• 제목/요약/키워드: Private medical institutions

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Convergence Study on the Reliability of Public and Private Medical Institutions in Rural Areas -Mainly 65 years old and older- (농촌지역의 분포되어있는 공공의료기관과 민간의료기관에 대한 신뢰도가 의료기관 선택에 미치는 융복합 연구 -65세이상 노인계층을 중심으로-)

  • Moon, Young
    • Journal of Convergence for Information Technology
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    • 제10권2호
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    • pp.154-159
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    • 2020
  • The purpose of this study is program development for efficient medical institution management and finding comprehensive measures to increase the credibility of medical institutions. For this purpose, a survey on medical service satisfaction was conducted for elderly people aged 65 or older living in four other areas. The results of the analysis were as follows: First, the survey participants had higher confidence in private medical institutions. Second, there was no relationship between the reliability of public and private medical institutions and the selection of medical institutions. Third, the environment of the survey subjects was related to the selection of medical institutions. The credibility of the surveyed public and private medical institutions affects the selection of medical institutions, and the economic power and understanding of the medical institutions also influence the selection of medical institutions.. Therefore, it is suggested that public medical institutions need to improve the satisfaction of medical services in the future, and management efficiency of public medical institutions in addition to private medical institutions is urgently needed.

Analysis of patient transfer status of private emergency ambulance services in Busan (부산 지역 민간 응급 이송업체의 환자 이송 현황 분석)

  • Han, Sung-Min;Park, Joung-Je;Lee, Jeong-Hyeok;Kook, Jong Won
    • The Korean Journal of Emergency Medical Services
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    • 제25권1호
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    • pp.147-158
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    • 2021
  • Purpose: This study was conducted as a direct investigation of the data in the dispatch logbooks and status of patient transportation provided by private emergency transport companies in Busan. Methods: This study was conducted using SPSS 23.0 version for a total of 1,000 processed records of private emergency ambulance services in Busan from September 23, 2017 to November 5, 2019. Results: First, 100% of the emergency patient transfers by private emergency ambulances were carried out between medical institutions; 76.4% of all transfer patients had emergency conditions, and 86.0% had serious diseases. Second, 59.3% of the emergency patients were located at distances less than 10 km and 43.2%, at more than 10 km from the medical institutions. Third, 63.5% of the passengers were accompanied by first-class emergency rescuers according to the severity of the condition. Fourth, 92.7% of the reasons for the selection of medical institutions were transferred to places where professional care was available, accounting for most of the reasons for the selection. Finally, the medical institutions were selected according to the severity of the patient's condition; 76.5% patients were transported to institutions with a large number of doctors, and 42.9% of those were transported to specialized care institutions. Conclusion: This study collected data from 1,000 dispatch records of private emergency transport companies in Busan; these records reflect the government's policies to improve the emergency patient transfer system. The current status of emergency patient transfer offered by private transport companies was analyzed. All of the emergency patient transfers were carried out between medical institutions, and 76% of the transferred patients had emergency conditions.

The Effect Analysis of Aging Preparation Between National and Private Medical Workers (국가 · 민간의료기관 근로자간의 노후준비 영향 분석)

  • Shim, Hyun-Jin;Lee, Il-Hyun;Rhee, Hyun-Sill
    • The Journal of the Korea Contents Association
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    • 제13권10호
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    • pp.365-374
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    • 2013
  • The purpose of this study is to find out the differences in between national and private medical institutions' perception towards aging, and to analyze how their different perceptions effect each of their later life preparation. A total of 783 questionnaires were distributed among national and private medical institution workers. Frequency analysis, t-test, hierarchical regression analysis was conducted from the collected data via SPSS 21.0. The results were the following. Firstly, there was a partial difference in their perception of aging, government policy satisfaction and later life preparation. National medical institutions were better than private medical institutions in all three terms. Also, perception of aging and government policy satisfaction were higher-than-average in both institutions, but in later life preparation, both scored lower-than-average. Secondly, the factors affecting preparation for aging were significantly different between these two institutions. Also, how each factors affected later life preparation was partially different. In conclusion, effects of factor was difference in aging preparation between national and private medical institutions workers. We need to provide as basic data for education and policy making for aging preparation.

Population-related factors affecting the regional distribution of medical institutions in Korea (지역별 요양기관의 분포에 영향을 미치는 인구관련 요인)

  • Lee, Sunkyoung;Cho, Eunseong;Yoon, Seok-Jun
    • Korea Journal of Hospital Management
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    • 제18권2호
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    • pp.15-32
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    • 2013
  • Few public health researchers have paid research attention to the location of medical institutions in Korea. Previous studies were published in geography journals, and relied on limited data in terms of geographic regions and the type of medical institutions. This study utilized nationwide data covering 8 types of medical institutions. We obtained data from Health Insurance Review and Assessment Service and National Population and Housing Census. The correlation coefficients of resident, daytime, university-graduate population, and the population of different age groups (fewer than 15, 15~64, 65 or more) were compared to understand their relative association with the location of medical institutions. Medical clinic, dental clinic, oriental medical clinic, and pharmacy, all of which are almost completely operated by private sector, showed strong positive correlation with population. Hospital-level medical institutions, which are operated by both public and private sector, had moderate positive correlation. Daytime population and university-graduate population, rather than resident population, were more correlated with the location of medical clinics. The correlation coefficients of the population of 15~64 age group and the location of medical institutions were greater than that of other age groups. The results showed that daytime and university-graduate population are more important than resident population to explain the location of medicalrelated facilities. The results also suggests that the population of age groups (especially, 15~64) might be one of important influence factors in the location of medical institutions.

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Issues on the Patient's Information Protection (환자 의료정보 보호의 문제)

  • Jeong, Bu-Gyun
    • The Korean Society of Law and Medicine
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    • 제9권2호
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    • pp.339-382
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    • 2008
  • Medical information is one of significant private information that includes in-dividual's own diverse information. Once opened, it exposes one's health condition and medical history to a third party, which could bring about serious troubles. On this account, the third parties are of much concerns about the information. If medical information collected through various routes is used with another purpose, oilier than the initial intention, it might cause serious results beyond one's control. Thus, it is essential to keep the information confidential. Also, the discrimination based on the medical information ought to be banned because it is likely to happen that exposed information socially stigmatizes a person, being discriminated in a work place or a school when he/she is employed or gets an insurance. In the current system, only medical institutions are responsible for protecting or securing medical records. Despite the information technology development and the increased interests in medical information, there are quite a few limitations in legal, technical, and administrative aspects. All kinds of organizations, involved in collecting and using the information, as well as medical institutions primarily producing and managing it should share the responsibilities.

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Changes in the characteristics of patients transferred to the emergency room through private institutions during inter-hospital transport after the COVID-19 outbreak : A retrospective study (COVID-19 발현 이후 병원간 이송 시 민간 이송업체를 통해 응급실로 전원된 환자들의 특성 변화 : 후향적 연구)

  • Kim, Seong-Ju;Ji, Jae-Gu;Jang, Yun-Deok;Lee, Si-Weon;Yu, Jae-Kwang;Kang, Ji-Hun
    • The Korean Journal of Emergency Medical Services
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    • 제25권1호
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    • pp.125-134
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    • 2021
  • Purpose: The purposes of this study were to determine the changes in the pattern of patients who were transferred to the emergency room through inter-hospital private institutions and to determine how long transport takes following the COVID-19 outbreak. Methods: This retrospective observational study analyzed the emergency medical services reports of private institutions following the COVID-19 outbreak in South Korea. The study was conducted in Busan between January 19, 2019 and January 18, 2020, and between January 19, 2020 and January 18, 2021. Results: Upon comparing the patient transport times during the "Pre-COVID-19 period" and "COVID-19 period," a significant delay was noticed in the preparation for transfer of patients during the "COVID-19 period" (p<.05). There were significantly more patients with respiratory infections and patients who complained of general symptoms during the "COVID-19 period." Moreover, there was a higher frequency of patients who were transferred to a 'Level I' emergency room during the "COVID-19 period" compared to during the "Pre-COVID-19 period" (p<.05). Conclusion: Following the COVID-19 outbreak, there is a delay in patient transport to the emergency room through private institution inter-hospital transport and an increase in the number of patients complaining of respiratory infection symptoms. Thus, emergency medical services need additional administrative and economic support to transport infected patients.

The Impacts of Private Health Insurance on Medical Institution Selection: Evidence from Outpatient Service Utilization among Arthritis Patients (민간의료보험이 의료기관 종별 선택에 미치는 영향: 관절염 환자의 외래 이용을 중심으로)

  • You, Chang Hoon;Kang, Sungwook;Choi, Ji Heon;Kwon, Young Dae
    • Korea Journal of Hospital Management
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    • 제22권2호
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    • pp.58-69
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    • 2017
  • Recently, with the increase in the number of private health insurance subscribers, interest in overuse of the medical service is increasing. This study analyzed the impacts of private health insurance (PHI) on medical institution selection in outpatient service utilization among persons with arthritis. In order to control patients' health status, we extracted outpatient episodes with the same disease (KCD6, M13) from Korea Health Panel. The unit of analysis was an outpatient visit with arthritis in 2014 (n=23,363). In the light of insurance coverage, we redefined three type of private health insurance (ex, indemnity, fixed benefit, and non-insured) as a test variable and two type of medical institution (ex, hospital and physician visit) as a dependent variable. We conducted a probit regression analysis to identify the impacts of PHI on medical institution selection controlling for heteroscedasticity. The results of this study showed that the insured with indemnity were more likely to choose hospital departments than clinics (marginal effect=0.0475, p=0.000). The impact of participation of fixed benefit PHI was not as clear as that of indemnity type (marginal effect=0.0162, p=0.047). In conclusion, this study confirmed that PHI, particularly indemnity type has a significant impact on the selection of medical institutions. Healthcare policy makers should consider that PHI not only affects the overall quantitative increase in healthcare utilization, but also influences the selection of medical institutions.

Affecting Factors on Financial Performance of Medical Institutions in Taegu Metropolitan and Kyungpook Province (의료기관의 재무성과에 영향을 미치는 요인)

  • Jang, Hyeon-Gi;Kam, Sin;Park, Jae-Yong;Park, Ki-Soo;Han, Chang-Hyun;Cha, Byung-Jun
    • Korea Journal of Hospital Management
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    • 제4권1호
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    • pp.147-170
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    • 1999
  • This study was performed to assess the financial performance of medical institutions and examine the affecting factors in Taegu metropolitan and Kyungpook province. The major results are as follows ; The liability to total assets was significantly different according to the ownership type of medical institution. It was the highest in the case of juridical person having a special status. The total assets turnover and value added to total assets were significantly different according to the type of medical institution, period of establishment, and ownership type of medical institution. They were higher in the tertiary medical institution, in private hospital and university hospital, and they were increased with establishment period of medical institution. The growth rate of patient revenues were significantly different according to the type of medical institution, period of establishment, and the growth rate of adjusted inpatient days were significantly different by period of establishment. The return on assets and net profit to gross revenues were the highest in private hospital. Private hospital went into the black, but other hospitals went into the red figures. According to the multiple regression analysis for the net profit to gross revenues, ownership type, period of establishment, and management strategy of medical institution were significant It was higher in private hospital and medical institution with prospector management strategy, and it was increased with establishment period of medical institution. In multiple logistic regression analysis for the status of financial performance in medical institution, period of establishment, management strategy of medical institution were significant It was better in medical institution with prospector management strategy and longer period of establishment.

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A Study on the Determinants of Intention to Take Herbal Medicine among Individuals with Experience in Korean Medicine (한방의료 경험자의 첩약 복용 의향의 결정요인에 관한 연구)

  • Jae-Woo Kim;Sung-Ho Kim;Jung-Kyu Kang
    • Journal of Society of Preventive Korean Medicine
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    • 제28권1호
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    • pp.59-67
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    • 2024
  • Objectives : This study aims to systematically examine the determinants of the intention to take herbal medicine among individuals with experience in Korean medicine. Methods : This study utilized the 3,245 respondents from the 2020 Korean Medicine Utilization and Herbal Medicine Consumption Survey who reported having used Korean medical services; the responses were selected through a complex sample analysis, and analytics techniques including frequency analysis, Rao-scott chisquare test, and logistic regression were used to analyze the responses. Results : The results of data analysis reveal that the intention to take herbal medicine in the future among these individuals was significantly influenced by factors such as enrollment in private health insurance, the facility environment of Korean medical institutions, and treatment outcomes. Conclusions : Therefore, it is imperative for Korean medical institutions to continuously try reasonable action strategies, including improving medical facilities/environments and building institutional mechanisms among medical staff and members to enhance the quality of Korean medical services. Additionally, the Ministry of Health and Welfare needs to make policy efforts to reduce patients' medical expenses, such as reducing the co-insurance rate in the pilot project of applying health insurance to herbal medicine.

Students' Satisfaction and University Reputation through Service Quality in Private Higher Educational Institutions in Bangladesh

  • ALAM, Mohammad Manjur;ALAUDDIN, Md.;SHARIF, Mohd Yasin;DOOTY, Evana Nusrat;AHSAN, Syed Md. Hasib;CHOWDHURY, Mustafa Manir
    • The Journal of Asian Finance, Economics and Business
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    • 제8권9호
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    • pp.91-100
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    • 2021
  • Educational institutions play a critical role in national development through the advancement of skilled human resources and intellectual society. The number of higher educational institutions (HEIs) is increasing significantly in Bangladesh. Students have a number of options from which to select their preferred educational institutions. Hence, HEIs should think about the quality of services they provide to students. The objective of this study is to measure students' satisfaction and university reputation through service quality (SQ) in a private higher educational institution (PriHEI) in Bangladesh. Primary data was collected from 270 students of International Islamic University Chittagong (IIUC), Bangladesh, through a simple random sampling technique. In this study, data was analyzed through descriptive statistics, correlation, measurement model using confirmatory factor analyses, and structural equation modeling (SEM). The results showed that transport services have indirect but medical and physical facilities have both direct and indirect significant effects on overall students' satisfaction. Further, the administrative services and research facilities have significant indirect effects on overall students' satisfaction. Finally, the results of structural equation modeling (SEM) confirm that the reputation of the university is directly associated with overall students' satisfaction.