• 한국병원경영학회지
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• 제15권4호
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• pp.143-164
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• 2010

Although word-of-mouth (WOM) has been regarded as one of the very important topics in consumer research, its effects on other aspects of consumer behavior have been scarcely investigated in the context of health-care service industry. The WOM literature also suggests that it is essential for medical care service organizations in fierce competition to adopt WOM communication as a competitive weapon so as to be able to stay ahead of competition. The goal of this research was set to empirically study various relationships between antecedent variables, WOM acceptance, and purchase of medical care services. Specifically, drawing on the WOM literature, eight antecedents to WOM acceptance were selected first. Based on the relevant literature, seven sets of hypotheses on the relationships among antecedents to WOM, WOM acceptance, purchase intention and purchase of medical services were developed. Data were collected via an on-line survey. A total of 571 out of 600 responses turned out to be usable. The major findings of this study can be summarized as follows: First, 6 out of 8 antecedent variables to WOM acceptance were found to be positively affect WOM acceptance. However, the effects of (1) "newness of technology" pertaining to medical care service characteristics and (2) "involvement in health", one of receiver characteristics, were found to be insignificant. Second, most moderating effects on the relationship between purchase and purchase intention of medical care services were found to be insignificant with one exception. That is, elapse of time was found to be a marginally significant moderator on the relationship between purchase and purchase intention of medical care services. Third, it was found that the higher the WOM acceptance, the higher the purchase intention of medical care services. Finally, the effect of WOM acceptance was found to be particularly strong when WOM contents were perceived as useful and positive. Overall, it seems essential for hospitals to actively adopt WOM communication as a competitive marketing tool if they plan to improve their business performance. In this respect, the current study may serve to improve the business performance of hospitals by way of providing theoretical and empirical evidence on the effects of WOM communication variables on WOM acceptance and medical care service purchase.

• 가정∙방문간호학회지
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• 제4권
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• pp.41-52
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• 1997

The purpose of this study is to identify the domestic research results related to the outcomes of home care services for 1981-1996. 12 studies were analized by the characteristics of the subjects, home care services provided, and outcome variables and tools during the period of Apirl-June, 1997. The results were as follows: the subjects of 8 studies conducted before 1993 were discharged patients comparing to early discharged patients of 2 studies conducted after 1994. The main home care service delivered to the clients and their families were education before 1993. The outcome variables were used the level of sat. isfaction of home care services, quality of care, cost-effectveness, health status, quality of life, and self -care ability. A variable, health status, were mainly measured by the global outcome measures such as quality of life, health hehelief, health perception, activity of daily living, health management pattern but also foused outcome measures that could be specified by the medical diagnoses.

• 지역사회간호학회지
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• 제9권1호
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• pp.163-180
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• 1998

The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.

• 대한간호학회지
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• 제41권1호
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• pp.18-25
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• 2011

Purpose: This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis. Methods: A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks. Results: Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035). Conclusion: The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.

• 한국사회정책
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• 제25권1호
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• pp.125-159
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• 2018

본 연구는 중고령 장애인의 장기요양서비스 이용의향 영향요인을 찾아내고, 각 연령집단의 특성과 영향요인을 규명하는데 목적이 있다. 중고령 장애인을 연령집단으로 구분하여 50-64세 장애인집단과 65세 이상 장애인집단 대상으로 확률효과 패널 로짓 종단분석을 실시하였다. 분석결과, 50-64세 장애인집단과 65세 이상 장애인집단별로 각각 영향요인에 차이가 있는 것으로 나타났다. 요인별로 살펴보면, 소인성 요인에서 연령, 거주지역, 교육수준, 배우자유무가 각 집단의 장기요양서비스 이용의향에 유의한 영향을 주는 것으로 나타났다. 자원요인에서 노인장기요양보험 제도인지여부, 저축유무, 근로소득유무, 주택소유여부가 각 집단의 장기요양서비스 이용의향에 유의한 영향을 주는 것으로 나타났다. 욕구요인에서 만성질환유무, 심리적 건강상태, IADL이 각 집단의 장기요양서비스 이용의향에 유의한 영향을 주는 것으로 나타났다. 이러한 연구결과를 바탕으로 중고령 장애인을 위한 장기요양서비스 제도개선에 대한 학술적, 정책적 함의를 제시하였다.

• 보건행정학회지
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• 제33권3호
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• pp.311-324
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• 2023

Background: Long-term care insurance for the elderly has been stably established along with the quantitative expansion of long-term care facilities. Indeed, the need for a paradigm about human rights-based service approach is being raised throughout society from a service perspective. Therefore, this study aimed to analyze the association between elderly human rights awareness and quality of service by considering human rights education as a moderate variable. Methods: This study conducted surveys with 138 caregivers working in long-term care facilities located in Seoul and Gangwon. General characteristics, awareness of human rights, and the level of service quality were examined using descriptive statistics, frequency analysis, and correlation analysis. And multi-variable linear regression with a hierarchical framework was employed. These analyses were performed using IBM SPSS ver. 25.0. Results: Of the 138 caregivers, 97.1% were female, 87.7% were more than 50 years old, and most of their education level was high-school graduates. Their length of employment ranged from more than 5 years to less than 10 years. The level of awareness regarding elderly human rights of the elderly was below normal (mean=2.21), but the quality of service was high (mean=4.21), and the need for human rights education was also high (mean=4.28). Among the general characteristics, the length of employment was significantly associated with awareness of elderly human rights. Moreover, political rights awareness, included as sub-domains of human rights, was positively associated with quality of service. However, the moderating variable, human rights education, was not significantly associated with the quality of service. Conclusion: In this study, human rights education, as a moderating variable, did not have a statistically significant effect on caregivers' human rights awareness in relation to service quality. This finding is inconsistent with previous research results. These results can be explained by the fact that the frequency of education in long-term care facilities was a significant factor in the practice of protecting the human rights of the elderly. Therefore ongoing encouragement for the frequency of current human rights education and improvements in the educational approach appear to be necessary. In addition, these findings reveal the need for strength of education policies and effective in-depth research about human rights and quality of service to respect the human rights of the elderly.

• International Journal of Quality Innovation
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• 제9권2호
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• pp.1-9
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• 2008

This paper proposes a scheme to estimate the technical efficiency at child care centers for the less-than-three-year-old infants by Data Envelopment Analysis (DEA) and to manage the quality of care service through implementing flexible and efficient government subsidy system. The result of technical efficiency estimation shows that there exists the heterogeneity in technical efficiency a substantial opportunity for improvement in technical efficiency across child care centers. This result implies that government may bring up the competition by giving subsidy differentially based on efficiency and use the money which has been used inefficiently other purposes. Both can improve the quality of child care service.

• 전기학회논문지
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• 제59권3호
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• pp.657-663
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• 2010

Today, rapid evolution of Internet makes various types of services in ubiquitous environment are intelligent and active. As a result, user's demand on high quality of life increases and health care service based on ubiquitous environment draws a lot of attention. However, user's private information used for health care service is illegally distributed and exposed, causing serious individual and social problems. Therefore, this thesis is intended to suggest a secure health care service to prevent unauthorized third party's access and to protect user's privacy in health care systems. The proposed scheme establishes a session key through communication channel between health care system and user based on explicit mutual authentication and provides secure communication and access control, improving security as one of the leading health care systems.

• 지역사회간호학회지
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• 제14권1호
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• pp.75-82
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• 2003

The purpose of this study was to develop an information system for home care service based on RAI(Resident Assessment Instrument). The standardization of service providing process was conducted using the steps of need assessment, triggers, application of CAPs, and care plan. The structure of MDsoft-HC was composed by MDS-CAPS system and system management system. A database on home care clients was accumulated by putting data, respectively, in general information, MDS-item, and MDS-result. Based on this data, the list of CAPs for the client was selected and monthly and annual statistics were calculated by problem result counts. It was suggested that standardization of a care plan would be integrated and short form of need assessment would be developed in the next stage.

• 대한치위생과학회지
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• 제6권1호
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• pp.13-25
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• 2023

연구배경: 본 연구는 비정형 빅데이터를 활용하여 노인장기요양보험의 직접적 서비스 인력인 요양보호사의 서비스질 관리를 확인하고자 수행되었다. 연구방법: 요양보호사의 서비스질과 관련된 소셜 비정형 데이터를 텍스톰을 사용하여 수집·분석하였다. 데이터를 크롤링하여 수집된 상위 50개 키워드들 간의 빈도분석, TF-IDF, 중심성 분석, 의미연결망분석과 CONCOR 분석을 실시하였다. 연구결과: 빈도분석 결과 상위권에 속한 키워드는 '요양서비스' '요양보호사', '서비스질', '요양보호', '장기요양기관', '향상', '어르신', '처우', '개선', '필요' 였으며, 연결중심성과 위세중심성 분석결과도 거의 동일한 순위로 확인되었다. CONCOR 분석결과 4개의 그룹으로, 요양서비스질 개선, 요양서비스 운영, 요양서비스 제도, 요양보호사의 심리적인 부분에 대한 인식이 높은 것으로 나타났다. 결론: 본 연구는 요양보호사의 서비스질과 관련한 인식을 의미있는 그룹으로 제시하였으며 이는 요양보호사 서비스질 향상을 위한 다각적인 방향성 수립에 기여할 것으로 판단된다.