• Title/Summary/Keyword: Model utilization

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A Comparative Study on Medical Utilization between Urban and Rural Korea (도시 농촌간 의료이용 수준의 비교분석)

  • Joo, Kyung-Shik;Kim, Han-Joong;Lee, Sun-Hee;Min, Hye-Young
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.311-329
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    • 1996
  • This study was designed to compare the level of medical utilization between the urban and rural areas of Korea and to explain the differences between the two regions. Data from the National Health Interview Survey performed by the Korean Institute of Health & Social Affairs in 1992 were used for this study utilizing a sample size of 21,841 people. The level of medical utilization such as the number of physician visits and the number of hospital admissions was compared between the regions with ANOVA. Various determinants for medical use were also compared by univariate analysis. Statistical models which included enabling factors, predisposing factors, need factors and region were constructed for bivariate analysis in order to further elucidate the level of medical utilization. The results were as follows: 1. There was greater medical use, both in terms of physician visits and inpatient care in the rural areas in spite of insufficient health resources. The particular reasons for higher medical utilization in rural areas were attributed to a higher number of initial physician visits as well as a longer the length of stay per hospital admission. Therefore, indicators representing the degree of met need (utilization/need) showed no significant difference between rural and urban areas in spite of the fact that the medical need is larger in rural areas. 2. Use of public health facilities received a significant portion of physician visits in the rural area. The government's effort to enhance primary health care through health centers, health subcenters and the nurse practitioner's post in rural areas has contributed to the increase of access to medical care in the rural areas. 3. There were some differences in the socio-demographic characteristics between two regions ; There were more elderly people over the age of 65: unstable marital status, less education and lower incomes also characterized the rural areas. Therefore, among rural people, there were more predisposing factors for medical use. Additionaly, need factors such as poor self-reported health status and high morbidity level were also high in the rural area. 4. In contrast it was learned that, the supply of health resources was mostly concentrated in the urban areas except for public health facilities. Therefore, geographical access to medical care was lower in the rural area both in terms travel time and travel cost. 5. The coefficient of the region variable was insignificant in the regression model which controlled the supply factor only. However, utilization was significantly higher in urban areas if the model included predisposing factors and need factors in addition to the supply factor. The results were interpreted as rural people have greater medical needs.

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Analysis on Factors Influencing the Path to Use Information Technology in Public Organization (공공부문 구성원의 정보기술 사용경로와 영향요인 분석: 심리적 대응이론을 적용한 구조적 분석)

  • Lee, Cheoul-Joo
    • Information Systems Review
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    • v.12 no.2
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    • pp.47-74
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    • 2010
  • This study presents two dimensional views of IT-use behaviors. It examines public employee's IT-use behavior as manifested in two ways: acceptance on IT, utilization on IT. This study investigates levels of employee's the acceptance and utilization on IT in the Korean Central Government(ministry and agency) and analyses factors affecting public employee's the acceptance and utilization on task-related IT in the public sector. This study tries to examine the variables affecting the acceptance and utilization on IT; especially, the influences of such variables as leadership, task-related communication with people, task motivation, IT usability and ease of uses, task understanding in the context of Korean Central Government. Based on a questionnaire survey in Korean Central Government(8 ministries, 5 agencies) that have implemented Government Knowledge Management System(GKMS), 311 valid instruments were received and analyzed using various statistics and structural equation model(SEM). And this study will adopt try to delineate pre and intervening conditions for public employee's the acceptance and utilization. According to the results of interviews and SEM analysis suggests that the influence of task-understanding, organizational communication, IS usability were statistically significant in the acceptance and utilization on IT. And it is also hoped that the path-analytic model suggested in this study helps reveal the causal chains between the acceptance and the utilization. Especially, task-understanding proves to be important in encouraging public employee's the acceptance and utilization. This result illustrates why task-understanding people are the key to utilize the task-related IT in public organization.

Behavior-Structure-Evolution Evaluation Model(BSEM) for Open Source Software Service (공개소프트웨어 서비스 평가모델(BSEM)에 관한 개념적 연구)

  • Lee, Seung-Chang;Park, Hoon-Sung;Suh, Eung-Kyo
    • Journal of Distribution Science
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    • v.13 no.1
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    • pp.57-70
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    • 2015
  • Purpose - Open source software has high utilization in most of the server market. The utilization of open source software is a global trend. Particularly, Internet infrastructure and platform software open source software development has increased rapidly. Since 2003, the Korean government has published open source software promotion policies and a supply promotion policy. The dynamism of the open source software market, the lack of relevant expertise, and the market transformation due to reasons such as changes in the relevant technology occur slowly in relation to adoption. Therefore, this study proposes an assessment model of services provided in an open source software service company. In this study, the service level of open source software companies is classified into an enterprise-level assessment area, the service level assessment area, and service area. The assessment model is developed from an on-site driven evaluation index and proposed evaluation framework; the evaluation procedures and evaluation methods are used to achieve the research objective, involving an impartial evaluation model implemented after pilot testing and validation. Research Design, data, and methodology - This study adopted an iteration development model to accommodate various requirements, and presented and validated the assessment model to address the situation of the open source software service company. Phase 1 - Theoretical background and literature review Phase 2 - Research on an evaluation index based on the open source software service company Phase 3 - Index improvement through expert validation Phase 4 - Finalizing an evaluation model reflecting additional requirements Based on the open source software adoption case study and latest technology trends, we developed an open source software service concept definition and classification of public service activities for open source software service companies. We also presented open source software service company service level measures by developing a service level factor analysis assessment. The Behavior-Structure-Evolution Evaluation Model (BSEM) proposed in this study consisted of a rating methodology for calculating the level that can be granted through the assessment and evaluation of an enterprise-level data model. An open source software service company's service comprises the service area and service domain, while the technology acceptance model comprises the service area, technical domain, technical sub-domain, and open source software name. Finally, the evaluation index comprises the evaluation group, category, and items. Results - Utilization of an open source software service level evaluation model For the development of an open source software service level evaluation model, common service providers need to standardize the quality of the service, so that surveys and expert workshops performed in open source software service companies can establish the evaluation criteria according to their qualitative differences. Conclusion - Based on this evaluation model's systematic evaluation process and monitoring, an open source software service adoption company can acquire reliable information for open source software adoption. Inducing the growth of open source software service companies will facilitate the development of the open source software industry.

Market Segmentation of Patient-Utilization in Oriental Medical Care and Western Medical Care (양.한방 의료서비스 이용환자의 시장 세분화에 관한 연구)

  • 이선희;조희숙;최은영;최귀선;채유미
    • Health Policy and Management
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    • v.12 no.1
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    • pp.125-143
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    • 2002
  • The objectives of this study were analysis of patient\`s characteristics and market segmentation in oriental medical care and western medical care. This study focused on medical utilization using Anderson's health utilization model. The source of data was 1998 National Health and Nutrition Survey which Korean Institute For Health and Social Affairs carried out. A stratified multistage probability sampling design was used in this survey. The analysis was conducted using the statistical software package SPSS version 10.0 and Answer Tree 2.1 which is one of data mining methodology. The results were as follows ; 1) 44.9% of respondents reported visiting oriental medical center within recent two weeks. 3.4% of them used oriental medical care. The group of age, kind of disease and medical expenditure are associated with the difference western and oriental medical utilization rate. 2) There were several factors related to utilization of oriental medical care according to decision tree. Especially, important factors that patient chose his medical center were kinds of disease, kinds of common medical use, and expenditure. 3) in the results of CART analysis, market of oriental medical care were classified by seven categories. The major groups who have a preference for oriental medicine were those musculo-skeletal, cerebra-vascular disease, or chronic headache patients, and they had a preference fur oriental medical care in common use. These results show that oriental and western medical market were divided into various areas by market segmentation.

An Empirical Study on the Relationship among Social Capital, Knowledge Application, and Product Innovation Performance in Technology Cooperation Network (기술협력 네트워크에서의 사회적자본, 지식활용, 제품혁신성과의 관계에 대한 실증연구)

  • Kang, Seok-Min;Kim, Dae-Won
    • Knowledge Management Research
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    • v.15 no.4
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    • pp.207-221
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    • 2014
  • Due to the awareness for the importance of social capital, many researches have investigated that social capital contributes to the successful implementation of product innovation. Although most researchers tried to model the effect of social capital on product innovation as a linear relation, we consider it too simplistic and fuzzy because knowledge utilization which ultimately leads to product innovation should exist in the relationship between social capital and product innovation. Using 107 survey data, this study found there is a partial mediating effect of knowledge utilization on the link between structure aspect of social capital and product innovation (i.e., new product development and improvement in existing products). Next, this study reported knowledge utilization does act as a perfect mediating variable on the link between awareness aspect of social capital and improvement of existing products, but act as a partial mediating variable on the link between awareness aspect of social capital and new product development. Finally, this study found that knowledge utilization does not act as a mediating variable on the link between relation aspect of social capita and product innovation.

The Effect of Outpatient Cost Sharing on Health Care Utilization of the Elderly (노인의 외래본인부담제도에 따른 의료이용의 변화)

  • Kim, Myung-Hwa;Kwon, Soon-Man
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.6
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    • pp.496-504
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    • 2010
  • Objectives: The purpose of this study was to analyze the effect of outpatient cost-sharing on health care utilization by the elderly. Methods: The data in this analysis was the health insurance claims data between July 1999 and December 2008 (114 months). The study group was divided into two age groups, namely 60-64 years old and 65-69 years old. This study evaluated the impact of policy change on office visits, the office visits per person, and the percentage of the copayment-paid visits in total visits. Interrupted time series and segmented regression model were used for statistical analysis. Results: The results showed that outpatient cost-sharing decreased office visits, but it also decreased the percentage of copayment-paid visits, implying that the intensity of care increased. There was little difference in the results between the two age groups. But after the introduction of the coinsurance system for those patients under age 65, office visits and the percentage of copayment-paid visits decreased, and the 60-64 years old group had a larger decrease than the 65-69 years old group. Conclusions: This study evaluated the effects of outpatient cost-sharing on health care utilization by the aged. Cost sharing of the elderly had little effect on controlling health care utilization.

Impact of Level of Physical Activity on Healthcare Utilization among Korean Adults (성인의 신체활동 정도가 의료이용에 미치는 영향)

  • Kim, Ji-Yun;Park, Seung-Mi
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.199-206
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    • 2012
  • Purpose: This study was done to identify the impact of physical activity on healthcare utilization among Korean adults. Methods: Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the $X^2$-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare. Results: Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors. Conclusion: An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.

A Comparative Study of the Utilization Condition and Typical Characteristics after the Closed School in Japan (일본 폐교 이후 활용 현황과 유형적 특징 비교)

  • Sung, Lee-Yong
    • Journal of the Korean Institute of Educational Facilities
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    • v.27 no.3
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    • pp.25-31
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    • 2020
  • The reasons for studying the case of Japan are as follows. First, the increases in the aged population is similar to the case of Korea, and consumers are aging as the population ages. Second, the structure of industry in Japan is very similar to Korea, which describes the fact that the share of the manufacturing industry decreases but the service industry (e.g., medicine, finance, and insurance) increases. Third, Japan is considered as the best predictive model for forecasting the future of closed schools in Korea because the GNI gross income per capita is relatively close to the one of Korea among the several neighboring countries. The purpose of this study is to analyze the current extent of utilizing closed schools in Japan and, based on the analysis, to provide basic data on the use of closed schools in Korea in the future. The types of closed schools can be classified into education facilities, social welfare facilities, cultural facilities, public sports facilities, income growing facilities, and others. Based on the classification, the analyses of the characteristics of each type for the facilities are presented. and When the utilization status of closed schools in Japan is analyzed, 363 schools were utilized (51.4%) in 2003, means the lowest utilization rate of the target year, after that 4198 schools (70.6%) were utilized in 2015. The utilization ratio is steady increased.