• 한국병원경영학회지
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• 제27권1호
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• pp.31-42
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• 2022

Purposes: This study aims to investigate the changes in the length of stay and medical expenses by the impact of the admission decided by patients or their family. Methodology: The analysis was conducted using data from elder patients aged 65 or older who have used admission services more than once from year 6(2012) to year 12(2017) of the Korean Medical Panel Data(KOWEPS). The statistical analysis was performed through the Chi-square test, mean difference analysis, and generalized estimation equation analysis. Findings: Compared to the patients who used admission services decided by doctors, those who used admission services decided by patients or their family had a longer length of stay and a lower daily medical expense. Practical Implications: Inappropriate admission decided by patients or their family can increase the risk of hospital-acquired infections, impairing the health of elderly patients, and has a negative impact on the efficiency of health resources. Therefore, it is necessary to prevent and properly manage inappropriate admission decided by patients or their family

• 한국병원경영학회지
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• 제3권1호
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• pp.165-191
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• 1998

The objectives of this research are 1) to identify different motivation of choice for each National University hospitals 2) to examine the factors influencing the patients' satisfaction, 3) and to investigate that the patients' satisfaction effects the hospital re-choice and recommendation on seven National University's hospitals. The data for this analysis were collected by questionnaire survey. Totally 852 interviews were conducted. The major statistical methods used for the analysis are paired t-test, factor analysis, x2-test, and multiple regression. We find that satisfaction level is a function of not only the quality of medical service but also non-medical service. The main results of research are follows: 1) The most important factor of hospital choices is 'the trust and fame as National University hospitals'; 2) Overall satisfaction of inpatients is turned to be influenced by the doctor's services, nurse's services, environment, and convenience. And overall satisfaction of outpatients is also found to be influenced by the waiting time for lab test; 3) Highly satisfied patients preferred to revisit and to recommend to others.

• 간호행정학회지
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• 제17권2호
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• pp.180-188
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• 2011

Purpose: This study was done to evaluate the operating status of community-based home health center for revitalization of the centers. Method: In this study performance data including organization plan and service utilization plan were evaluated according process theory. Target of evaluation was the community-based home health care center. Results: The vulnerable part of the organization was the information system and financial resources. The home health center introduced PDA (Personal Digital Assistants) in 2005, however home health care nurses did not make full use of it. This service received full support from Seoul city and local government and there were no other sources of income. The vulnerable part of service utilization was service expansion and standardization due to vulnerability of organizational aspects. Conclusions: The home health care center provides high quality services to underprivileged people. In the future, these services should be provided with equity for continuous health care for this population.

• 한국병원경영학회지
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• 제25권2호
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• pp.14-24
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• 2020

Purposes: The purpose of this study is to analyze the factor of affecting on job satisfaction by mediating attitude of care service. Methodology: (1)Identify socio-demographic characteristics, work characteristics, the elderly support period, the presence of education related to the elderly, the presence of service associated with the elderly, and significant factors of the research subjects. (2)Identify changes in the number of education and services before and after obtaining a caregiver qualification. (3)Identify the attitude of providing care services and job satisfaction according to the characteristics of the research subjects. (4)Identify the direct and indirect factors influencing job satisfaction by mediating the service attitudes of the research subjects. Findings: First, age factors have positive effects and the volunteering experience have negative effects on job satisfaction by mediating attitude of care service. Although the number of education class has increased after qualification, educational factors had no significant effect. Second, the longer elderly support period had a positive effect on job satisfaction. Practical Implications: This study is meaningful in that it identifies the direct and indirect impacts on job satisfaction through care attitudes. In the future, it will be necessary to pay attention to improving the quality of long-term care services by analyzing the influence factors more.

• 보건교육건강증진학회지
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• 제33권2호
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• pp.77-87
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• 2016

Objectives: This study was conducted to provide data in order to develop effective family planning programs by analyzing the factors which affect contraceptive use among women in Ethiopia. Methods: The community health survey was conducted on women of childbearing age. The research model was developed based on Andersen's Model. A total of 320 respondents were analyzed through Chi-square analysis, t-tests and logistic regression analysis. Results: Contraceptive prevalence rate was 43.1% and most of them were using modern and short-term methods. Among three factor categories, the need factor(unwanted pregnancy experience) was revealed as the most important factor, following enabling factor which was knowing the FP services in health center. Conclusions: These results lead to several conclusions. First, the results imply that programs should focus on women who are in the over 30yr. as well as the poorer economic group and urban residents. Second, to improve the effectiveness of the program, it is important to help them to be motivated themselves and to promote knowledge on various methods. Third, in terms of service delivery, community health workers are expected to take a crucial role. To improve the availability of services, they should provide practical services as those in health center.

• International Journal of Computer Science & Network Security
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• 제21권4호
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• pp.313-324
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• 2021

This study empirically investigates the factors influencing the intention to accept mobile technology in Saudi healthcare service delivery using the extended unified theory of acceptance and use of technology model (UTAUT) with perceived reliability and price value. Accordingly, a conceptual model combining behavioral constructs with those linked to the technology acceptance model is developed. This model aims to identify factors that predict patients' acceptance of mobile technology healthcare service delivery. The developed model is examined using responses obtained from a survey on 545 participants receiving healthcare services in Saudi Arabia. Thus, we have conceptualized the developed model and validated seven hypotheses involving key constructs. Results suggest that performance expectancy, effort expectancy, social influence, facilitating conditions, price value, and perceived reliability are direct predictors of user behavior to accept mobile technology in healthcare service delivery. The results provide empirical evidence to the literature on the effect of facilitating conditions and effort expectancy on mobile health (mHealth) adoption. The results show that the COVID-19 pandemic has significantly increased the adoption of mHealth services in Saudi Arabia.

• 웰빙융합연구
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• 제7권2호
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• pp.1-12
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• 2024

Purpose: The purpose of this study was to explore the factors affecting mental health in the use of social welfare services by male elderly, and to provide basic data that are helpful for integrated mental health promotion programs suitable for each region by comparing and analyzing the Yeongnam-Honam. Results: As a result of the analysis, when comparing the two regions, annual income, age, and physical health were found to be the influencing factors among the personal characteristics of male elderly in the Yeongnam, and caring services were found to be the influencing factors of social welfare services. Among the personal characteristics of male elderly in Honam, annual income, age, and physical health were found to be the influencing factors, and caring services were found to be the influencing factors of social welfare services. Conclusion: Based on the results of the study, three implications are presented as follows. First, it suggests that mandatory checkups are required not only for the physical health of male elderly, but also for the mental health. Second, the necessity of social welfare service policies that link health and welfare is presented. Third, the necessity of specialized mental health and welfare services by region is presented.

• 간호행정학회지
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• 제12권2호
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• pp.225-232
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• 2006

Purpose: The purpose of this study was to analyze the services and cost of CVA patients in hospital-based home health care and compare the differences of home health care cost by hospital types. Methods: The subjects of this study were 5,756 home care patients with cerebrovascular disease. Data were collected by using home health care medical expense claims from 127 hospitals in 2004. Results: The home care service 'indewelling catheterization' was the highest(19.28%), and then 'nasogastric tube insertion and change(16.72%)', 'bladder irrigation(15.98)', 'wound management(simple dressing)(10.42%)' followed. Average home health care cost per visit was 39,943 won, and the highest 46,058 won in general hospitals and the lowest 33,922 won in tertiary hospitals, so there were statistically significant among the types of hospitals(F=1112.47, p<0.0001). Conclusions: The number of home health care patients has been rapidly growing with the increase of aged population and demand for home care services is rising. So, it could be urgent to develop a reasonable cost reimbursement system for home health services and to expend scopes of the roles of home care specialist nurses. Amid the demand of more detail understanding the present status of home care, our study can be contributed to provide fundamental information of home care in Korea.

• 보건행정학회지
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• 제17권1호
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• pp.94-124
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• 2007

This paper critically reviews three decades of research on geographic variations. in health services utilization in the United States, thereby drawing policy and research implications for Korea. The recent renewed interest in variations research in the United States, precipitated by studies on regional variations in Medicare expenditures, stems mainly from the policy implication that a substantial amount of Medicare expenditures could be saved without compromising quality and access. From the research perspective, this policy implication was made tenable by integrating micro- and macro-level analysis of variations in health services utilization. Still, theoretical limitations inherent in the research pose great challenges to developing effective strategies at the health system level. Variations research in the United States can serve as a case study as to how health services research has responded to efficiency and quality issues in an ever expanding health system Considering the current health policy and research environment in Korea, the following implications can be drawn. Variations research will help formulate a national policy agenda for health care quality and also advance the framework of approaches to health policy issues. For such purposes, both relevant descriptive and hypothesis-testing studies are needed. Further advancement in variations research will require interdisciplinary explorations and methodological sophistication. To the extent that Korean health policies will strive to achieve complex goals, variations research will increasingly prove to be useful.

• 가정∙방문간호학회지
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• 제6권
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• pp.59-65
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• 1999

In oder to investigate the basic data for the standard of visiting nursing activities and educational program for Public Health Nurses in Health Center in Korea. the health record review carried out regard to visiting nursing services of 131 subjects with visiting nursing care. The results were as follows: 1. Rates of visiting nursing services offered by Public Health Nurse of Health Center(in decreasing order)were health education and disease management(98.5%), activity assess-ment(94.7%), counseling(90.8%), dietary care (61.1%), exercise treatment(60.3%), examination(58.8%), medication(48.9%), referral to hospital(32.8%, vaccination against flu and hepatitis(29.8%), support for welfare and administration(24.4%), position change(9.9%), connection to voluntary services(9.9%), wound dressing(7.6%) and referral for home health care nursing(3.1%). 2. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job.