• Asian Pacific Journal of Cancer Prevention
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• 제17권sup3호
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• pp.113-117
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• 2016

Quantile regression is an efficient method for predicting and estimating the relationship between explanatory variables and percentile points of the response distribution, particularly for extreme percentiles of the distribution. To study the relationship between urbanization and cancer morbidity, we here applied quantile regression. This cross-sectional study was conducted for 9 cancers in 345 cities in 2007 in Iran. Data were obtained from the Ministry of Health and Medical Education and the relationship between urbanization and cancer morbidity was investigated using quantile regression and least square regression. Fitting models were compared using AIC criteria. R (3.0.1) software and the Quantreg package were used for statistical analysis. With the quantile regression model all percentiles for breast, colorectal, prostate, lung and pancreas cancers demonstrated increasing incidence rate with urbanization. The maximum increase for breast cancer was in the 90th percentile (${\beta}$=0.13, p-value<0.001), for colorectal cancer was in the 75th percentile (${\beta}$=0.048, p-value<0.001), for prostate cancer the 95th percentile (${\beta}$=0.55, p-value<0.001), for lung cancer was in 95th percentile (${\beta}$=0.52, p-value=0.006), for pancreas cancer was in 10th percentile (${\beta}$=0.011, p-value<0.001). For gastric, esophageal and skin cancers, with increasing urbanization, the incidence rate was decreased. The maximum decrease for gastric cancer was in the 90th percentile(${\beta}$=0.003, p-value<0.001), for esophageal cancer the 95th (${\beta}$=0.04, p-value=0.4) and for skin cancer also the 95th (${\beta}$=0.145, p-value=0.071). The AIC showed that for upper percentiles, the fitting of quantile regression was better than least square regression. According to the results of this study, the significant impact of urbanization on cancer morbidity requirs more effort and planning by policymakers and administrators in order to reduce risk factors such as pollution in urban areas and ensure proper nutrition recommendations are made.

• 간호행정학회지
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• 제7권2호
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• pp.205-221
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• 2001

It will become more and more popular to use the long-term care facilities and home health care services with the chronic disease increasing. It depends on how much the consumers would pay and purchase the services. They might get more benefits from that kind of services than from ordinary hospitalization. So far, the study of determining the medical service price has focused most often on the efforts from the providers' view. But it must be reasonable to include the consumers' value for the service. This study was performed to assess WTP(Willingness to Pay) for home health care service in order to apply to the determination of nursing price in a reasonable manner. In this study, respondents were asked if they would pay for the service's intangible benefits under the four different types(open-ended minimum WTP, open-ended maximum WTP, bidding WTP, referendum WTP). The contingent valuation method is a potentially useful tool in understanding how people value the benefits of the service. As a result, average open-ended minimum WTP was W16,015 per day among 65 respondents. Average open-ended maximum WTP was W29,154 per day among 65 respondents. Average bidding WTP was W26,300 per day among 65 respondents. Average referendum WTP was W22,200 per day among 70 respondents. The results of regression analyses were also consistent with theoretical prediction, e.g., increasing WTP with consumers' value for the service, state of patients, and household income. This study demonstrated that it was more reasonable to consider the consumers' value in determining the services' price. In addition, a further study is needed to test the validity of this CV method and to determine a proper nursing price based on the consumers' view.

• 대한소아치과학회지
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• 제43권4호
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• pp.473-479
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• 2016

의료와 관련하여 디자인은 대표적으로 시각디자인(Visual Communication Design), 제품디자인(Product Design) 그리고 환경디자인(Environment Design)이 의료 환경을 미적으로 아름답고 편리하도록 지원하는 형태로 관계를 형성하고 발달해왔다. 그러나 근래 디자인에 있어서 전문성이 증대되고, 다양한 영역과 학문과 융합하여 세분화되고 전문화된 영역이 새롭게 생성되고 있다. 더불어 디자인은 기술의 발달로 인하여 다양한 산업, 학문, 서비스와 융합하여 새로운 형태의 모델을 만들며 끝임 없이 변화하고 있는 상황이다. 이러한 디자인의 변화와 발달의 상황을 인식하고 의료 서비스에 있어서 디자인 활용에 대한 연구를 진행하여, 전통적인 디자인의 영역에 한정적으로 활용되던 디자인에서 벗어나 새로운 가치를 창출할 수 있는 의료 서비스 디자인으로 발전해 나가는 연구를 제안한다.

• 한국치위생학회지
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• 제12권4호
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• pp.655-663
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• 2012

Objectives : This study was progressed a research with the aim of using it as basic data necessary for a plan in order to increase qualitatively medical level for patients who feel anxiety about dental treatment, and of offering basic data for improving the whole medical services by grasping conditions and satisfaction level with laser therapy in patients who visited dental clinic. Methods : The statistical analysis was carried out t-test and ANOVA by using SPSS(PASW statistics) 18.0. When there is statistically significant difference in analysis of variance, post-test was carried out by using Duncan multiple range test. Results : In therapy kinds of using laser, gingival treatment was the largest with 37.0%. It was the highest in likely seeming to be not painful with 32.9% as for a decisive factor, which came to receive laser therapy, and in having been enough to endure even if having been slightly tingling as for pain level. Conclusions : This study can be considered to have significance in changing recognition of medical cure by surveying patients satisfaction with using laser as a method for slightly solving elements of fear and anxiety about dental treatment and to have its value as basic data for seeking improvement plan for diverse medical services in the future.

• 한국응급구조학회지
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• 제25권1호
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• pp.73-84
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• 2021

Purpose: The purpose of this study was to investigate the educational satisfaction of trainees in implementing violence prevention education by workers in the emergency room and insufficient education. Methods: The participants of the study were 65 emergency room employees in S area. Results: First, education was helpful if you actively participated in education, and if you did not actively participate in education, education was shown to be of little or no help (χ²(p)= .000 p-value<.05). Second, formal education (53.3%) was identified as the problem of preventive education currently in place of education, and statistics show that the biggest problem with applying emergency room violence prevention education at worksites is a lack of active support (41.7%) from the police and hospitals. Third, 48.3 percent of the respondents thought that the education methods invited experts were appropriate for emergency room violence prevention education. Conclusion: The problem with the current emergency room violence prevention education is that it is necessary to establish a connection program between hospitals and police stations and give lectures by experts in violence prevention education to apply the contents of the educational curriculum in the workplace with one time and formal education.

• 한국병원경영학회지
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• 제22권3호
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• pp.46-60
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• 2017

The purpose of this study is to analyze the difference of productivity according to environmental factors among 25 Regional base public hospitals. Also this study is to propose a method to improve the productivity of Regional base public hospitals in the future by improving the public performance and stable management performance by studying the productivity variables affecting profitability. The survey period was based on the last three years, and 25 Regional base public hospitals were selected for the survey. The dependent variable is the total capital medical marginal profitability and the medical profit marginal profitability which are the indicators of profitability. The independent variable, productivity, is classified into three indicators: capital productivity, labor productivity, and value added productivity. The ANOVA analysis method was used to analyze the productivity difference according to the frequency factor and the environmental factors of the Regional base public hospitals. Finally, we conducted a hierarchical regression analysis to examine the productivity variables affecting profitability. The results of this study showed that there were differences in productivity due to environmental factors such as hospital size, competition in the local medical market, and differences in management performance. The difference in productivity and profitability depending on the environmental factors suggests that it is difficult for Regional base public hospitals in each regional base to perform a balanced public service. In order to overcome this, it is necessary to provide balanced medical services such as government financial support expansion, regional medical demand forecasting and facility infrastructure construction.

• 디지털융복합연구
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• 제13권5호
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• pp.111-118
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• 2015

컴퓨터에 전자적 형태로 저장된 의무기록인 EMR의 표준화에 대한 논의가 활발하다. 이는 EMR 표준화를 통해 의료 서비스의 향상을 기대할 수 있을 뿐만 아니라, 의료와 IT의 융합영역인 의료 빅데이터의 가치가 점차 높아지고 있기 때문이다. EMR 표준화와 관련한 주요 이슈 중 하나는 EMR 표준화의 필요성과 효과성을 이해관계자들에게 설득시키는 일이다. 연구자는 EMR 표준화에 대한 의사들의 인식을 기술 관점과 경제적 관점에서 살펴보고자 설문조사를 실시한 후 이에 대해 통계분석을 실시하였다. 실증분석 결과, EMR 시스템의 기능 품질과 경제적 가치는 EMR 표준화에 대한 유용성 인식과 수용 의도에 정(+)의 영향을 미치는 반면, 상호운용성은 유용성 인식에만 영향을 미치는 것으로 나타났다. 또한, 경제적 가치가 EMR 표준화 필요성에 대한 공감대 형성에 가장 중요한 변수로 확인되었다.

• 한국병원경영학회지
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• 제13권4호
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• pp.76-100
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• 2008

The purpose of this research is to identify causalities among service quality, service value, customer satisfaction and customer loyalty and to compare the causalities between in-patients and out-patients. A multi-group structural equation model was used to test the hypothesis of conceptual model. Empirical results indicate that two factors such as assurance and empathy have direct impact on service value and customer satisfaction in both the patients. In the results of multi-group comparison test, however, the path coefficients from service value to customer loyalty and from customer satisfaction to customer loyalty were different across the two groups. In out-patients, customer loyalty is more positively related with service value. In in-patients, customer loyalty is more positively related with customer satisfaction. It is proven that service quality influences customer loyalty. Therefore To compete successfully in today's volatile & competitive medical markets, the hospital needs to manage the service quality, considering the type of patients.

• 스마트미디어저널
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• 제9권4호
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• pp.81-90
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• 2020

최근 중국의 경제발전과 소득수준의 향상으로 과거에 비해 질 좋은 의료서비스에 대한 욕구가 높아지고 있다. 이러한 욕구를 충족시키기 위한 대안으로 스마트 폰을 활용한 다양한 애플리케이션이 개발되고 있다. 특히, 2019년 12월 발생한 COVID-19의 전 세계적인 확산으로 인하여 그 관심은 비대면 원격의료 서비스로 확대되고 있다. 본 연구에서는 중국 내 상위 3개의 모바일 의료 애플리케이션을 대상으로 총 200명을 대상으로 설문조사를 실시하였으며, 그 중 의료 애플리케이션을 실제로 사용해 본 120명의 데이터를 벤카테시(Venkatesh)의 UTAUT2 이론을 기반으로 사용자의 사용의도와 사용행위에 영향을 미치는 요인에 대한 연구를 실시하였다. 본 연구의 연구 결과는 다음과 같다. 첫째, 인터렉티브화 특성, 노력기대, 가격가치, 프라이버시 관심도, 습관, 촉진 조건이 사용자의 사용의도에 긍정적인 영향을 미치는 것으로 밝혀졌다. 둘째, 사용자의 사용의도가 사용행위에 영향을 미치는 것으로 조사되었으며, 습관과 촉진 조건은 사용의도와 사용행위에 모두 영향을 미치는 것으로 밝혀졌다. 셋째, 성별, 연령, 학령, 연간 수입 등의 조절변수가 사용자의 모바일 의료 애플리케이션 사용의도에 영향을 미치지 못한다는 연구결과를 도출했다. 마지막으로 인터넷 등을 사용하는 모바일 기기의 특성상 여러 보안에 취약점들이 존재하며 이로 인해 개인 또는 사회적으로 큰 피해나 파장을 불러올 수 있다. 따라서 중국의 모바일 의료 서비스 발전을 위해 차후 이러한 문제점 등을 보완 총체적이고 심층적인 고찰을 통해 연구모형의 재수립이 필요할 것이다.

• 보건행정학회지
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• 제33권2호
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• pp.203-213
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• 2023

This study examined the trend of healthcare status and compared the status of South Korea and other member of the Organization for Economic Cooperation and Development (OECD) using the OECD health statistics 2022. We used the OECD health statistics from 2022 and a position value for relative comparison (PARC) index to compare the five elements of the healthcare system. The study also used a Mann-Kendall test to analyze the trend of the PARC values from 2000 to the present year. The findings of the study indicate that many South Korea's PARC values were higher than the OECD median. But practicing physician in supply part and medical cost were lower than OECD median but the trend significantly increased. Medical accessibility part and quality of care part except primary care, and mental health had a high relative position but the trend did not increased significantly. After outbreak of coronavirus disease 2019, there were changes in medical accessibility. Health screening and vaccinations showed an overall decline in 2020 compared to 2019. These results suggest that policymakers need to take necessary steps for a sustainable healthcare system in the country.