• Title/Summary/Keyword: Heath Management

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A Study on the Improvement Direction for Timely Technical Guidance Project (적시기술지도 시범사업의 개선방안에 관한 연구)

  • Ko, Won-Kyoung;Park, Jong Yil;Yi, Young-Seop
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.443-450
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    • 2014
  • The industrial accident rate has been steadily decreased by making all efforts for the prevention of accidents after enacting Occupational Health and Safety Act in 1981. However, ordinary typed industrial accidents still occur in small and medium sized enterprises(SME). Timely Technical Guidance(TTG) project of Korea Occupational Safety & Heath Agency(KOSHA) for SME's was initiated to visit and provide the analysis and control of industrial accidents by the staffs of KOSHA as soon as possible after accidents occurred. This study is conducted to analyze the questionnaire survey for employers, workers and TTG personnel of KOSHA with being evaluated positively whether the demonstration project of TTG has been executed consistently. However, it is suggested that the understanding of TTG project and legal support are necessary for the establishments, and the development of a variety data and lots of available contents is necessary to increase satisfaction of the TTG project. The accident rate of SME's which are employed less than 50 workers is expected to be largely decreased with applying the control and improvement over this study with maintaining and developing TTG technology.

Prenatal care utilization and expenditure among pregnant women (임부의 산전진찰 의료이용양상 및 진료비 분석)

  • Kim, Kyung-Ha;Hwang, Rah-Il;Yoon, Ji-Won;Kim, Jin-Soo
    • Health Policy and Management
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    • v.19 no.4
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    • pp.53-65
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    • 2009
  • Purpose: This study was conducted to identify the prenatal heath care utilization and expenditure among pregnant women. Method: This was a 5-month follow-up study using a stratified sampling and the data were drawn from the "nationwide claim database of Korean National Health Insurance Corporation". Result: This study found that pregnant women were first diagnosed with pregnancy when they were 7.1 weeks pregnant, received 12.7 times of prenatal examinations and 10.6 times of ultrasonogram. It was revealed that 67.5% of the subjects continued to receive prenatal care at the same medical institutions from the diagnosis of pregnancy to the delivery. The study also showed that the total expenditure of prenatal care per pregnant woman was 700,000 Korean Won (KRW) on average and the insurance coverage rate stood at only 20%. Pregnant women living in metropolitan area spent more on prenatal healthcare expenditure than those who living in medium-sized city or rural area. Conclusion: The results of this study implies that the government needs to provide pregnant women with continuous support by increasing health insurance coverage for prenatal care. Especially, it is considered to provide more support to the pregnant women residing in medically underserved areas.

Comparison Actual Conversion Factor with Estimated Conversion Factor by Fee Adjustment Model Reflecting Health Service Volume (서비스양을 고려한 수가 결정모형에 의한 추정 환산지수와 실제 환산지수의 비교)

  • Han, Ki Myoung;Cho, Min Ho;Lee, Soo Jin;Chun, Ki Hong
    • Health Policy and Management
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    • v.23 no.4
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    • pp.343-348
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    • 2013
  • Background: Price control alone may not successfully restrain growth in health expenditures. This study aimed to propose fee adjustment model suitable for Korea reflecting health service volume and to clarify applicability of the model by comparing actual conversion factor with estimated conversion factor from simulation of this model. Methods: Fee adjustment model was developed based on Alberta's fee adjustment formula in Canada and 7 alternatives were assessed according to diversely applied parameters of the model. Results: Estimated conversion factors of the tertiary care hospital and the hospital were lower than actual conversion factors, since the utilization of heath service has been increased. However, there was no big difference between estimated conversion factors and actual conversion factors of the general hospital and the clinic. Eventually this fee adjustment model could estimate proper conversion factor reflecting health service volume. Conclusion: This model may be applicable to the mechanism as determining conversion factor between insurer and provider via negotiation and controling growth in health expenditures.

Use and Work Scope of Oral Health Assistance Personnel as Perceived by Dentists (일부 치과의사의 구강보건보조인력 활용과 업무에 관한 조사)

  • Park, So-Young;Won, Young-Soon;Kim, Jeong-Suk
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.1-12
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    • 2012
  • The objective of this study was to identify the current status of use and respective work scopes of dental hygienists and nursing assistants as perceived by dentists, thereby obtaining a model for how to efficiently use oral health assistance personnel. This study was based on a self-reported survey administered to a total of 126 dentists. The following findings were observed. Where competition among neighborhood clinics was relatively high, nursing assistants tended to be used as a resource to assist dental hygienists, whereas where it was relatively low, they were more likely to be considered to work as full substitutes for regular dental hygienists. Looking at the scopes of practice, dental hygienists were allowed to deal with matters of preventive care, oral health education, and health insurance claims. On the other hand, nursing assistants were allowed to be in charge of taking X-ray pictures from the outside and inside of mouth and keeping medical devices clean and safe. This study is expected to contribute to establishing more reasonable oral heath personnel structure design decisions.

A qualitative study on the case managers' experiences of implementing Assertive Community Treatment model in Korea (한국에서의 ACT(Assertive Community Treatment) 적용에 대한 사례관리자의 경험에 관한 연구)

  • Ha, kyung-hee
    • Korean Journal of Social Welfare Studies
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    • v.41 no.3
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    • pp.107-133
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    • 2010
  • The attention of case management currently has been highlighted and its importance has been highly emphasized in mental heath field. At this point, We conducted a qualitative study on the experience of case managers from the Suwon Community Mental Health Center where it has implemented the ACT model. Through the result of this study, we verified feasibility of ACT model into Korea. and it has shown that assertive service and team approach has been a critical ingredients of ACT and it extended case manager's ability and brought improvement in relationship between clients and them. the clients has brought a positive changes. However case managers have experienced the dilemma between experts initiatives and clients dependency, and they empathised the importance of the familism and mental health system in Korea. In order to implement ACT extensively, we suggested several implications.

A Study on the Measures for Managing the Quality of Curriculum of Early Childhood Education Department in College with the Application of CIPP Model Based on PDCA (PDCA기반 CIPP 모형을 적용한 전문대학 유아교육과 교육과정 질 관리 방안 연구)

  • Kim, Ok-Ju
    • Journal of the Korea Convergence Society
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    • v.10 no.1
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    • pp.215-226
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    • 2019
  • The objective of this study is to draw implications and also to design an evaluation model suitable for vocational education in college based on the literary consideration of the quality management of curriculum and the case analysis on the quality management of curriculum of early childhood education department in college, and then to seek for the measures for the systematic quality management of curriculum of early childhood education department applying the evaluation model. To the core of this study, as the evaluation measures for systematically approaching the quality management of curriculum in the aspect of department, this study presented a curriculum quality management model for early childhood education department of college which was mixed with CIPP model as a program evaluation model that has been a lot used for the evaluation of domestic/foreign curriculums in the evaluation(C) stage of PDCA with the use of PDCA procedure as a school administrative process, and then suggested the roles and quality culture of members. The results of this study could be used as the basic data for the quality management of curriculum of early childhood education department in college, desired by diverse institutions and projects for the institutional support in the future.

Study on the longevity mechanism of a company through analogy of human aging (인간 노화 유비를 통한 기업의 장수 메커니즘 연구)

  • Choi, Kyu-Jin;Lee, Kang-Sun;Cho, Dae-myeong
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.87-97
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    • 2020
  • This study summarized longevity factors of enterprises and presented longevity mechanism. By analogy of human aging and corporate longevity, the company's decline and longevity phenomenon were analyzed to derive corporate longevity mechanism, presented domestic and foreign longevity enterprises' cases study using above mechanism. The longevity mechanism first, as the human body restricts free radicals by dietary restrictions, companies also need continuous input efficiency. Second, as cognitive reserve by high thinking activities helps heath lifespan, companies can strengthen their profitability by continuous R&D. Third, as humans improve antioxidant functions by exercise, companies should develop risk management capabilities for environmental changes. This study can contribute to sustainable strategies for corporate managers, ultimately plan to suggest model of evaluation or diagnosis of corporate longevity.

Suggestion of Risk Assessment Models for Cardiovascular Disease in the Workplace

  • Choi, Eui Rak;Jeong, Byung Yong
    • Journal of the Ergonomics Society of Korea
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    • v.33 no.4
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    • pp.289-297
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    • 2014
  • Objective: The purpose of this study is to identify the incidence risk of cardiovascular disease (CVD) in the workplace, and to suggest the prediction models for level of CVD incidence risk. Background: CVD can be caused by various factors related to personal habits such as diet and exercise, or genetics. However it can also be caused and aggravated by work, making the elimination of such risk factors at work crucial disease (KOSHA, 2013). Method: The distribution of CVD risk assessment levels of 162 workers was compared with the acquired medical examination data to discuss the necessity of assigning additional risk factors. Two alternative risk assessment models were given to enhance the accuracy of the evaluation; adjusting risk scores given in the KOSHA GUIDE H-1-2013 (alternative 1) and building a matrix of KOSHA GUIDE H-1-2013 and risk assessment results based on work condition levels (alternative 2). To verify the suggested models, medical examination results of 12 workers approved of convalescence were referred to. Results: The second alternative showed more relevance between the results and workers approved of convalescence in predicting the risk group when applied to actual heath examination data from the approved workers. The power of description of the new method for determining the risk of CVD incidence, 83.3%, is higher than that of KOSHA GUIDE H-1-2013, 25%. Conclusion: Results of this study imply that more approved workers had been from unmanaged normal groups than managed risk groups, raising the importance of CVD management. Application: The new prediction model considering working time and shift work developed in this study is expected to be a fundamental data for risk analysis and management of CVD in the workplace.

A Study on the Practice Model for Practical Education for Health and Medical Information Management (보건의료정보관리 실습교육을 위한 실습모델 연구)

  • Choi, Joon-Young
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.83-93
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    • 2020
  • In this study, a practical model for health information management education using the EMR education system at universities for nurturing health care information managers was studied. Currently, there is no practical training course for health care information management in the standards for evaluation and certification of health care information management education introduced to strengthen the job competency of health care information managers. Accordingly, the program was constructed so that the practice program suggested as an educational environment in the Health and Medical Information Management Education Evaluation and Certification Manual can be practiced in the EMR education system. In addition, a practical model that can be performed according to the on-site practice guidelines for health and medical information management for each program was studied. Using the health care information management education EMR system, master data management, patient registration, doctor prescription, medical cost calculation, health insurance claim management, form management, discharge registration, cancer registration, unrecorded management, health care data management, health care statistics, A practice model was studied so that practice on information protection/security management can be performed. It will be possible to play a role as a health care information management expert by raising the quality level of health care information management education through systematic and standardized health care information management practice courses at universities. Accordingly, it is necessary to cultivate health care information management experts who develop and manage medical services based on medical data analysis through practical training of health care information managers.

A Study on the Health Information Management Practice Program Model for EMR Certification System Education -Focus on Patient Information Management- (EMR 인증제 교육을 위한 보건의료정보관리 실습 프로그램 모델 연구 -환자정보관리 중심-)

  • Choi, Joon-Young
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.1-9
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    • 2021
  • In this study, a model in which certification standards were added to the health information management practice program was studied and presented in order to understand the EMR certification standards implemented by the Korea Health and Medical Information Service. In the practice program, the certification standard function for patient information management was added to the health information management education system to practice and understand patient information management that corresponds to the functional standard of the EMR certification system. The EMR certification standard practice program for patient information management is composed of the following certification standards. registration number and personal information management, treatment reservation schedule management, personal information revision history management, identification of people with the same name, integrated management of multiple registration numbers, patient search by identification information, patient search by health care type, surgical procedure consent record and inquiry, record/inquiry of consent form for personal information use, display of life-sustaining medical decision information, registration/inquiry of external medical institution documents, registration and inquiry of external examination results. In this way, by operating and practicing the functions of the health information system according to the certification standards, it is possible to understand and practice the certification standards and details of patient information management in the functional area of the certification standards. In addition, since the function of the EMR certification standard can be checked, it will be possible to improve the management ability of the electronic medical record system of the health information manager in the medical institution.