• Title/Summary/Keyword: 보건의료행정

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Analysis of the Medication Adherence of Hypertensives and Influential Factors (고혈압 환자의 투약순응도와 이에 영향을 미치는 요인 분석)

  • Jeong, Mi-Ae
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.207-209
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    • 2010
  • 본 연구는 행정자료인 건강보험 및 의료급여비용 청구자료를 이용하였으며, 일개지역(2개도, 남북)에 개설되어있는 전체 의료기관을 대상으로 진료일 기준 '08.7월~'08.12월(184일)동안 외래 방문이 1회 이상인 30세 이상의 수진자 432,915명을 대상으로 하였다. 투약순응도와 영향 요인을 분석하였다. 투약순응도에 영향을 미치는 요인으로는 남성, 55~64세, 건강보험 가입자가, 종합전문, 종합병원, 보건기관을 주 이용기관으로 방문하는 환자와 심장질환, 당뇨병을 동반상병으로 가지고 있는 환자에서 투약순응도가 높았다. 본 연구 결과 투약 순응도가 낮은 환자에 대한 다양한 요인분석이 필요하며, 투약 순응도를 높이기 위한 고혈압관리사업의 정책적 검토 및 대안이 필요할 것이다.

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U-City Service Taxonomy and Define for Construction of U-City Management Center (U-City 통합운영센터 구축을 위한 서비스 분류 및 정의에 관한 연구)

  • Baek, Nam-Seok;Kim, Byoung-Gun;Leem, Choon-Seong
    • 한국IT서비스학회:학술대회논문집
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    • 2009.05a
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    • pp.110-114
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    • 2009
  • 최근 정보기술과 유비쿼터스기술을 바탕으로 도시를 미래화하는 유비쿼터스도시(U-City)구축이 범 국가적으로 추진되고 있다. 이에, 정부에서는 2008년 9월 25일 유비쿼터스도시의 건설 등에 관한 법률 시행령을 발표하였으며, 유비쿼터스도시서비스(U-City Service)를 크게 행정, 교통, 보건 의료 복지, 환경, 방범 방재, 시설물 관리, 교육, 문화 관광 스포츠, 물류, 근로 고용 등의 분야로 구분하였다. 이러한 유비쿼터스도시서비스를 제공하고 운영 및 관리하는 시설로 유비쿼터스도시 통합운영센터(U-City Management Center)는 다양한 유비쿼터스도시서비스를 효과적으로 연계하여 서비스에서 발생되는 다양한 도시정보를 통합, 분석하고 제공하는 유비쿼터스도시 핵심기능을 담당한다. 하지만 이러한 유비쿼터스도시 통합운영센터의 구축은 운영조직구성, 운영비용확보, 통합서비스 제공방안, 법 제도 정비 등의 해결과제를 가지고 있어 구현방안에 대한 구체적인 연구가 요구된다. 본 연구에서는 선행연구를 바탕으로 유비쿼터스도시 통합운영센터에서 기본적으로 제공되어야 할 유비쿼터스도시서비스 유형을 제시하고 정의한다.

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Comparative Analysis of the Job Satisfaction by Personality Types of General Hospital Workers (의료기관 근로자의 성격유형별 직무만족 비교 분석)

  • Jong-Hyun, Yang
    • Korea Journal of Hospital Management
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    • v.27 no.4
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    • pp.1-12
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    • 2022
  • Purposes: This study is comparative analysis of the job satisfaction by enneagram personality types of general hospital workers. Methodology: The data were collected from 312 workers of 3 general hospitals using standardized questionnaires. Personality types were examined using the enneagram, and job satisfaction was analyzed according to personality 9 types. Findings: In all personality types, it was found that communication had the most important influence on job satisfaction. In 1 type, reward system, working environment·welfare, and communication had a significant positive(+) effect on job satisfaction. In 7, 9 types, empowerment and communication had a significant positive influence on job satisfaction. Practical Implications: According to the personality type of the hospital workers, job satisfaction factors were found to be different. These results are expected to be important reference materials for human resources management in hospitals.

A study on Recognition of Inpatient Room Acoustic Pattern for Hospital safety (병원안전을 위한 입원실 음향패턴 인식 관한 연구)

  • Ryu, Han-Sul;Ahn, Jong-Young
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.21 no.3
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    • pp.169-173
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    • 2021
  • Currently, safety accidents in hospitals are steadily occurring. In particular, safety accidents of elderly patients with weak immunity, such as nursing hospitals, continue to occur, and countermeasures are needed. Most accidents are caused by patient movement. As a method of reducing safety accidents by analyzing and recognizing the sound of the inpatient room according to the movement of the patient, this paper classifies the sound pattern for sound recognition in the hospital inpatient room using DTW (Dynamic Time Warping), an algorithm applicable to time-series pattern recognition. It was analyzed by applying it to the inpatient room environment.

Contents Analysis on the Health Information of Major Daily Newspaper and TV in Korea (우리나라 주요(主要) 일간지(日刊紙) 및 TV 건강정보(健康情報)의 내용분석(內容分析))

  • Lee, Moo-Sik;Lim, Kyn-Kwang;Na, Baeg-Ju;Kim, Keon-Yeop;Yoo, In-Sook
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.114-118
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    • 2009
  • 주요 일간지와 KBS 1 9시 뉴스에서 다루고 있는 건강관련 기사의 내용을 분석하여, 건강관련 정보의 경향을 파악하여, 건강 예보제 실시를 위한 현황 분석을 위해 본 연구를 실시하였다. 1. 일간지 건강정보 내용분석 결과요약: 기사 보도 분야에서는 생활건강(47.8%), 사회(14.6%), 종합(7.7%), 국제(4.7%), 경제(1.5%) 순이었고, 3/4분기에서만 국제와 경제 분야가 종합분야 보다 많이 보도 되었으며, 기타 분야가 22.9%로 많은 비율을 차지하였다. 건강정보를 대상 성별별로 분류 하였을 시 남녀 모두에 해당되는 자료가 대다수였고(87.9%), 여성이 대상인 정보(8.0%)가 남성(4.1%)보다 많았으며, 생애 주기별 대상으로 분류 하였을 시에 역시 특별히 구분되지 않은 모든 연령층에 해당 정보가 가장 많았고(60.8%), 성인(19.8%), 학동기 어린이(7.3%), 청소년 (4.9%), 노인(4.9%), 영유아(3.3%) 순이었다. 일간지별 기사의 주제를 조사한 결과 두 일간지의 총합은 병의 원인 및 위험인자(15.5%)가 가장 많이 보도 되었는데, 조선일보는 건강증진, 치료 및 술기, 투약, 기타의 순이었고, 한겨레신문은 건강증진, 행정, 치료 및 술기, 투약 순이었으며 각 주제별로 분기별로 약간의 차이를 나타내었다. 예측성에 관한 내용분석을 보면 예보성은 있는 경우(76.2%)가 없는 경우보다 많았고, 예보성의 정보는 알림성, 예측성, 행사성의 순이었고 예측성의 경우 건강형태가 가장 많았으나 한겨레 신문의 경우 기타에 속하는 경우가 가장 많았다. 사 ICD-10 체계, 21대 분류로 질병에 관한 기사를 분류한 결과 신생물(14.5%), 특정 감염성 및 기생충성 질환(13.6%), 정신 및 행동장애(9.5%)의 순이었으며 두 일간지간의 차이를 보였다. 2. TV 뉴스 건강정보 내용분석 결과요약: 건강정보의 대상 특징 성별은 모두 해당되는 경우가 265회 중 238회 (89.8%)로 가장 많았고, 생애주기별 대상으로 보면 모든 연령층에 해당 되는 것이 154회(58.1%)로 가장 많았다. 건강정보의 주제에 대해서 조사한 결과 병의 원인 및 위험인자가 73회(27.5%), 역학(역학조사 및 보도성)이 64회 (24.2%), 행정이 30회(11.3%), 증상 및 호소가 27회(10.2%) 등의 빈도순으로 조사 되었다. 건강정보의 내용의 분야를 보면 대분류로는 질병관리 분야가 102회(38.5%), 보건의료제도 및 행정 분야가 52회(19.6%), 보건행태 및 기타 42회(15.8%), 생활환경분야 39회(14.7%)의 빈도순으로 나타났다. 건강정보 내용을 질병의 분류 ICD-10 체계로 분석한 결과는 특정감염성 및 기생충성 질환 48회(26.8%), 소화기계의 질환, 손산, 중독 및 외인에 의한 특정기타 결과, 건강상태 및 보건서비스 접촉에 주는 요인 등의 빈도순으로 조사되었다.

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Validation of the Measure of Health Literacy for the Elderly (고령자의 건강정보이해능력(Health Literacy) 측정도구 타당화)

  • Chun, Heeran;Cho, Sung-il;Kim, Il-Ho
    • Korean Public Health Research
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    • v.44 no.4
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    • pp.99-109
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    • 2018
  • Objective : Health literacy (HL) is, defined as "the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions." Being old is one of the main risk factors with limited health literacy. This study aims to adapt Chew's health literacy scale into the Korean language and validate the scale for the use of the elderly. Methods : Data were drawn from the '2016 Seoul Survey on Elderly Health and Functional Assessment, which includes a total of 725 people aged 60 to 79. The sample was randomly divided into two groups for reliability and validity tests of the modified Chew's scale of 8 items. The Korean version of the questionnaire was developed by group translation, expert reviews, and forward-backward translation. Exploratory and confirmatory factor analyses were conducted to assess and validate the factor structure of the scale. Results : Results suggest the two-factor structure ("Understanding" and "Applying" of HL) with 8 items. Exploratory factor analyses of the first sample (n=400) revealed that the internal reliability of the scale was high (Cronbach's ${\alpha}=.904$). Principal axis factoring extracted two factors ("Understanding" and "Applying" of HL) and explained 78.3% of total variance (KMO=.872, Bartlett's ${\chi}^2=2431.3$, df=28, p<.001). Confirmatory factor analysis of the second sample (n=325) was performed and the two-factor model was supported (GFI=.960, CFI=.979, TLI=.969, RMSEA=0.075). Conclusions : This study provides evidence for adequate criterion and validity of the health literacy scale for the community dwelling elderly in Korea.

Incidence and magnitude of out-of-pocket payment and factors influencing them in Industrial Accident Compensation Insurance (산재환자의 진료비 본인부담 발생 및 크기와 이에 영향을 미치는 요인)

  • Park, Bo-Hyun;Lee, Tae-Jin;Lim, Wha-Young
    • Health Policy and Management
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    • v.20 no.1
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    • pp.103-124
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    • 2010
  • Objectives: The out-of-pocket payment (OOP) of the Industrial Accident Compensation Insurance (IACI) in Korea was investigated empirically in terms of its incidence, magnitude and factors influencing them. Methods: The subjects were sampled with stratified, randomized methods among medical institutions of which the number of monthly IACI claims exceeded its median as of May 2008. Out of 204 institutions selected, 118 institutions (57.8%) responded to this survey. A total of 24,826 episodes(2,457 inpatient and 22,369 outpatient episodes) were included in this analysis. The incidence and magnitude of OOP of IACI were calculated by characteristics of institution as well as patient. Factors that affected the incidence and magnitude of OOP were investigated through multi-level analysis. Results: The overall incidence of OOP of IACI was 9.9% (25.6% for inpatient and 8.2% for outpatient) and the percentage of OOP among total expenditures was 8.3% on average (7.6% for inpatient and 26.8% for outpatient); 25.2% at traditional oriental medicine hospitals, 9.5% at general hospitals and 2.5% at the industrial-accident-designated medical institutions. The incidence of OOP of IACI was influenced by hospital size, ownership, longer duration of designation (over 5 years) and length of stay. On the other hand, its magnitude was influenced by medium-sized hospital, public hospital, location of large city and length of stay. Extra charges for upper grade room which accommodates less than 4 patients and treatment by specialists were the leading contributors to the magnitude of OOP of IACI. Conclusion: The incidence and magnitude OOP of IACI varied in institution type and were influenced by both institutional and patient's factors. In order to achieve the goal of Industrial Accident Compensation Insurance, appropriate level of compensation, that is, no incidence of OOP, for accident and disease of workers, it is necessary to take measures to reduce incidence and magnitude of OOP.

The Effect of Hospital Social Responsibility Activities on Organizational Commitment and Hospital Value and the Mediating Effect of Organizational Commitment : Focused on the Perception of Hospital Administrative Practitioners (병원의 사회적 책임활동이 조직몰입 및 병원가치에 미치는 영향과 조직몰입의 매개효과 : 병원 행정실무자들의 인식 중심으로)

  • Heo, Jong-Hun;Jang, Won-Hyuk;Kim, Jeong-Eun;Ryu, Hwang-Gun
    • The Korean Journal of Health Service Management
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    • v.11 no.2
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    • pp.29-42
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    • 2017
  • Objectives : This study aimed to identify the impact of social responsibility(CSR) activities by the hospital on the organizational commitment and value of the hospital by the internal members, to recognize the importance of staff carry out social responsibility activities effectively in the relevant departments, and use planning as a vital element or establishing a long-term hospital management strategy. Methods : Data were collected from 800 the administrative practioners of the hospitals in 200 hospitals nationwide. A structured questionnaire was used to measure the research variables using a 5-point Likert scale. The final sample consisting of 230 was analyzed using SPSS. Results : It was found that economic, legal, and charitable CSR have a statistically significant effect on organizational commitment and value of hospital Conclusions : The results suggest that hospitals should a fulfilling the obligation to abide by the norms and rules to be strictly observed, social services and charitable activities for the community are a strategy to increase the organizational commitment and hospital value in the long run. These activities should be actively pursued in a way that is sustainable and long-term so that they can improve to management performance.

Factors Influencing the Purchase of Indemnity Private Health Insurance among the Elderly People Aged 65-75 (65-75세 노인의 실손형 민간의료보험 가입 영향요인)

  • You, Chang Hoon;Kang, Sungwook;Ha, Ho-Soo;Kwon, Young Dae
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.48-56
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    • 2019
  • Purpose: As an interest in the elderly medical expenses increases, elderly people are increasingly purchasing indemnity private health insurance. Authors tried to investigate factors of having the indemnity private health insurance among the elderly people aged 65-75 years. Methods: We conducted panel logit regression analysis on 2,465 subjects as of 2016 using Korean Health Panel from 2010 to 2016. The dependent variable was whether to enroll in the indemnity private health insurance. The explanatory variables included socio-demographic characteristics, economic factors, health status, and health behaviors. Findings: As a result of the analysis of factors of purchasing indemnity private health insurances, it was analyzed that people with larger family, educated, pensioner, high household income or no disability were more likely to have indemnity private health insurance. Practical Implications: Considering the results of this study, the factor of purchasing indemnity private health insurance among elderly people were more likely to be their economic than demographic characteristics such as sex, age, and marital status. Policy makers should make efforts to reduce the burden on the elderly medical expense and to improve equity of medical use through institutional improvement such as raising age limit and lowering premium of indemnity private health insurance and expansion of public health insurance.

Untact Social VR Video-based Tour Scheduling (언택트형 소셜 VR 영상기반 투어 스케줄링)

  • Yang, Seung-Hae;Lee, Duck-Hee;Kim, Hak-Chun
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.127-133
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    • 2020
  • While only the experts could create the contents in the existing VR contents business, in the proposed "Untact Social VR Video-Based Tour Scheduling", the GUI (Graphic User Interface) allows anyone to easily and quickly share the information taken through VR camera after creating. It is intended to serve as a variety of SNS-based media by developing a structure that can be shared in html format after creating with the GUI menus. In particular, it is applied to companies that operate the SNS-type publicity projects including experience facilities and viewing facilities, and the various SNS-type publicity businesses that create the VR contents. Communication is clear compared to the existing homepage-based information delivery method, and It aims to provide universality that anyone can easily edit in an environment where only experts can edit VR video contents of.