• Title/Summary/Keyword: After services

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The Effects of Copayments on Health Services Utilization in the Type I Medicaid Beneficiaries (본인부담제도가 의료급여 1종 수급권자의 의료이용에 미치는 영향)

  • Hong, Sun-Woo
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.136-146
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    • 2009
  • Purpose: The purpose of this study was to investigate the effects of copayments for doctor visits and prescription drugs on health services utilization in the Type I Medicaid beneficiaries in Korea. Method: This study examined data from the 2007 survey on Health Services Use and Health Status of Medicaid Beneficiaries performed by the Ministry for Health Welfare and Family Affairs. To analyze these sample survey data, the SURVEYFREQ, SURVEYMEANS, and SURVEYREG procedures which incorporate the sample design into the analyses were used. Results: Findings of this study indicate that copayments for doctor visits and prescription drugs of Medicaid Type I beneficiaries have cut overall medical costs. However, although results should be interpreted very carefully because of the relatively low $R^2$, copayments have cut more health services utilization of people who need more health services because of their complex diseases and disability. In addition, besides copayment, several factors are affecting differences in health services utilization before and after copayments implementation. Conclusion: These results highlight the need to examine the effects of copayments more thoroughly according to the kinds of disease, the severity of disease, and the level of copayment.

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Designing a Global Budget Payment System for Oriental Medical Services in the National Health Insurance (건강보험 한방의료의 총액계약제 도입방안)

  • Kim, Jin-Hyun;Kim, Eun-Hye;Kim, Yoon-Hee
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.1
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    • pp.77-96
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    • 2010
  • Objectives : This paper recommends a global budget based payment system for reimbursing oriental medical services in the national health insurance. Methods : We analyzed previous research outcomes related to oriental medical services and payment system We reviewed the experiences of other countries' global budget system in terms of their strength and weakness. In addition, we developed a reimbursement method for oriental medical services based on global budget. Results : Our reviews focused on global budget system of Germany, the Netherlands, the United Kingdom, Canada, France, and Taiwan. The estimation of global budget in the national health insurance was described in two scenarios. First scenario was to allocate oriental medical services in scale after signing a contract for global budget. In this case, 4.16% of the national health insurance expenditure was allocated for the oriental medical services. Second scenario was to estimate the global budget in a historical context. As a result, the first scenario in total budget was higher than the second, and we proposed a retrospective adjustment method for the gap between the budget and the actual expenditure Conclusions : The payment system for oriental medical services is recommended to shift from fee-for-service to global budget.

Design Framework for Next Generation Mobile Convergence Service Models (차세대 이동통신 컨버전스 서비스 모델 개발 프레임워크)

  • Shin, Dong-Chun;Kim, Jin-Bae;Park, Sei-Kwon;Ryu, Seung-Wan
    • Journal of Information Technology Services
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    • v.9 no.4
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    • pp.243-259
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    • 2010
  • It is expected that the next generation mobile communication system will be a service-driven developed system capable to realize the human-centric mobile convergence services. and it is different from the technology-driven development approach of the second and the third generation mobile communication systems. As a preliminary research work on such service-driven system development approach for the next generation mobile communication system. we developed the scenario based service analysis process (2SAP) framework to derive core service technologies and functionalities. In this paper. we propose the next generation mobile convergence service business model creation methodology based on research results of the 2SAP framework. To achieve this goal, we first establish a service model contains several components such as infrastructures. operations. and provision of services that are indispensible for providing next generation mobile services. Then, the next generation mobile services and its corresponding business models can be created by adding service and value flows to the developed service model after defining necessary components of business model including actors, their relationships, and roles.

A Study on the Determinants of Consumer-Oriented Nursing Service Quality;SERVQUAL Model based (소비자 중심의 간호서비스 질 결정요인에 관한 연구;SERVQUAL모형을 중심으로)

  • Joo, Mee-Kyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.1
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    • pp.169-191
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    • 2002
  • As the tendency of the society is centralized into consumers and services, patients are getting to ask better medical services. The consumers influenced from various social surroundings became to have some expectation of nursing service. Compared with their expectation, the quality of the services which they virtually get may be recognized and evaluated. So it is necessary to know exactly what the consumers want in nursing services. The purpose of this study is to examine the determinants which can evaluate the quality of nursing services by researching into consumers' expectation and perception of the nursing services depending on the consumer-oriented attributions on the basis of the model of SERVQUAL. 1,144 of outpatients were selected as the subjects for this research. They used to continuously visit the same hospital after being hospitalized and nursed in 9 hospitals randomly selected among the second-level medical organizations in Seoul from January to February, 2001. The collected data are analyzed into the Descriptive Statistics, t-test, GLM and Multiple Regression through the SAS program. Delphi was used for the research tool and the results of the research are as follows; the determinants in evaluating the quality of nursing services consist of 5 categories such as Tangibility, Reliability, Responsiveness, Assurance, Empathy. The values of Cronbach' $\alpha$ appeared to be 0.96 in the expectation of nursing services, 0.94 in the perception of nursing services and 0.96 in the importance of nursing services. The determinants in the expectation of nursing services were ranged in the order of Assurance, Empathy, Reliability, Responsiveness and Tangibility. And those in the perception of nursing services were in the order of Assurance, Empathy, Reliability, Tangibility and Responsiveness. Those in the importance of nursing service were in the order of Empathy, Assurance, Reliability, Tangibility and Responsiveness. Finally, those in the quality of nursing service were in the order of Tangibility, Responsiveness, Empathy, Reliability and Assurance. Each expectation of nursing services appeared different depending on the subjects' age, gender, clinical department and reason for hospitalization. The hypothesis examined in this research shows that the group having higher personal needs shows meaningful differences in the expectation of nursing services, and the subjects who have had external communication show higher perception of nursing service than uncommunicative ones. After all, we can see that the statistical differences in the perception of nursing services depend on whether the subjects have external communications or not. The determinants in the expectation of nursing services can explain the quality of nursing service up to 14.96%. The statistically meaningful determinants in the expectation could be arranged in the order of Reliability, Assurance and Tangibility. And the more expectation brings about the lower evaluation of the quality of nursing services. The determinants in the perception of nursing service can explain the quality of nursing services up to 29.85%. The statistically meaningful determinants in the perception could be arranged in the order of Responsiveness, Reliability, Tangibility, Empathy, and Assurance. And the more perception brings about the higher evaluation of the quality of nursing services. According to the result of the above research, I would like to propose as follows. As long as this research is oriented to get knowledge of the consumer-oriented nursing services, it should be continued to draw the other elements determining the quality of the nursing services. Furthermore, this research is based upon the Parasuraman, A., et al.'s SERVQUAL Model(1991), which deals only expectation, perception and quality of consumer-oriented nursing services, so it will be necessary to inspect and verify it through the other models containing the offerers of nursing services in the future. On the other hand, as this research evaluates the actual quality of nursing services based on the expectation and perception of nursing services, it can be utilized as fundamental data to develop the marketing strategies and to estimate the qualities as well. I hope this research will be periodically estimated to be the useful data to develop the marketing strategies in the nursing service area.

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A Study on Working Mothers' Demand for Child Care and Housekeeping Home Services (기혼 취업여성의 자녀돌봄 및 가사서비스 이용실태와 요구도)

  • Park, Jeong-Yun;Cho, Hee-Keum;Song, Hyerim;Seo, Jiwon
    • Journal of Families and Better Life
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    • v.30 no.5
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    • pp.89-105
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    • 2012
  • The purpose of this study is to analyze working mothers' demand for child care and housekeeping home services, and to investigate the present supply condition of home services in Korea. Data collection was implemented to examine the service demand of working mothers(n=700) in four areas. The data were analyzed with SPSS. The results were as follows: 1) For home-based child-care dispatch services social enterprises are superior to other private service suppliers in terms of the treatment of service workers, wages, and quality control. As for child care service contents, the provision of meals, and casual safeguards were mostly expected. The most important qualification for care providers was found to be in faithfulness, and the certification related with child care was required. An affordable wage range was perceived as ₩3,000~5,000 per hour, and part time services. For the time range, services which commenced before 9 am and terminated after between 5~6 pm were preferred. 2) For housekeeping dispatch services, standard services, including basic cleaning, preparation of meals and side dishes, special cleaning, and washing, were in demand. The required qualifications of housekeeping service providers were similar to those of child care service providers. Possessing certification was not considered as an important quality; however, personality and career type were important factors. An acceptable wage range was ₩3,000~5,000 per hour and part-time services were preferred. In terms of the service time range, services which commenced between 8~9 am and terminated between 5~7 pm were preferred.

Comparison of Community Rehabilitation Services for the Elderly in South Korea and Japan: Focusing on the Long-Term Care Insurance System (한국과 일본의 노인 대상 지역사회 재활서비스 비교 연구: 노인장기요양보험 제도를 중심으로)

  • Lee, Minyoung
    • Physical Therapy Korea
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    • v.29 no.2
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    • pp.94-105
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    • 2022
  • Background: As South Korea enters an aged society, the government has emphasized the need for a soft landing of the older adults into the community after the acute and recovery periods under a national policy of "community care." However, the institutionalization of community rehabilitation services to implement this is insufficient. Japan had already entered an aged society when the Long-Term Care Insurance System was introduced in 2000. Thus, the case of Japan's institutionalization of the system is expected to have implications for us in supplementing a suitable system for the aged society. Objects: This study compared the institutionalization process of the Long-Term Care Insurance System in South Korea and Japan and the services currently being implemented in each country. Methods: To examine the institutionalization process and services of the system, related legal rules and regulations, government reports, and articles were reviewed. To examine the operation status of the system, statistical data provided by each country's government were analyzed. Results: Japan recognized the importance of community rehabilitation even before the enactment of Long-Term Care Insurance. Thus, community rehabilitation services, such as home-visit rehabilitation and health facilities, were already stipulated in the law. Under such institutional legacy, Long-Term Care Insurance was able to establish a service system, which balanced welfare and health-related services, including various types of services with enhanced rehabilitation functions. In South Korea, rehabilitation policies were not much considered in the process of institutionalizing the system; thus, it was composed mainly of services focusing on care and recuperation. Conclusion: In order to realize community care, rehabilitation services need to be developed in Long-Term Care Insurance System in various forms such as home-visit services, daily services, short stay, and facility services.

A Study on the Effects of Meditative Respiration Training on the Changes of Stress Hormones (명상호흡 수련이 스트레스성 호르몬에 미치는 영향에 관한 연구)

  • Park, Sang-Kyu
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.47-55
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    • 2004
  • The purpose of this study were to investigate the effect of meditative respiration training for 6weeks on the changes of ACTH and Cortisol which are stress hormones in 10 male workers. The results of this study were as follows : 1. After meditative respiration training for 6weeks, the changes of heart rate, respiratory rate, SBP, DBP were slightly decreased. 2. After meditative respiration training for 6weeks, the changes of ACTH hormone were significantly decreased(p<.01). 3. After meditative respiration training for 6weeks, the changes of cortisol hormone were significantly decreased(p<.05). The above conclusions suggested that short-term meditative respiration training was an effective training method to changes mental emotional states and physiological stress hormone level affirmatively. Further, the future researches must analyze the physiological and psychological characteristics affecting mental health synthetically and develop meditative respiration program suitable to the various items and classes, especially EMT.

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The Relationship between Educational Service Quality, Customer Satisfaction and Repurchase Intention of Scuba Diving (스쿠버다이빙의 교육 서비스품질과 고객만족 및 재구매의사의 관계)

  • Shin, Myung-Soo;Oh, Kyung-A;Park, Sung-Joon
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.4
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    • pp.1327-1337
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    • 2019
  • The purpose of this study is to study the relationship between quality of education service in scuba diving and customer satisfaction and willingness to buy again. Scuba of scuba diving in Seoul was selected as a population and a total of 200 questionnaires were distributed using the "conven-ence sampling" among the non-probability sampling methods. A total of 154 data were used as valid samples, except for 46 questionnaires that were found to have been unfaithfully answered. The data processing method was used by the SPSS18.0 program to perform frequency analysis, exploratory factor analysis, correlation, and multiple regression analysis. The results of this study are as follows. First, after analyzing the relationship between the quality of education service and customer satisfaction, the facilities among the quality of education services (β=).349), Program (β=.340) has been shown to affect satisfaction. In addition, if we look at customer satisfaction of the quality of education services, we find that the quality of education has an explanatory power of about 47% of the total quantity of the quality of education services. Second, after analyzing the relationship between the quality of education services and the repurchase, the cost of the quality of education services (β =).215), a program (β=.442) was found to affect repurchase. Also, if we look at the ability to explain the repeat purchase of the quality of education services, it is found that it has an explanatory power of about 53% of the total quantity of the quality of education services. Third, after analyzing the relationship between customer satisfaction and repurchase (β=).555) was found to affect repurchase. In addition, if we look at the explanatory power of resurchasing satisfaction, we find that it has an explanatory power of about 55% of the total quantity.

Change of Yield and Greenness of "Nogwonchalbyeo" under Different Date of Transplanting and Harvesting (이앙 및 수확시기에 따른 녹원찰벼의 녹색정도와 수량변화)

  • Lee, Ki-Kwon;Cho, Seung-Hyun;Lee, Deok-Ryeol;Song, Young-Eun;Song, Young-Ju;Lee, Jae-Hung;Choi, In-Young
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.57 no.2
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    • pp.137-143
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    • 2012
  • This study was conducted to investigate the yield and greenness of "Nogwonchalbyeo" on the basis of different date of transplanting and harvesting. Delay in heading was observed in the plants transplanted later but no effect on heading was observed due to different levels of nitrogen fertilizer. Percentage of green color in dehusked rice was higher in the grains of rice transplanted on 10th June. An increasing trend was observed in the yield with the delay in the date of transplanting, maximum yield was observed in the rice planted on 10th June but a decrease in yield was recorded if transplanted after 15th June. Similarly, yield also increase as the days for harvesting increased until 37 days after heading but beyond 37 days decreasing trend was observed in yield. Based on the above findings it can be suggested that 4~6 June and 9kg/10a are the optimum dates of transplanting and amount of nitrogen while 3 5~37 days after heading is the best time for harvesting of "Nogwonchalbyeo".

Evaluation of Susceptibility of Spoladea recurvalis (Lepidoptera: Crambidae) to Five Insecticides in Spinach (시금치 해충 흰띠명나방(Spoladea recurvalis)의 살충제 감수성)

  • Young Su, Lee;Hee-A, Lee;So-Hee, Kim;Jong Yoon, Choi;Hyun Ju, Lee;Sang-Woo, Lee;Jung-Soo, Park
    • Korean journal of applied entomology
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    • v.61 no.4
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    • pp.529-537
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    • 2022
  • The susceptibilities of five insecticides to the larvae of Spoladea recurvalis, a major pest of spinach, were evaluated. Lufenuron EC, chromafenozide EC, chlorantraniliprole WP, tebufenozide WP, and pyridalyl EW showed 90% or more insecticidal activity at dilution concentrations of 2 (12.5 ppm), 4 (12.5 ppm), 8 (2.5 ppm), 4 (20.0 ppm), and 8 (12.5 ppm), respectively. At their recommended concentrations, Chromafenozide EC, chlorantraniliprole WP, tebufenozide WP, and pyridalyl EW showed very high insecticidal activity of 98.3%, 100%, 95.0%, and 100%, respectively, after 72 h on S. recurvalis larvae exposed after 7 days of treatment. Field tests at two spinach greenhouses in Hwaseong and Yeoncheon showed a high control effect of over 90% after 7 days of treatment in both areas. In addition, the insecticides can be used as exclusive agents for S. recurvalis that occurs in spinach, as there is no phytotoxicity even at double doses.