• Title/Summary/Keyword: Journal of Health Service Management

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Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using '2010 Community Health Survey'- (보건기관 이용 현황 및 만족도와 관련 요인 -'2010지역사회건강조사' 자료를 이용하여-)

  • Kim, Hye-Sook;Park, Young-Hee
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.95-109
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    • 2013
  • The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.

A Review on Application of Internet Agent in Healthcare Service (의료서비스에서의 인터넷 에이전트 활용에 대한 고찰)

  • 김민철
    • Health Policy and Management
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    • v.11 no.4
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    • pp.21-37
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    • 2001
  • The purpose of this study is to examine internet agent of IT(Information Technology) in health care industry Since IT is essential for corporate strategy in service management, this section examines IT in health care service, especially from the view of 'Agent Technology' that has been recently issued. Intelligent agent is a new paradigm for developing software applications. More than this, agent-based computing has been hailed as 'the next significant break-through in software development' and 'the new revolution in software'. And health care service is a non-mechanic, human-based service. This paper reviewed what possible suggestions or advices can be made to the health care service. Since many health care services using internet have been attempted over the recent years, this study will hopefully be able to come up with good suggestions from many aspects. Thus, information inequality between producer(physician) and consumer(patient) in health care service will be decreased through the introduction of agent technology.

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Past, Present, and Future of Home Visiting Healthcare Services based on Public Health Centers in Korea (우리나라 방문건강관리사업의 과거, 현재와 미래)

  • Lee, Guna;Yang, Sook-Ja;Woo, Eunhyo
    • Journal of Korean Public Health Nursing
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    • v.32 no.1
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    • pp.5-18
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    • 2018
  • Purpose: We present improvements to the Korean home visiting healthcare service based on analysis of Korean home visiting healthcare services considering recent sociodemographic changes and demands for healthcare services. Methods: This is a review study in which the results are derived through a literature review and data analysis. We collected data through a search of electronic databases, Google Scholar, and governmental websites. Results: Changes in Korean home visiting healthcare services are classified into four stages: 'introduction (1990-2000)', 'pilot project (2003-2006)', 'nationwide expansion (2007-2012)', 'various types (2013-2018)'. Korean home visiting healthcare service based on public health centers has achieved outcomes such as improved health behavior and health management, increased health management ability, and establishment of comprehensive healthcare infrastructure. Conclusion: In the future, the demand for home visiting healthcare service will increase steadily because of deepening social polarization, rapid aging of the population, and increases in chronic diseases. To improve health management and health equity, we suggest that Korean home visiting healthcare service will expand to all the people as a core public health service. It is necessary to establish a management team for various types of home visiting healthcare service in the public health center.

Perception and Attitude toward Group Health Management and Service System for Small and Medium Industries in Inchon (인천지역 중소규모 사업장들의 보건관리대행제도에 대한 인식 및 태도)

  • Park, Chong-Yon;Roh, Jae-Hoon;Kim, Kyoo-Sang;Lee, Kyung-Jong;Moon, Young-Hahn
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.1 s.41
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    • pp.86-95
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    • 1993
  • To investigate perception and attitude toward Group Health Management and Service System for Small and Medium Industries, a survey using self-administered questionnaire was conducted to a part of industries in Inchon, at October 1992. Major dependent variables were perception, attitude, and practice related with Group Health Management and Service System; these variables were measured by 3-point Likert like scale consisted of 7, 5, and 5 items, respectively. Data were collected in 149 industries,72.7% out of 205. Perception nab slightly high, 1.25; attitude was some positive, 1.46; and practice was some passive,0.94. Major determinants of perception, attitude, and practice were sex and age of industry's health manager; perception influenced upon attitude, and perception and attitude had positive effect upon practice. To activate Group Health Management and Service System, it is necessary to develop education and promotion programs for industry's health managers of small and medium industries.

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The Effect of Service Qualities with University Hospitals in Daejeon on their Overall Service Satisfaction (대전지역 대학병원의 서비스 품질이 전반적인 병원 서비스 만족에 미치는 영향)

  • Suh, Jeong-Kyo;Jang, Seo-Kyeong
    • The Korean Journal of Health Service Management
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    • v.7 no.4
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    • pp.93-103
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    • 2013
  • The study investigated the major factors in regards to the effects of service qualities with university hospitals in Daejeon on their overall service satisfaction. In regards to service qualities, the hypothesis was verified through multiple regression analysis in terms of professionalism, kindness, credibility, and facilities/environment. As a result, all professionalism(0.462), kindness(0.142), credibility(0.258) and facilities/environment(0.184) showed positive effects on their overall service satisfaction level. In particular, professionalism showed the greatest effect by 0.462. As patients' and caretakers' desire to service quality becomes diversified, the analysis result is considered to help the future medical service management at university hospitals by analyzing the major factors which affect the service quality and by finding the methods to increase the service satisfaction.

Effectiveness of Community-based Case Management for Patients with Hypertension

  • Yun, Soon-Nyoung;Lee, In-Sook;Kim, Jin Hyun;Ko, Young
    • Research in Community and Public Health Nursing
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    • v.25 no.3
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    • pp.159-169
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    • 2014
  • Purpose: The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization. Methods: This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA. Results: All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group. Conclusion: This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.

Customer Relationship Management and Relationship Commitment in Dental Clinics (치과의 고객관계관리 활동과 고객의 관계몰입)

  • Won, Young-Soon;Kim, Ji-Hyun
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.39-48
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    • 2014
  • The purpose of this study was to examine customer relationship management service provided for customers of dental clinics and their relationship commitment in an effort to offer some information on customer relationship management by dental clinics. The subjects in this study were 206 adult residents in North Jeolla Province, on whom a self-administered survey was conducted. Customer relationship management service, satisfaction with customer relationship management service and relationship commitment were linked to one another, and the variables that affected relationship commitment were differentiated management and satisfaction with relationship management. Given the findings of the study, more research efforts should be directed into the customer relationship management of dental clinics to improve the effectiveness of it.

Development and Management of Database for School Health Improvement (학교보건 증진을 위한 데이터베이스의 개발 및 관리)

  • Choung Hye Myoung
    • Journal of Korean Public Health Nursing
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    • v.18 no.1
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    • pp.154-166
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    • 2004
  • The purpose of this study was to design and implementation of database for school health activity. This database system was designed stand-alone application for college school health center without a hospital affiliation and the database system was made of relational database management system, Microsoft access 2000 to be made GUI (Graphic user interface) type design and made up 7 tables: patients. symptoms. departments, income and outgo. medical cures. and medicine. The construction of this database system was patient management. code management. medicine management. and statistics management. The results of the database system were as follows; 1) This database system could be used for college school health center. 2) This database system could be made correct statistic data. 3) This database system could be managed income and outgo. 4) This database system could be changed for the better activity of community health service. 5) This database system could be simply attired administrative system. This database system will be used for students and employees to protect and promote health to measure for health level and quality of health service. In conclusion. this database system can be applied for unit health center to manage the college school health activity and advanced data management can be applied for health profession to do quality improvement. cost containment. management information system. and decision support system.

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U-Health Platform based Health Management Service Model using Context Information (유헬스 플랫폼 기반의 상황정보를 활용한 건강관리 서비스 모델)

  • Kim, Jae-Kwon;Kim, Jong-Hun;Park, Dong-Kyun;Lee, Young-Ho
    • Journal of Digital Convergence
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    • v.10 no.8
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    • pp.185-192
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    • 2012
  • Globally, U-health services have been increased according to the increase in interests on health managing and the development of information communication technology (ICT) based on increases in advanced ages and chronic disease. Exiting U-health services provide required services and health information monitoring only through counsels and that represent limitations in preventing and managing cardiovascular disease patients like chronic patients. In this paper, we propose of U-health platform based health management service model using context information. In our service model can provide health monitoring, diet, and exercise service using context information of clinical information and wether in U-health platform environment. Service to offer is the specialized service using external content provider of DB. in addition to, doctor can to provide advice information to patient using monitoring service. The proposed service model provides effective services using context information in U-health platform environments to customers and that will improve the health of chronic patients.

Relationship between Medical Service Experience and Subjective Health Awareness of Patents with Industrial Accident (산업재해 환자의 의료서비스 경험과 주관적 건강 인식과의 관계)

  • Choi, Ryoung;Hwang, Byung Deog
    • The Korean Journal of Health Service Management
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    • v.14 no.2
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    • pp.55-65
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    • 2020
  • Objectives: This study intends to analyze the relationship between medical service experience and subjective health awareness by using data from Panel Study of Worker's Compensation Insurance(PSWCI). Methods: Tte χ2-test was performed to investigate subjective health awareness and medical service experience relevance. Logistic analysis was performed to analyze the influencinge factors. Results: The subjective health awareness scored "bad" in"'lack treatment period" compared to "adequate treatment period" in medical service experience (OR = 2.603 [95% CI = 1.666-2.555]). Conclusions: To improve the subjective health awareness of patients with industrial accidents, the industrial accident compensation and medical care approval system should be improved, and long-term industrial accident insurance policies should be developed to accommodate direct and indirect medical services.