• Title/Summary/Keyword: High risk service

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Analysis of Service Factors in Relation to Disease and Treatment Stages of Cancer Patients (암환자의 질병단계와 진료단계의 상황변화에 따른 서비스요인에 관한 연구)

  • Youn, Inhee;Kim, Seungbaum
    • Korea Journal of Hospital Management
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    • v.17 no.4
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    • pp.133-166
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    • 2012
  • Hospitals tend to provide uniformed service to patients despite their various demands stemming from the severity of disease stages or the uncertainties in information of treatment stages. To identify service factors and provide effective contextually aware service models that patients demand depending on their evolving circumstances, the study conducted a survey on service quality based on importance and satisfaction of cancer patients. The study surveyed 286 patients and caregivers on importance and satisfaction through a questionnaire comprising of 17 questions at the outpatient clinic of cancer centers of university hospitals in 5 cities. Based on the risks of the disease and uncertainties in information of treatment stages, the cancer patients were grouped into diagnosis stage; low-risk treatment stage; high-risk treatment stage; stabilization stage. Depending on the patient's situation, the importance and satisfaction of service factors were ranked. These factors were categorized into 4 groups from a managerial perspective into 'keep it up area', 'focus here area', 'low priority area', 'overdone area'. This study provides an effective medical service model that can accommodate patients based on management areas of cancer patients.

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A Study on the Factors Affecting the User Resistance in Social Network Service (Social Network Service에서의 사용자 저항에 영향을 미치는 요인에 관한 연구)

  • Park, Eunkyung;Choi, Jeongil;Yeon, Jiyoung
    • Journal of Korean Society for Quality Management
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    • v.42 no.3
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    • pp.387-406
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    • 2014
  • Purpose: The widespread use of social network services (SNS) has caused users concern about the disclosure of their privacy or personal information. The purpose of this study is to analyze the factors of privacy concern and self presentation that affect the user resistance in the use of social network service. Methods: This study verifies the factors that affecting the user resistance in SNS. The research model suggested in this study is tested via a survey of 260 SNS users. SPSS and Smart PLS had been used to test the suggested hypotheses. Results: This study shows that privacy experience, privacy awareness, self esteem, and social desirability significantly influence perceived risk and that privacy awareness, self esteem, self efficacy, and perceived risk significantly influence perceived trust. It also verifies that perceived risk and perceived trust positively affect user resistance. Conclusion: This paper suggests that high awareness on privacy of SNS user encourages the SNS companies to consider the privacy protection mechanism for eliminating various factors that affecting the risk. This study also shows that the privacy calculus model applies to understanding the mechanism on resistance of SNS user.

A Multi-level Approach to Perceived Risks of Medical Tourism Service and Purchase Intention: An Empirical Study from Korea

  • KIM, Minsook
    • The Journal of Asian Finance, Economics and Business
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    • v.9 no.1
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    • pp.373-385
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    • 2022
  • Due to the lack of information, medical tourists are regarded to be at high risk. Prior medical tourism research has found that various types of perceived risks have a significant impact on medical tourists' purchase behavior. Even though medical tourism is predicted to increase, there is a lack of behavioral research to explain how perceived risks affect medical tourists' purchase behavior. In the context of Korean medical tourism, this study attempts to evaluate the effects of multi-level (macro, organizational, and personal) factors on medical tourists' perceived risks and purchase intentions. A conceptual model and hypotheses were built and empirically validated to investigate links between multi-level characteristics, perceived risks, and purchasing intentions. The data for this study was collected from Chinese tourists using a questionnaire. The impact of cognitive country image, affective country image, and medical service quality on fundamental risk is confirmed by statistical testing. Surprisingly, expectancy discrepancy risk is influenced only by cognitive country image and information search capabilities. Both fundamental and expectation discrepancy risks lower medical tourists' purchase intentions. The findings of this study show that a multi-level strategy is required to investigate the links between perceived risks and medical tourism purchasing intentions based on macro, organizational, and personal factors.

Exploration of Community Risk Factors for COVID-19 Incidence in Korea (코로나19 발생의 지역사회 위험요인 분석)

  • Sim, Boram;Park, Myung-Bae
    • Health Policy and Management
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    • v.32 no.1
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    • pp.45-52
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    • 2022
  • Background: There are regional variations in the incidence of coronavirus disease 2019 (COVID-19), which means that some regions are more exposed to the risk of COVID-19 than others. Therefore, this study aims to investigate regional variations in the incidence of COVID-19 in Korea and identify risk factors associated with the incidence of COVID-19 using community-level data. Methods: This study was conducted at the districts (si·gun·gu) level in Korea. Data of COVID-19 incidence by districts were collected from the official website of each province. Data was also obtained from the Korean Statistical Information Service and the Community Health Survey; socio-demographic factor, transmission pathway, healthcare resource, and factor in response to COVID-19. Community risk factors that drive the incidence of COVID-19 were selected using a least absolute shrinkage and selection operator regression. Results: As of June 2021, the incidence of COVID-19 differed by more than 80 times between districts. Among the candidate factors, sex ratio, population aged 20-29, local financial independence, population density, diabetes prevalence, and failure to comply with the quarantine rules were significantly associated with COVID-19 incidence. Conclusion: This study suggests setting COVID-19 quarantine policy and allocating resources, considering the community risk factors. Protecting vulnerable groups should be a high priority for these policies.

Nutritional Risk in Oncology Outpatients Receiving Chemotherapy (외래에서 항암화학요법을 받는 암환자들의 영양불량 위험도 연구)

  • Kim, Won-Gyoung;Park, Mi-Sun;Lee, Young-Hee;Heo, Dae-Seog
    • Korean Journal of Community Nutrition
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    • v.13 no.4
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    • pp.573-581
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    • 2008
  • Although it is well known that cancer patients suffer from malnutrition, there are few published studies on malnutrition in outpatients receiving chemotherapy in Korea. This study aimed to evaluate nutritional risk in oncology outpatients receiving chemotherapy and to show the baseline data to set up nutritional management programs for cancer patients. This is a retrospective observational analysis on 1,962 patients referred for nutritional education before or during chemotherapy at Seoul National University Hospital Cancer Center from January 2006 to May 2007. According to a malnutrition screening tool, the proportion of patients having malnutrition risk was 23.0%. In the case of upper gastrointestinal cancer, more than 50% of patients were assessed as being at the risk of malnutrition. They showed more than 7% weight loss compared to their usual body weight and poor oral intake; energy intake was less than 100% of Basal Energy Expenditure(BEE) and protein intake was less than or equal to 0.77 g/kg/d. However, only 6.3% of breast cancer patients had risk of malnutrition and their oral intake was better; energy intake was 121% of BEE, and protein intake was 0.90 g/kg/d. Outpatients receiving chemotherapy had different nutritional risk depending on their cancer site. Nutritional management program should be conducted differently, depending on the cancer site and upper gastrointestinal cancer patients at high risk of malnutrition should basically have nutritional assessment and intervention.

The Prevalence of Post-traumatic Stress Disorder Among Emergency Room Workers and Factors Contributing to Its Occurrence (응급실 근무자의 외상 후 스트레스장애 유병률 및 발생 기여 요인)

  • Ko, Dong-Ryul;Kim, Gun-Bae;Lee, Ji-Hwan
    • Quality Improvement in Health Care
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    • v.27 no.1
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    • pp.10-19
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    • 2021
  • Purpose: This study was designed to investigate that the prevalence of Post-traumatic stress disorder (PTSD) and occupational environmental factors that contribute to the developing of PTSD in workers who worked in emergency room in Korea. Methods: This study is a multicenter cross-sectional study that was conducted in three emergency rooms. Data was collected by self-response method through questionnaire. The Impact Event Scale-Revised was used to screen the high-risk group of PTSD. Univariate and multivariate regression analysis was used to identify the factors associated with the developing of high-risk group of PTSD. Results: Total 211 subjects responded to the questionnaire. Of these, 170 subjects experienced psychological trauma event (PTE) in the working environment. And 60 subjects classified as high risk group of PTSD, so a prevalence of high risk group for PTSD was 28.4%. Factors related to the high risk group of PTSD were the frequency of psychological trauma events experienced over the past 1 year and the high score of QIDS-SR16. Conclusion: The prevalence of high risk group for PTSD among emergency room workers in Korea is very high. This may adversely affect the safety of patients, so early screening and intervention are necessary.

Proposes the Total Management Model by using Directory Service and through the development HR Solution (Directory Service와 HR 솔루션 개발을 통한 IT 통합 관리 모델 제안)

  • Lee, Sung-jun;Kim, Min-Soo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2013.05a
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    • pp.684-689
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    • 2013
  • The reality is that many security and administrative issues with the expansion of the IT assets in accordance with the abrupt change in the business environment, most companies today are struggling. Information within an organization is a party through external hackers and viruses that are increasingly intelligent risk, and the risk of internal data spills occur through an unauthorized party and internal information in accordance with the co-operation of the outsourcing company and the employee wants to see a sense of security and due to the frequent project asset outflows the risk is increasing gradually. In this paper, in preparation for such a growing security risk management and the increasing of problems, proposes the Total Management Model by using Microsoft's Directory Service & HR Solution that is an integrated management model that can take low-cost, high-efficiency.

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Preliminary Evaluation of Subsurface Cavity and Road Cave-in Potentials Based on FWD Deflections (FWD 처짐량 기반 도로 공동 및 함몰 위험도 평가 기초 연구)

  • Kim, Tae-Woo;Yoon, Jin-Sung;Lee, Chang Min;Baek, Jongeun;Choi, Yeon-Woo
    • International Journal of Highway Engineering
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    • v.19 no.5
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    • pp.59-68
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    • 2017
  • PURPOSES : The objective of this study is to evaluate the potential risk level of road cave-ins due to subsurface cavities based on the deflection basin measured with falling weight deflectometer (FWD) tests. METHODS: Ground penetrating radar (GPR) tests were conducted to detect road cavities. Then FWD tests were conducted on 13 pavement test sections with and without a cavity. FWD deflections and a deflection ratio was used to evaluate the effect of geometry of the cavity and pavement for road cave-in potentials. RESULTS : FWD deflection of cavity sections measured at 60 cm or a closer offset distance to a loading center were 50% greater than more robust sections. The average deflection ratio of the cavity sections to robust sections were 1.78 for high risk level cavities, 1.51 for medium risk level cavities, and 1.16 for low risk level cavities. The relative remaining service life of pavement with a cavity evaluated with an surface curvature index (SCI) was 8.1% for the high level, 21.8% for the medium level, and 89.8% compared to pavement without a cavity. CONCLUSIONS : FWD tests can be applied to detect a subsurface cavity by comparing FWD deflections with and without a cavity measured at 60 cm or a closer offset distance to loading center. In addition, the relative remaining service life of cavity sections based on the SCI can used to evaluate road cave-in potentials.

Integration of care services and mental health intervention for older adults at high risk: the Specialized Service in the Individualized Support Service for older adults (고위험 노인돌봄과 정신건강 개입의 만남: 「노인맞춤돌봄서비스」 내 「특화서비스」)

  • Kim, Yujin
    • 한국노년학
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    • v.40 no.4
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    • pp.577-598
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    • 2020
  • As the socialization of care is progressing rapidly, the necessity of community-level mental health intervention for older adults with severe social isolation and depression is also increasing. In line with the reorganization of the Individualized Support Services for Older Adults in 2020, the social relations revitalization project for the elderly living alone, which had been conducted as a pilot project in 2014~19, was expanded and reorganized into a separate specialized project within the Individualized Support Services for Older Adults. The purpose of this study is to enhance understanding of the specialized service and to clarify its conceptual framework. The characteristics and conceptual framework of the specialized service were examined through a review of the process of institutionalization of the specialized service, which included analysis of related literature and the pilot projects. Finally, it discussed what to consider in order for the specialized service to proceed as intended in the future, focusing on a couple of situations that occur at the fields.

The Relationship between Job Stress and Psychosocial Stress in Telecommunication Service Workers (통신업 근로자의 직무스트레스와 사회심리적 스트레스의 관련성)

  • Park Yong Sung;Heo Won Jun;Jeong Byung Yong
    • Journal of the Korea Safety Management & Science
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    • v.7 no.3
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    • pp.73-84
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    • 2005
  • This study examined the associations between job stress and psychosocial stress in telecommunication service workers. In this survey, four hundred seventy workers and six variables(general characteristics, state of health, job characteristics, personality, psychosocial characteristics, and job stress) were used to measure worker's subjective satisfaction and status of stress. The results of this study indicated that 135 workers($28\%$) were classified into a high risk group to stress, 317 workers($67\%$) were into a potential risk group, and only 18 workers($6\%$) were into a healthy group. Also the results indicated that job stress outcomes related to job characteristics, personality, and psychosocial characteristics.