• Title/Summary/Keyword: Experience of health service

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Implications of Price Setting Strategies for New Health Technologies from Five Countries (신의료기술에 대한 진료비 지불: 외국사례와 시사점)

  • Chung, Seol-hee;Kwon, Ohtak;Choi, Yeonmi;Moon, Kyeongjun;Chae, Jungmi;Lee, Ruri
    • Health Policy and Management
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    • v.30 no.2
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    • pp.164-177
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    • 2020
  • This study aims to compare the experience of selected countries in operating separate payment system for new healthcare technology and to find implications for price setting in Korea. We analyzed the related reports, papers, laws, regulations, and related agencies' online materials from five selected countries including the United States, Japan, Taiwan, Germany, and France. Each country has its own additional payment system for new technologies: transitional pass-through payment and new technology ambulatory payment classification for outpatient care and new technology add-on payment for inpatient care (USA), an extra payment for materials with new functions or new treatment (C1, C2; Japan), an additional payment system for new special treatment materials (Taiwan), a short-term extra funding for new diagnosis and treatment (NUB; Germany), and list of additional payments for new medical devices (France). The technology should be proven safe and effective in order to get approval for an additional payment. The price is determined by considering the actual cost of providing the technology and the cost of existing similar technologies listed in the benefits package. The revision cycle of the additional payment is 1 to 4 years. The cost or usage is monitored during that period and then integrated into the existing fee schedule or removed from the list. We conclude that it is important to set the explicit criteria to select services eligible for additional payment, to collect and analyze data to assess eligibility and to set the payment, to monitor the usage or cost, and to make follow-up measures in price setting for new health technologies in Korea.

Knowledge and Performance Level of Infection Control with MRSA of Medium and Small Hospital Nurses (중소병원 간호사의 메치실린 내성 황색포도알균 감염관리의 지식과 수행정도)

  • Kim, Tae-Kyung;Min, Hye-Sook;Jung, Ha-Yun
    • The Korean Journal of Health Service Management
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    • v.6 no.3
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    • pp.157-169
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    • 2012
  • This survey was undertaken to identify knowledge and performance level of MRSA infection control among medium and small hospital nurses. The subjects of the study were 261 medium and small hospital nurses. The collected data were analyzed by using SPSS WIN 18.0. The total mean values of the knowledge and performance on the MRSA infection control were $9.51{\pm}1.67$ and $2.26{\pm}.47$ respectively. the Knowledge about the general characteristics according to work department, MRSA infection control department presence, MRSA infection control guidelines presence, MRSA infection control education experience, MRSA infection control education method according to the statistically significant differences were observed. The performance about general characteristics according to age, work experience, work department, MRSA infection control department presence, MRSA infection control guidelines presence, MRSA infection control education experience and MRSA infection control education methods according to the statistically significant differences were observed. It is having sufficient various facilities, to enhance nurses knowledge about management of MRSA infection. If the continuous education of professional infection control is offered, it contributes to protect MRSA infection in the medium and small hospitals.

The Effects of Adolescent's Academic Stress and School Bullying Victim on Suicidal Ideation: Focusing on the Mediating Effect of Self-Esteem (청소년의 학업스트레스와 집단따돌림 피해가 자살생각에 미치는 영향: 자아존중감의 매개효과를 중심으로)

  • Cho, Ouk-Sun;Paik, Jin-A
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.233-244
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    • 2014
  • This study aims to investigate the effects of adolescent's academic stress and their experience of school bulling victim on suicidal ideation, and the meditating effect of self-esteem among variables by utilizing the path analysis. Quantitative survey research was conducted with 1735 students attending primary, middle and high school to identify the following the key results. First, adolescent's academic stress directly influenced their suicidal ideation and its' effect was indirectly mediated by the subjects's self-esteem. Second, the relationship between the experience of school bullying victim and suicidal ideation was partly mediated by self-esteem. In other words, the severer academic stress in youth and the experience of bullying victim were, the higher suicidal ideation were; however, the adolescent's high self-esteem played a mediating role in lowering their suicidal ideation by increasing the ability of overcoming difficulties and risks.

A Study for Exploring the Prevalence and Associated Factors of Unmet Health Care Needs due to Reduced Mobility: Evidence for Estimating Subjects of Visiting Health Care (거동불편 사유로 인한 미충족 의료의 규모와 관련 요인 탐색 연구: 방문의료 대상자 추계를 위한 근거)

  • Choi, Jae Woo;Kim, Chang-O
    • Health Policy and Management
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    • v.32 no.1
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    • pp.53-62
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    • 2022
  • Background: This study was designed to examine regional proportions for people who experienced unmet health care needs due to reduced mobility or unhealthiness and factors associated with experience of unmet health care needs by them. Methods: A total of 11,620 people were retrieved from the Korea Health Panel data (2014-2018). Regional proportions for people who experienced unmet health care needs due to reduced mobility or unhealthiness were estimated using cross-sectional weights and the factors associated with them were analyzed using generalized estimating equation. Results: The number of people who experienced unmet health care needs due to reduced mobility or unhealthiness was estimated as 278,083 in 2018. Women, the aged (65+), below elementary school, single as marital status, low income, bad self-rated health, people with disabilities, and long-term insurance beneficiaries were statistically significantly associated with experience of unmet health care needs due to reduced mobility or unhealthiness. Conclusion: Given high and dispersed demand for visiting health care, government need to expand the infrastructure and finance to facilitate visiting health care.

A Study on the Meal Portion Size of Kindergarten (유아교육기관 교사의 급식 제공량에 관한 연구)

  • Lee, Young-Mee;Oh, Yu-Jin
    • Journal of Nutrition and Health
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    • v.40 no.1
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    • pp.89-96
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    • 2007
  • This study was performed to weigh the average meal portion sizes served for preschoolers by kindergarten teacher. The subjects were 53 teachers from 8 kindergartens, which are random sampled by meal service number. Using the weighing method assessed the meal portion sizes of food items at lunch. The data was complied by performing $\chi^2-test$ using SPSS WIN 11.0. The result was as followed: 98.0% of teacher agreed with the meal service because of 'better food habit and table etiquette'(68.0%), 'health promotion with balanced diet'(22.0%), 'owing to extending school time'(6.0%) and 'demand of parents'(2.0%). Preschooler eat lunch at class (84.9%) and meal serving size was decided by teacher (79.2%). Teachers thought that they know very well about portion size 3.8%, 96.2% of teacher thought that they don't know much about portion size. Portion size were not significantly different by food tray types but there was much different (almost 100%) compared with minimum and maximum within dishes. Most average portion size was not met dietary reference intake except cooked rice, soups and fish cutlet. Working experience effected on portion size. More served, more working experienced of teacher. For example Bulgogi was served 26.8 g by teacher who has over 6 years working experience compared with 2-6 years (20.4 g) and less than 2 years (17.1 g) (p < 0.01). Spinach portion size was significantly different by teacher's working experience (p < 0.01). Portion size were not significantly different by preschooler's age. The reference of dietary for preschooler was different by age, but teachers served meal by their experience. According to the results of this study, it is necessary to educate meal portion size for kindergarten teacher who take charge in meal serving. To provide guidance to teacher about reasonable portion sizes for preschoolers, teacher need to take nutrition education about meal service and child nutrition in college. This study would be useful to those who plan meals for preschoolers and to researchers studying dietary intakes of preschooler.

Is the Risk Unloaded on Dispatch and Service Supplier?: Influence of Indirect Employment on Safety, Health and Satisfaction (위험은 파견, 용역 직원에게 외주화 되는가?: 간접 고용이 안전, 건강, 만족에 미치는 효과)

  • Moon, Kwangsu;Ahn, Ji Yeon;Jang, Tong Il;Oah, Shezeen
    • Journal of the Korean Society of Safety
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    • v.32 no.3
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    • pp.90-98
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    • 2017
  • The purpose of this study was to examine the effect of employment type(direct employment, dispatch and service supplier) on risk factor exposure, health and satisfaction. The data of the 4th wave of Korean Working Conditions Survey (KWCS) conducted by Korea Occupational Safety and Health Agency (KOSHA) in South Korea was used. Business support service industry and manufacturing industry were selected as appropriate industries for analysis. In the final analysis, 5,865 in the manufacturing industry and 1,361 in the service support industry were included. Various variables related risk, safety, satisfaction and health such as risk factor exposure, MSDs exposure, work environment satisfaction, injury probability, dangerous work, workload, physical health problem, perceived health, positive emotions, stress, participation for decision making and experience of accident/disease were analyzed and company size and age was controled. An ANCOVA was conducted to identify significant mean differences of risk, safety, satisfaction and health related variables among direct employed workers, dispatch and service supplier workers. The results showed that all the variables except stress showed a significant difference depending on employment type in the service supply industry. In the manufacturing industry, there were significant difference in the risk factor exposure, MSDs exposure, work environment satisfaction, workload, physical health problem, perceived health, and participation depending on employment type. These results indicated that the risks are unloaded to subcontract and outsourcing company workers. Based on these results, the implications of this study and suggestions for future research were discussed.

Th e Effect of Sexuality Course on Sex - Role Stereotypes and Sexual Attitude in University Students (성 관련 강좌 이수 전후 대학생들의 성 고정관념과 성 태도의 변화)

  • Lee, Kye-Eun;Kim, Nam-Sun
    • Women's Health Nursing
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    • v.9 no.1
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    • pp.5-17
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    • 2003
  • Purpose : The purpose of this study was 1) to classify university student's attitudes toward sex, 2) to confirm the effects of sexuality course on sex-role stereotypes and sexual attitude in university student s. Method : The subjects in this study were 212 K university students in Kangwon Province between 3/7/2001 $\sim$ 6/13/2001. The instruments used for this study were the general characteristics, sexual attitude and sex-role stereotypes. The data was analyzed by frequency, percentage, mean, standard deviation, paired t-test, ANOVA, Pearson correlation coefficients, Factor analysis and Cronbach's $\alpha$ using the SPSS program. Result : 1. University students' attitude toward sex are divided into three types. Type I are called open mined : 16, 33, 28, 10, 18, 2, 30, 25, 26, 27, 22, 19, 29, 21, 9, 5 items. Type II are supporters of virginal purity : 8, 6, 31, 17, 14, 33 items. Type III express love through sexual intercourse : 20, 24, 7, 3, 15, 32 items. 2. There was a significant difference in the appearance and occupational characteristics of sex-role stereotypes before and after the sexuality course (t=2.562, p<.05). 3. In Type III, there was a significant difference in sexual attitude before and after the sexuality course (t=3.576, p<.0001). 4. The data showed the relationships between type III of sexual attitude and sex-role stereotypes (r=-.3 15, p<.0001). 5. Sex-role stereotypes according to the demographic characteristics before sexuality course were significantly different by age, gender, experience of military service, experience of sex edu cat ion an d experience of sexual intercourse. Sex-role stereotypes according to the demographic characteristics after sexuality course were significantly different by gender and experience of sexual intercourse. 6. Sexual attitude according to the demographic characteristics before sexuality course were significantly different by maj or (type I), age, grade, experience of military service and experience of sexual intercourse (type II), age, grade, gender, experience of military service, experience of sex education and experience of sexual intercourse. Sexual attitude according to the demographic characteristics after sexuality course were significantly different by religion and major(type I), age and grade(type II), age, grade, gender, religion and experience of sexual intercourse. Conclusion : This study showed that a sexuality course was effect ive in changing the sex-role stereotypes and sexual attitude of university students.

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Clinical Practice Ability and Satisfaction of Clinical Training of Health-Medical Information Management Major Students (보건의료정보관리 전공 학생의 임상실습 수행능력과 실습 만족도)

  • Song, Ae-Rang
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.203-217
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    • 2018
  • Objectives : This study aimed to investigate the clinical practice ability and satisfaction of clinical training of health-medical information management major students. Methods : The data were collected from 68 persons from students finished clinical training at medical record (information) team using self administered questionnaires. The data were analyzed using t-test, ANOVA and correlation with SPSS 22.0 version. Results: Performance of data collection, data management, and data analysis were analyzed in three areas of the job area. In terms of academic characteristics and correlation, they were not related to the level of satisfaction with the practical experience. Conclusions : Research on a virtuous cycle clinical practice program that analyzes the factors by assessing the satisfaction level of clinical practice in each area of health care information management will be conducted continuously.

Awareness of automated external defibrillator among students majoring in health-related versus non-health-related fields (보건계열과 비보건계열 대학생의 자동심장충격기에 대한 인지도)

  • Jung, Hae-Young;Kim, Suk-Hui;Kim, Chul-Tae
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.2
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    • pp.39-50
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    • 2017
  • Purpose: This study measured awareness of automated external defibrillators (AED) among students majoring in health-related versus non-health-related fields. Methods: A total of 577 students filled out a questionnaire on awareness of AEDs between June 12 and June 28, 2017. Using SPSS 23.0, data were analyzed using descriptive statistics, chi-square tests, and t-tests. Results: In response to a question about awareness of AED, 25.0% of students majoring in a health-related and 38.6% of those majoring in a non-health-related field answered on "I have seen or heard" and "I have no idea". In response to a question on perception on AED use, 82.4% of students majoring in a health-related field and 88.1% of those in a non-health-related field reported that they thought perception of AED use was not universal. In terms of experience with education on the use of AED, 30.2% of health-related majors and 49.7% of non-health-related majors had not received any training on the use of AED. The average overall score regarding knowledge about AED was 8.69 for health-related majors, compared to 7.79 for non-health-related majors. Conclusion: In order to improve awareness regarding AED use, education on importance and necessity of AED should be emphasized and implemented consistently by the mass media.

Analysis of factors affecting the scaling experience of patients visiting the dental prophylaxis practice lab (치면세마 실습 대상자의 스케일링 경험에 영향을 미치는 요인분석)

  • Yun, Hyun-Kyung;Choi, Gyu-Yil
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.6
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    • pp.961-967
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    • 2013
  • Objectives : The purpose of this study is to establish the regular scaling checkup service and to improve oral health care on the basis of knowledge, attitude, and belief by Dental Prophylaxis Practice Lab in A university. Methods : Subjects were 324 patients who visited Dental Prophylaxis Practice Lab in A university for the preventive removal of tartar from April to June 8, 2012. Data were analyzed using SPSS version 18.0 through the frequency analysis, chi-test, and logistics regression analysis. Results : In relation to scaling experience by age, 65.3% had experienced scaling checkup and those between 20 to 29 (34.7%) did not receive the scaling therapy. Smokers tended to have received more scaling experience than nonsmokers. Second, the number of untreated dental caries and missing teeth due to dental caries were important because the variables of oral health condition affected the scaling experience. Conclusions : It is necessary to increase the scaling experience and regular dental checkup by providing the education to improve dental clinics visit based on the knowledge and belief towards the scaling.