• 한국병원경영학회지
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• 제24권4호
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• pp.43-56
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• 2019

Purpose: Importance of patient satisfaction related to patient-centeredness has been emphasized, and it is known to have effect on various health outcomes including health resource utilization. However, the effect of patient satisfaction has been discussed mostly in terms of hospital marketing in Korea. This study aims to examine the effect of patient satisfaction in patient-physician communication on healthcare utilization in a nationally representative adult population of South Korea. Method: Patient satisfaction with physician communication is assessed using 4 items in the 2011 Korea Health Panel Survey. Generalized linear regression analysis is conducted using 9,325 adults' healthcare utilization in 2012. Findings: Adjusting for the socio-demographic, economic factors, individual health status, health behaviors and healthcare utilization in 2011, more satisfied individuals, more likely to utilize the outpatient service, especially in clinical setting. Practical Implications: The study findings suggests that in context of South Korea healthcare system such as insufficient medical consultation time and the absence of health delivery system, patient satisfaction as a subjective healthcare quality indicator would have effect on the individual's outpatient visit. This study contributes to stimulate patient satisfaction research and discussion in South Korea to further explore its relationship with potential and various health related outcomes. Further implications of the study are discussed.

• 보건행정학회지
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• 제27권1호
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• pp.88-94
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• 2017

The aim of this study was to investigate the current and trend of healthcare status of South Korea compared to Organization for Economic Cooperation and Development (OECD) countries. We used the position value for relative comparison (PARC) method for measuring the healthcare status of South Korea by five parts of healthcare policy (demand, supply, accessibility, quality, and cost). Additionally, we conducted Mann-Kendall test for analyzing the trend of PARC from 2000 to the present. Demand, supply, accessibility, and quality of healthcare of Korea were located upon the average of OECD countries, and showed an increasing trend from 2000 to the present. However, primary care and screening for cervical cancer were placed at a lower level compared the OECD average. In conclusion, the current state of healthcare in Korea seems to be generally beyond the average among OECD countries. However, some parts, including primary care, need to be improved.

• 한국경영과학회지
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• 제37권4호
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• pp.225-238
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• 2012

The purpose of this study is to examine the factors influencing usage intention of u-Healthcare with voluntariness in long-term care hospitals. This model tests various theoretical research hypotheses relating to u-Healthcare, UTAUT theory and voluntariness. The proposed model is analyzed to target long-term care hospitals. Questionnaires have been collected during two months of 2010 and total 142 has been considered to be valid. Smart PLS (partial least square) 2.0 and SPSS 15.0 have been utilized for deriving the study results. The results of hypothesis testing are as follows. First, performance expectance, effort expectancy and social influence positively influence usage intention. Second, facilitation not influence usage intention. Still due to lack of technical infrastructure to promote conditions of use u-Healthcare in long-care hospitals for u-Healthcare system also considered to be not significantly affected. Finally, performance expectance to usage intention for low voluntariness group is significantly larger than those for high voluntariness group. In addition, social influence to usage intention for high voluntarines group is significantly larger than those for low voluntariness group.

• 보건의료산업학회지
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• 제10권4호
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• pp.153-165
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• 2016

Objectives : Recently, concern about the ubiquitous healthcare industry has increased worldwide. This study estimated the economic effects of the ubiquitous healthcare industry by Input-Output Analysis. Methods : In this study, $384^*384$ sector statistics of the Bank of Korea were used as the initial analysis tool, after adjustments, $9^*9$ sector statistics were used as the major research method for that industry. The main analysis tools of this study included a comparison of the backward and forward linkage effects, as well as the induced effects of the self-industry and other industries and the induced coefficients including products, value-added, employee's pay, sales surplus, and employment. Results : Based on the results of the analysis, the ubiquitous healthcare industry has great economic impacts which affects major macroeconomic factors including production and the backward linkage effect. Additionally, the induced effects of the self-industry, the ubiquitous healthcare industry, are significant compared to other industries in terms of production, employee's pay and operating surplus. Conclusions : The ubiquitous healthcare industry is a growth engines for national development. This paper offers alternatives for efficient industrial policies.

• 한국병원경영학회지
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• 제16권1호
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• pp.101-123
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• 2011

In this study, we examined the effects of high-performance work system(HPWS) on healthcare staffs' patient orientation and perceived service quality. To investigate the causalities of the factors such as HPWS, patient orientation, and perceived service quality, we collected national wide samples of 721 healthcare staffs from 144 hospitals. We deployed reliability analysis(Cronbach ${\alpha}$) and confirmatory factor analysis(CFA) for the factors. With 4 proposed hypotheses, we fabricated a structural equation model with AMOS 7.0 and examined the validity of the hypotheses. Followed were findings of this study. First, the healthcare staffs' perceptions of HPWS in hospital settings were positively linked to the perceived service quality. Second, the intensity of HPWS also influenced the healthcare staffs' patient orientation. Third, the perceptions of patient orientation were positively linked to the perceptions of service quality. Fourth, HPWS were linked to healthcare staffs` perceptions of service quality both directly and indirectly through their perceptions of patient orientation. These findings implied that HPWS would be a way of survival in drastically changing hospital environments.

• 보건행정학회지
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• 제28권1호
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• pp.98-103
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• 2018

This study aims to evaluate the status of Korean healthcare among Organization for Economic Cooperation and Development countries and to monitor the trend of health care status since 2000. The position value for relative comparison (PARC) index was selected to gauge the level of healthcare status in demand, supply, accessibility, quality, and cost as per healthcare policy aspects. The Mann-Kendall test was conducted to allocate healthcare status of Korea since 2000. The PARC values indicate strength and weakness of Korean healthcare system by the mathematical comparisons. Korea positioned higher in demand, supply, accessibility, and quality. Yet, there are shortages in human resources and primary care. In conclusion, we suggest utilizing this study provides evidence to prioritize health care problems that can lead to establishing healthcare policy.

• 보건행정학회지
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• 제29권3호
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• pp.248-261
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• 2019

Establishing a healthcare delivery system is key to building a cost-effective healthcare system that can prevent the waste of healthcare resources and increase efficiency. Recently, the rapid increase in the national medical expenditures due to the aging of the population and the increase in chronic diseases has raised the question about the sustainability of the healthcare system including the health insurance system. This is why we need to reform the medical delivery system, including the function setting of medical institutions. Accordingly, gradual and practical efforts based on the recognition of reality are needed for solving the problems and improving the medical delivery system. The first effort is to secure policy measures to establish functions and roles of medical institutions which are the basis of the healthcare delivery system, and a systematic medical use system for appropriate medical use. This approach can be achieved through a reasonable health insurance schemes. Without reasonable reform efforts, it will be difficult for Korea's health care system to develop into a system that can provide cost-effective and high-quality medical services that the people want.

• 보건행정학회지
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• 제29권1호
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• pp.82-85
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• 2019

Unmet healthcare needs are being used as an important indicator of the accessibility of healthcare services worldwide. To examine current status and trends of unmet needs in Korea, we used data from four sources: the Korea National Health and Nutrition Examination Survey (KNHANES, 2007-2017); the Community Health Survey (CHS 2008-2017); the Korea Health Panel Survey (KHP 2011-2015); and the Korean Welfare Panel Study (KOWEPS 2006-2017). The proportion of individual reporting unmet healthcare needs as of 2017 was 8.8% (KNHANES), 10.6% (CHS), and 12.4% (KHP as of 2015). The proportion of households reporting unmet healthcare needs due to cost was 0.5% (KOWEPS). Annual percentage change was -19.2%, -13.3%, -5.8%, and -13.3% respectively. Low income populations had more unmet healthcare needs than high income populations. However, unlike the last two studies, the main reason for unmet medical reasons was that there was no time regardless of income level.

• 한국병원경영학회지
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• 제24권1호
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• pp.21-35
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• 2019

Purposes: This study examines academic research trends and the change of patterns by analyzing researches related to healthcare service marketing from 1988 to 2016. Methodology: As research subjects, a total of 486 published articles were selected. It's to analyze them by dividing into research topics, methods and data by classifying the period into 1988-1999, 2000-2009, 2010-2016. Findings: From 1988 to 2016, 486 research articles on healthcare service marketing were published in academic journals. Research on healthcare service marketing has steadily increased. Most of the articles were about service quality, satisfaction, revisitation, and reuse. 452 research articles were quantitative research. Generally questionnaire surveys were used. Practical Implications: We suggest future research directions on the basis of the status of research on healthcare service marketing for the last 30 years.

• Child Health Nursing Research
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• 제30권1호
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• pp.17-30
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• 2024

Purpose: This pilot study aimed to assess the feasibility, preliminary efficacy, and effects of a mobile app healthcare coaching program developed based on self-regulation theory among youths with type 1 diabetes. Methods: A mixed-method design was utilized. Participants were randomly assigned into intervention (n=23, 12-week coaching program) or control groups (n=16, usual care). Pre- and post-intervention assessments included self-efficacy, diabetes management behavior, and health outcomes (quality of life, depression, and HbA1c). Quantitative data were analyzed with SPSS/WIN ver. 26.0. The narrative information from the participants in the healthcare coaching program underwent content analyzed. Results: The intervention group had significantly lower depression scores (t=2.57, p=.014) than the control group. No significant differences were observed in self-efficacy, diabetes management behavior, and health outcomes between the two groups. The average frequency of health behavior monitoring per week among the participants was 1.86±1.60. The qualitative findings indicated that participants perceived improved diabetes self-management with the intervention; however, challenges during vacations, dietary control difficulties, and a lack of disease awareness were identified. Conclusion: The healthcare coaching program improved psychological aspects for youth with type 1 diabetes. Further research is needed to develop and implement mobile app interventions aimed at enhancing compliance with diabetes management in pediatric and adolescent populations.