• The Journal of the Korean dental association
• /
• v.36 no.10 s.353
• /
• pp.691-696
• /
• 1998

지난 4월 제47차 정기대의원총회에서 정보통신위원회 신설에 대한 승인으로 치협 내에 정보통신위원회가 신설됐으며 서울지부에서도 정보통신부가 설립돼 이제는 치과계도 바야흐로 정보화 시대로 접어들게 됐다. 보건복지부와 의료보험연합회 역시 EDI 방식인 통신을 이용한 의료보험 청구를 적극 권장하고 있어 의료계에서도 컴퓨터를 활용하는 분야가 점차 확대될 전망이다. 개원가에서는 의료보험청구 외에도 덴탈 비전이나 디지털 엑스레이를 네트워크화 하여 활용하고 있으며 대학의 치과병원이나 종합병원 치과에서는 OCS(order communication system)와 PACS(picture archiving & communication system))를 중심으로 전산화 작업을 추진하고 있다. 컴퓨터 없이는 생활할 수 없는 현실 앞에서 치과계에는 전산화가 어느 정도 이루어졌는지 살펴보고 단국치대 교정과 김창환 레지던트의 글을 통해 교정분야에서 컴퓨터가 어떻게 활용되고 있는지에 대해 알아본다.

• Health Policy and Management
• /
• v.34 no.1
• /
• pp.87-93
• /
• 2024

Background: In recent years, studies have shown conflicting results regarding the benefits of dietary supplements in reducing healthcare expenditures. This study aimed to address this inconsistency by examining the association between supplement consumption and health expenditures using nationally representative data from the Korea Health Panel Survey (2019-2020). Methods: A 1:1 matched case-control dataset was established using propensity score matching technique based on supplement consumption. Then, total annual healthcare expenditures were compared between the two groups. In addition, a multivariate regression analysis (Proc Surveyreg) was performed to determine the association between the supplement consumption and medical costs. Results: The supplement user group spent about 1.72 million Korean won, while the non-user group spent about 1.43 million Korean won on medical services (p=0.0186). The results of multivariate regression showed that the costs were approximately 26.15% higher in the user group than in the non-user group (p=0.0004). Conclusion: Contrary to the previous studies that have shown the benefits of supplement use in reducing healthcare costs, this study showed that those who consistently consumed supplements spent more on medical services. This can be interpreted in the same context as previous studies suggesting that dietary supplement intake is a healthy behavior for managing one's health. However, we caution against drawing firm conclusions due to data limitations. Further analysis using patient-level epidemiologic data is needed.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.11 no.6
• /
• pp.2129-2137
• /
• 2010

In this research, we analyze the efficiency of 20 public health centers of Gyeongnam Province, so the reduction and weakness of input and output factor were found. We used the CCR, BCC model of Data Envelopment Analysis as a method of evaluation, made a choice human resource as the input variable, made a selection the performance of health care center, ward as the output variable. The results show that 12(60%) public health centers in 20 were productive with respective to overall Technical Efficiency(average score 0.868), 14(70%) with respective to overall Pure Technical Efficiency(average score 0.924) and 12(60%) with respective to overall Scale Efficiency(average score 0.933). It is expected that this research can provide a good data for effective management of public health centers.

• The Korean Journal of Health Service Management
• /
• v.7 no.2
• /
• pp.53-67
• /
• 2013

This study aims to analyze the effect of quality of health care on perceived value, patient satisfaction and revisit intention. Especially, it was focused on outdoor environment, admission procedure, hospital image, service quality of physicians that patients perceived. For inpatients, hospital image and service quality of medical technicians have an effect on perceived value. Service quality of physicians has an effect on the patient satisfaction. For outpatients, hospital image and service quality of physicians and medical technicians have an effect on perceived value. Outdoor environment, hospital image, service quality of physicians and medical technicians, and perceived value have an effect on patient satisfaction. Perceived value and patient satisfaction have an effect on revisit intention. They should evaluate customer satisfaction on their services and analyze various factors that affect on it to improve specialty hospitals.

• The Korean Journal of Health Service Management
• /
• v.5 no.3
• /
• pp.53-61
• /
• 2011

This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise without therapist, and exercise in wards, were statistically significant differences between hospitals.

• The Korean Journal of Health Service Management
• /
• v.10 no.4
• /
• pp.75-86
• /
• 2016

Objectives : This study empirically verified the effects of service provided by medical service providers on customer satisfaction and favorable word-of-mouth intention. Moreover, it measured the mediation effects of customer satisfaction in the relationship between medical service quality factors and favorable word-of-mouth intention and proposed implications in terms of marketing. Methods : The research hypothesis was verified with a structural equation, and the Sobel test was used to analyze of customer satisfaction in the relationship between medical service quality factors and word-of-mouth intention. Results : From the hypothesis verification results, physical and human factors among the quality factors of medical service affected customer satisfaction.Additionally,customer satisfaction interacted as a factor influencing favorable word-of-mouth intention. Conclusions : Medical service providers should work to enhance the satisfaction of customers in terms of human and physical factors by providing quality medical service that is different from other providers and by improving the quality of medical service and the environment which could lead to effective word-of-mouth intention.

• The Korean Journal of Health Service Management
• /
• v.10 no.4
• /
• pp.97-107
• /
• 2016

Objectives : This study aims to : (i) characterize and differentiate between two different periods of baby boomers, (ii) study the utilization of their health care services, and (iii) establish effective ways of providing better health service utilization and preventive policy strategies for upcoming and older generations. Methods : A multiple regression analysis using descriptive statistics, frequency analysis, and dummy variables was utilized to access the presence of correlations between socio-demographic factors and health care service utilization. Results : Medical insurance type, marital status, and chronic disease were factors that influenced health care service utilization. Furthermore, the factors that influenced individual medical expenses were cohabitation, inpatient days, and chronic disease. Conclusions : Primary findings and exploratory statistics revealed that there were strong correlations and interaction among some of the predictor variables. Because of the chronologically limited nature of the sample data set gathered in 2012, it would be helpful to continue to develop or research related constructs that may capture relationships more effectively among extended populations.

• The Korean Journal of Health Service Management
• /
• v.14 no.1
• /
• pp.147-159
• /
• 2020

Objectives: This study is the human factors and disease factors of the copayment system for the elderly (>65 years old) and to identify does the current status and characteristics of the applied elderly and conducted to provide basic data. Methods: Sample cohort data from the National Health Insurance Corporation database, from the years 2012-2015, were analyzed of 21,772 elderly people over the copayment ceiling. Results: The ratio of those who exceeded the copayment ceiling system rose sharply from progressive rates of 3.39% in 2012, 3.69% in 2013 and 5.03% in 2014, to rates of 37.13% from 2013. Factors identified that affect the instances of being over the copayment ceiling were: age, income group, region, severity, disability, sickness distribution, inpatient days, and outpatient days. Conclusions: The reorganization of the copayment ceiling system in 2014 favored low-income families of the elderly, but in 2015, the proportion of elderly was low (only 5.78%). The government's policies needs to change to allow for the amount of the deductible upper limit for low- and middle- income groups to be further subdivided in order for the elderly to receive more deductibles.

• Korea Journal of Hospital Management
• /
• v.26 no.2
• /
• pp.1-16
• /
• 2021

This study aims to examine the effect of integrated health and welfare(IHW) services on medical use and medical expenses in Korean Veteran Hospitals. Data on the volume of medical use and medical expenses were collected from two patient groups of 5 Veterans' Hospitals: the beneficiary group who has received IHW services and the non-beneficiary group who has not. Each group was composed of 265 patients respectively. The results of the study revealed that the volume of home nursing services, home rehabilitation services, ambulatory services have increased significantly, whereas the average length of stay, number of using emergency services, and average medical expenses have decreased after receiving integrated health services in the beneficiary group. In contrast, the non-beneficiary group showed much more increase both in the volume of inpatient and outpatient services, as well as the average medical expenses, compared to those of the beneficiary group. This results imply that the provision of IHW services have positive impacts on the enhancing the effectiveness of the medical resources utilization for the veteran patients.

• Journal of the Health Care and Life Science
• /
• v.9 no.1
• /
• pp.87-93
• /
• 2021

Effects on Health Center and Hospital Visit Patient Characteristics and Overall Satisfaction As a result of comparing the characteristics of visiting patients in the public health centers and hospitals, the number of patients at the public health centers was relatively higher than the hospital patients, the number of medical benefits patients was higher, and there were more vaccinations or physiotherapy patients than the purpose of disease treatment.There was a small number of private insurances,The older adults were more. The most influential variable on the overall satisfaction level of the public health center is the facility satisfaction And doctor satisfaction had a weak effect.In the case of hospitals, the facility satisfaction Also, the degree of satisfaction with doctors, satisfaction with medical expenses, and satisfaction with treatment environment were in order.