• Journal of Convergence for Information Technology
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• v.10 no.2
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• pp.154-159
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• 2020

The purpose of this study is program development for efficient medical institution management and finding comprehensive measures to increase the credibility of medical institutions. For this purpose, a survey on medical service satisfaction was conducted for elderly people aged 65 or older living in four other areas. The results of the analysis were as follows: First, the survey participants had higher confidence in private medical institutions. Second, there was no relationship between the reliability of public and private medical institutions and the selection of medical institutions. Third, the environment of the survey subjects was related to the selection of medical institutions. The credibility of the surveyed public and private medical institutions affects the selection of medical institutions, and the economic power and understanding of the medical institutions also influence the selection of medical institutions.. Therefore, it is suggested that public medical institutions need to improve the satisfaction of medical services in the future, and management efficiency of public medical institutions in addition to private medical institutions is urgently needed.

• Journal of Digital Convergence
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• v.18 no.1
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• pp.249-255
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• 2020

This study is to analyze the relations between management performance and publicness of national university hospitals. The data from 2015 to 2017 were collected from annual reports and balancing accounts in 13 national university hospitals. The results of the study were as follows. Publicness index was found to have a negative(-) effect on net profit to gross revenues, operating margin. Medical social work had a significant positive(+) effect on normal profit to gross revenues, net profit to gross revenues. According to the location of the hospitals, it was found to have a significant effect on the normal profit to gross revenues. It is necessary to evaluate different projects of national university hospital in the public sectors. Based on this, it is necessary to re-establish the role for the purpose of establishment.

• Journal of agricultural medicine and community health
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• v.37 no.2
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• pp.67-75
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• 2012

Objectives: While there have recently been efforts to improve public health service at a governmental level, there is actually insufficient research on awareness of the roles related to public health service among hospital employees. This study examined role perception and function performance related to public health service among the medical staff in a national hospital. Methods: 15% were randomly sampled from each type of occupation among the medical staff in a national university hospital, a survey was conducted in 323 persons, and there were a total of 265 participants (80.2%): 103 doctors(38.9%), 98 nurses (37.0%), and 64 others (24.1%). Results: The hospital employees had insufficient awareness of their roles as public health service providers in terms of six required items for public health service: 1) services for supporting establishment, implementation, and assessment of public health service policies, 2) participation in the health service activities and support services by central or local governments, 3) technological support and educational services for private health service institutions, 4) health service for unprivileged brackets, 5) health service that requires association with other areas dealing with geriatric, disabled, and mentally-disordered people, and 6) health service for children and mothers. Conclusions: In general, since the hospital employees had insufficient awareness of their roles and responsibilities as public health service providers, it is necessary to secure manpower exclusively in charge of public health service and provide education about strategic public health service.

• 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.

• Health Policy and Management
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• v.34 no.2
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• pp.211-221
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• 2024

Background: The public health crisis caused by coronavirus disease 2019 emphasizes the need to expand and strengthen public hospitals. However, the overall perception of public hospitals remains negative. This negative perception can hinder the roles and functions of public hospitals, so this study aims to analyze the factors affecting negative perceptions of public hospitals. Methods: We used data from a survey on the public healthcare of Chungcheongbuk-do residents conducted by the Chungcheongbuk-do Public Health Policy Institute, and 1,916 adults aged 19 or older who responded to the survey were included in the study. Logistic regression analysis was used to analyze the impact of experiences with public hospitals use and evaluations of public healthcare and public hospital policies on the negative perception of public hospitals. Results: The experience of not using public hospitals (adjusted odds ratio [aOR], 1.69; 95% confidence interval [CI], 1.04-2.74) and negative evaluations of public healthcare and public hospital policies were found to significantly impact negative perceptions of public hospitals. In public healthcare policies, negative evaluations of the provision of essential medical care (aOR, 4.14; 95% CI, 2.59-6.62), regional disparities (aOR, 1.59; 95% CI, 1.02-2.49), coverage (aOR, 1.99; 95% CI, 1.25-3.16), and quality of care (aOR, 2.39; 95% CI, 1.50-3.80) were significantly associated with negative perceptions of public hospitals. In public hospital policies, negative evaluations of facilities and equipment (aOR, 3.74, 95% CI, 2.36-5.94), medical specialties and services (aOR, 1.91; 95% CI, 1.21-3.01), and quality of medical service (aOR, 2.71; 95% CI, 1.72-4.25) were also significantly associated with negative perceptions of public hospitals. Conclusion: This study emphasizes the need to improve perceptions of public hospitals by considering the experience with public hospitals use and evaluation of public healthcare and public hospital policies.

• Proceedings of the Korea Information Processing Society Conference
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• 2024.05a
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• pp.540-541
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• 2024

본 연구는 서울 열린데이터 광장의 공공 데이터를 활용하여 의료 복지 서비스 지원 방안을 조사한다. '올해 의료비로 인한 가계 부담 정도' 데이터를 분석하여, 의료비 부담이 일반 가구에 미치는 영향을 깊이 있게 조사하였다. 이 데이터는 응답자들이 느끼는 의료비 부담의 다양한 정도(전혀 부담 안 됨, 부담 안 됨, 보통, 약간 부담됨, 매우 부담됨)를 포함하고 있으며, 이를 통해 지역별, 성별, 연령별, 소득별 의료비 부담 차이를 분석하였다. 연구 결과는 각 그룹별로 상이한 의료비 부담감을 보여주며, 이는 향후 의료 서비스 접근성 개선과 정책적 지원을 위한 근거 자료로 활용될 수 있다. 본 논문은 의료비 부담을 완화하기 위한 다양한 정책 제안을 포함하며, 공공 데이터를 활용한 의료 자원의 최적화를 목표로 한다. 이러한 분석은 보다 효율적인 의료복지 서비스 제공에 기여할 것으로 기대된다.

• Journal of Digital Convergence
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• v.21 no.1
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• pp.19-27
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• 2023

This is an implementation study towards the development of a strategy to improve the pneumonia adequacy evaluation index of regional public hospital and to confirm its effectiveness. One physician, eight nurses, one computer room staff, and one nursing professor working at a regional base public hospital located in N city participated in this study from March to October 2021. An implementation study was conducted based on the conceptual model of Zuber-Skerritt & Fletcher. The stages of planning, implementation, evaluation, and reflection were operated in two cycles, and the effectiveness was evaluated in the second and third quarters. Compared to the pneumonia adequacy evaluation index in 2019, all indicators reached 100% of the standard target in 2021. The results of this study therefore infer that to provide higher quality medical services in the future, it is necessary to apply medical quality improvement activities through practical research under multidisciplinary participation and cooperation and to review the applicability of clinical sites.

• 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

• 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.

• The Journal of the Korea Contents Association
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• v.12 no.10
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• pp.178-194
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• 2012

Regional medical center, this country's public health researchers to activate discussion about public health nature of publicness and Regional medical center to identify actual conditions of the present analysis of previous studies based on the experience of researchers and policy factors, environmental factors, financial factors, and self-sustaining factors affecting the activation of the public health by assuming that the four provinces, Chungnam Regional Medical Center conducted the survey to target four factors through empirical analysis and 40 kinds of relationships with sub-variables hypothesis. To empirical analysis as a background element present hypotheses and research model setting, study population and method of analysis of the set, factor analysis and reliability, validity analysis conducted, and Windows 7 operating system SPSS 19.0 analysis tool for Regional Medical Center enable the public health was to investigate the relationship between factors and variables, PLS 2.0 as an analytical tool to test the hypothesis through the analysis of the model was used.