• Health Policy and Management
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• v.23 no.1
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• pp.19-34
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• 2013

Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

• Korea Journal of Hospital Management
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• v.14 no.4
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• pp.52-70
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• 2009

This study is to analyse the reimbursement prices of drugs in Japan. Japan has the world's second-largest pharmaceutical market, and the world's largest price-controlled pharmaceutical market. The reimbursement prices of new drugs in Japan are determined by confidential negotiations between the manufacturer and the Japanese Ministry of Health, Labor, and Welfare. Pharmaceuticals account for a larger share of total healthcare expenditures in Japan than in most other major pharmaceutical markets such as France, Germany, United Kingdom and United States. Prescription drugs' share of total healthcare spending has slightly increased in recent years, from 20.2% in 2000 to 21.5% in 2004, the most recent year for which data are currently available. This trend is attributable to the effect of the Japanese rapidly aging population that stimulates demand for healthcare services. There are several method of price setting for drugs as below. First, on the initial pricing of branded drugs, is the similar-efficacy pricing method and cost calculation method. Second is postmarketing price changes which are biennial price revisions under the rule of National Health Insurance. Third is the rule of the generics price. Recently, the generics market is expanded because there are increasing numbers of hospitals by DPCs(Diagnosis-procedure Combinations).

• Korean Medical Education Review
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• v.19 no.1
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• pp.1-9
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• 2017

For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.

• Journal of Information Technology Applications and Management
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• v.25 no.4
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• pp.185-196
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• 2018

This study investigates the social network among authors to improve the quality of Panel researches. Korea Health Panel (KHP), implemented by the collaborative work between KIHASA (Korea Institute for Health and Social Affairs) and NHIC (National Health Insurance Service) since 2008, provides a critical infrastructure for policy making and management for insurance system and healthcare service. Using bibliographic data extracted from academic databases, eighty articles were extracted in domestic and international journals from 2008 to 2014, April. Data were analyzed by NetMiner 4.0, social network analysis software, to identify the extent to which authors are involved in healthcare use research and the patterns of collaboration between them. Analysis reveals that most authors publish a very small number of articles and collaborate within tightly knit circles. Centrality measures confirm these findings by revealing that only a small percentage of the authors are structurally dominant, and influence the flow of communication among others. It leads to the discovery of dependencies between the elements of the co-author network such as affiliates in health panel communities. Based on these findings, we recommend that Korea Health Panel could benefit from cultivating a wider base of influential authors and promoting broader collaborations.

• Journal of the Korea Convergence Society
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• v.13 no.5
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• pp.313-325
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• 2022

The purpose of this study is to examine the changes in the elderly healthcare app market through text mining analysis and to present basic data for activating elderly healthcare apps. Data collection was conducted on Naver, Daum, blog web, and cafe. As for the research method, text mining, TF-IDF(Term frequency-inverse document frequency), emotional analysis, and semantic network analysis were conducted using Textom and Ucinet6, which are big data analysis programs. As a result of this study, a total of six categories were finally derived: resolving the healthcare app information gap, convergence healthcare technology, diffusion media, elderly healthcare app industry, social background, and content. In conclusion, in order for elderly healthcare apps to be accepted and utilized by the elderly, they must have a good diffusion infrastructure, and the effectiveness of healthcare apps must be maximized through the active introduction of convergence technology and content development that can be easily used by the elderly.

• Journal of The Korea Institute of Healthcare Architecture
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• v.5 no.9
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• pp.17-23
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• 1999

The Korean hospitals have been changed a lot from 1970's to 1990's, not only in their space allocation but also in their functions. These changes were affected by the medical development, social atmosphere, increasing population, needs of medical demands, and so on. In this study, we compared net area allocation involve in these affect of hospitals which were built in 1970's, 80's, and 90's, and through this comparison, we analyzed developing tendencies of hospitals. In doing so, we tried to provide basic research data for planning of new hospital buildings.

• Journal of The Korea Institute of Healthcare Architecture
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• v.5 no.8
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• pp.87-94
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• 1999

Recent hospital building design considers not only its functional space composition but also contemplates "patient focused concept" in the early design stage. It is also called "hospital unlike hospital" and, usually, architects put their effort in building's exterior design to serve the coziness for patients. Therefore, this research analyzed and evaluated the exterior design of The K University Hospital Competition, as a case study, to understand recent hospital design trend and also to suggest a vision for future hospital design.

• Journal of The Korea Institute of Healthcare Architecture
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• v.9 no.2
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• pp.7-16
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• 2003

Terminal cancer patients in Korea have increased due to the development of medical technology and the structural change of diseases resulted from life quality improvement. Following this trend, many hospitals are making efforts, such as renovating hospice wards, but architectural criteria are not sufficiently suggested for specialized hospice wards. The purpose of this study is to present the research data to improve the quality of hospice ward in general hospital. Data collecting skills such as drawing documents analysis, interviews, observation were used to examine the condition of hospice ward. And, case study method was used to generate the design data which can be used for the appropriate spatial composition and the area calculation.

• Journal of The Korea Institute of Healthcare Architecture
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• v.14 no.2
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• pp.65-72
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• 2008

Structuralism on the architecture have been appeared in the middle of 20th Century against Functionalism. The hospital architecture which is a representation of functionalism architecture couldn't be an exception in the stream of this change. This study doesn't regard the hospital architecture as a specific area limited by Functionalism but as a general area of the architecture. This study analyze the features of the form and system on the hospital which is affected by Structuralism. Then by the analysis of the features on the change of a native hospital, it will be interpreted that a native hospital would be adapted with the formation of Structuralism.

• Journal of The Korea Institute of Healthcare Architecture
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• v.10 no.2
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• pp.29-37
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• 2004

Recently the hospital infection with misappropriation of the antibiotic and absence of knowledge is aincreaseing trend. For this, medical treatment is confronting infection management guide. But so far there is no accurate standard or countermeasures. Since early 1990 Nosocomial Infection has not been looked over, although there is serious problem. After 90's understanding seriousness of Nosocomial Infection, many investigations have been done, but the relations of medical facilities were hardly investigated. This thesis shows the relation between facilities and Nosocomial Infection by documental references and the direction for intensive care unit through survey the recent general hospitals.