이를 위해서 사고발생, 반응시간, 출동거리 등을 응급의료 활동과 관련된 연구논문, 대상지 전역의 소방기록물과 출동일지 등의 통계자료를 활용하여 신속한 응급의료 서비스를 위한 패턴을 분석 하였다. 또한 응급구조대의 조직과 활동의 분석을 통해 응급의료시설의 최적 입지설정을 위한 제도적 개선대안을 마련해 보았다. 대상지 연구를 위해, 구조활동 및 소방서비스의 최근 통계자료의 조사를 통해 진주시의 모든 119센터의 입지와 응급의료서비스 및 사고발생 현황을 나타내었다. 자료 분석을 위해서 SPSS14.0을 사용하였으며, 지역의 특성 분포, 안전센터별 대응시간, 이송시간 등을 소방 GPS시스템과 입지할당모형 중 Center Point Model(CPM)을 적용하였다. 결과적으로 본 연구를 통해 대상지역의 119안전센터의 서비스 질이 나쁜 지역을 지리학적인 관점에서 최적 입지/배분 패턴의 설정을 통해 확인할 수 있었으며, 이를 통해 미래 응급의료서비스의 효율적인 입지/배분을 통해 공공 및 개인의 안전과 건강에 기여할 수 있을 것으로 기대된다.

• Journal of Korea Society of Industrial Information Systems
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• v.25 no.6
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• pp.69-84
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• 2020

This study is conducted to improve the quality of healthcare services responding to COVID-19 by applying the public service quality management framework that is developed from ISO18091:2019 by the Ministry of the Interior and Safety of South Korea. The COVID-19 pandemic has been impacting the world since early 2020, and now in November 2020, it still has not been eliminated. The Korean medical institutions were able to prevent the spread of COVID-19 by agile test and strict cohort isolation. As a result, the so-called K-medical defense has achieved a positive reputation from around the world. In this study, we check and evaluate the current status of the COVID-19 response targeting some Korean hospitals by applying a quality control checklist based on the public service quality management framework. Status of 7 categories are analyzed based on the interview with 3 medical institutions. We also suggest improvements for better medical service quality in case of COVID-19 being prolonged.