• 보건행정학회지
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• 제26권1호
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• pp.63-70
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• 2016

Background: Selective health benefit was introduced for decreasing economic burden of patients. Medical devices with economic uncertainty have been covered as selective health benefit by National Health Insurance since December 2013. We aimed to analyze impact of selective health benefit to medical expenditure and provider behavior focused on electrosurgery (ultrasonic shears, electrothermal bipolar vessel sealers) for gastric cancer patients covered since December 2014. Methods: We used the National Health Insurance claims data of 2,698 patients underwent gastric cancer surgery between August 2014 and March 2015. Medical cost and patient sharing per inpatient day were analyzed to verify that covering electrosurgery increased medical expenditure and changed provider behavior from open surgery to endoscopic or laparoscopic surgery. Additionally, we analyzed the claim rate of medical device or goods relating gastric endoscopic and laparoscopic surgery. Results: Medical cost and patient sharing per inpatient day were increased after covering electosurgery as selective health benefit (39,724/1,421 won). However, there were no medical expenditure increases after adjusting claim of electosurgery and patient sharing was decreased 1,057 won especially. The coverage of selective health benefit did not increase the claim rate of medical device or goods related endoscopic or laparoscopic surgery, either. Conclusion: Covering electosurgery decreased patient economic burden and did not change of provider behavior. Expanding selective health benefit is needed to decrease economic burden of severe patients. Further study should evaluate the long term effect with accumulated data.

• 한국콘텐츠학회논문지
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• 제20권11호
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• pp.204-215
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• 2020

본 연구는 결합상품시장의 경쟁구조를 파악하기 위하여 2017년부터 2019년까지 매해 방송통신 결합상품 이용자를 대상으로 온라인 설문을 시행하여 확보한 데이터에 기반하여 결합상품의 세부 상품유형 및 사업자간 비교를 중심으로 결합상품 이용행태를 심층 분석하여 3년간의 주요 변화 및 시사점을 도출하였다. 본 연구의 주요 결과 및 시사점은 다음과 같다. 첫째, 이동통신 서비스는 결합상품 사업자 선택시 영향을 미치는 주상품으로 그 중요성이 점점 증대되면서 이동통신 1위 사업자의 영향력이 결합시장에서 확대되고 있다. 둘째, 주상품으로서의 IPTV의 영향력이 점점 증가하면서 사업자에 따라서는 초고속인터넷보다 높게 나타나기도 한다. 셋째, 사업자 선택에 영향을 주는 개별 서비스가 SK군은 이동전화, KT는 초고속인터넷, LGU+는 IPTV로 통신 3사별로 명확하게 차별화되는 특성을 보인다. 또한 결합상품 사업자 선택시 영향을 미쳤던 주상품과 향후 사업자 전환시 사업자별 선호요인이 동조화됨에 따라 가입자 확보에 있어 개별상품이 갖는 시장에서의 영향력이 점점 증대되고 있다. 마지막으로 결합상품 이용자의 전환의향이 3년간의 추이로는 고착화를 단정하긴 어려우나 재약정 등을 통해 장기 이용 고객이 증가하고 있어 이용자 고착화에 대해서는 지속적인 모니터링이 필요하다. 이러한 연구는 경쟁상황평가가 이뤄지지 않고 있는 결합상품시장의 경쟁구조 및 소비자 이용행태 변화 파악을 통한 정책적 시사점을 발굴하는데에 기여할 수 있다.

• 성인간호학회지
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• 제23권6호
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• pp.554-563
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• 2011

Purpose: The purpose of this study was to investigate factors associated with drug misuse behaviors among polypharmacy elderly. Methods: This was a cross-sectional survey. Participants consisted of 116 polypharmacy elderly who were taking 5 or more medications each day. Data were collected via face to face interviews. Data were analyzed using the PASW 18.0 program. Data concerning predisposing factor (knowledge, benefit), enabling factor (communication with health care provider), and need factor (perceived health status, number of disease) were collected. Results: The total mean score of drug misuse behaviors among polypharmacy elderly was 3.04 out of 10 points. Communication with health care provider, perceived health status, and knowledge were found to be significantly correlated with drug misuse behaviors. In stepwise multiple regression analysis, a total of 42% of the variance in drug misuse behaviors was accounted for communication with health care provider, perceived health status, and knowledge. Conclusion: Therefore, education program for improving communication with health care provider, and knowledge should be designed and provided for polypharmacy elderly.

• 보건행정학회지
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• 제11권3호
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• pp.121-150
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• 2001

This study was conducted to investigate provider's behavior change after releasing the information on the Cesarean section rate. Claims data filed at the National Health Insurance Corporation was used for this analysis and the focus of this study was the change of cesarean rate after the public disclosure of information. Average rates of the year 1999 and 2000 were compared, on the institutional basis, and range and coefficient of variation were estimated. For the last decade, Cesarean section rate has been increased dramatically. Clinical or demographic factors could not adequately explain the increase. Instead, nonclinical factors, such as financial incentive, physician's convenience, practice characteristics, etc., were more significant in explaining the increasing rate. Providers' behavior was significantly affected by the public release of information: after the release, average rate was decreased by 10.2%, and variations were also decreased. In particular, the extent of decrease was explained mainly by nonclinical factor rather than clinical ones. The results suggest that disseminating practice information to providers and consumers could contribute to reducing unnecessary medical service.

• 한국컴퓨터정보학회논문지
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• 제22권3호
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• pp.53-60
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• 2017

The purpose of this study is to provide empirical and quantitative analysis on user's perceived privacy, security, and user satisfaction when providing visualization information about objects and service provider behaviors that users can not perceive in internet service process. Through previous research, we have examined the importance of privacy and security factors as a key factor to be considered for the characteristics of the Internet of things and the Internet of things. In addition, service blueprint, which is one of the service design methodologies to examine the flow of service usage in providing Internet service of things, was examined. In the flow of things internet service utilization, it is found that the things that are out of the user's cognitive area and the behavior of the service provider take up a large part. Therefore, the hypothesis that the trust of the Internet service security and the satisfaction of the user experience can be improved by providing the security visualization information about the behavior of the object and the invisible service provider in the non-contact aspect of the user and the object. In order to verify the hypothesis, we conducted experiments and questionnaires on the use of virtual objects' internet environment and conducted statistical analysis based on them. As a result, it was analyzed that visual information feedback on non - contact and invisible objects and service provider's behaviors had a positive effect on user's perceived privacy, security, and satisfaction. In addition, we conclude that it can be used as a service design evaluation tool to eliminate psychological anxiety about security and to improve satisfaction in internet service design. We hope that this research will be a great help for the research on application method of service design method in Internet environment of objects.

• 경영정보학연구
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• 제19권4호
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• pp.183-209
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• 2017

정보기술이 발전함에 따라 소비자들은 혁신적인 새로운 서비스로의 전환을 보다 빈번하게 고려하게 되었다. 이에 따라 기업에게도 고객의 서비스 전환 행동은 주요 과제 중 하나가 되었다. 이러한 요구에 부응하기 위해 학계에서도 고객의 서비스 전환 행동과 관련한 다양한 연구들이 진행되어 왔다. 그럼에도 불구하고, 쾌락적 서비스(hedonic service)에 대한 고객의 전환 행동을 단계적으로 파악한 연구는 거의 이루어지지 않고 있다. 본 연구는 범이론적 모형(TTM: transtheoretical model)을 기반으로 서비스 전환 행동의 단계를 파악하고, 서비스 제공자 전환 모형(SPSM: service provider switching model)을 기반으로 전환 행동 단계별로 서비스 전환에 영향을 미치는 요인이 어떻게 변화하는지를 파악하고자 한다. 이를 위해 숙박공유경제 서비스에 대한 고객의 전환 행동과 관련한 가설을 제시하고 이를 실증적으로 분석하였다. 분석 결과 서비스 전환 행동 단계에 따라 서비스 전환 행동에 영향을 미치는 요인이 달라짐을 파악하였다. 본 연구는 서비스 전환 행동과 영향 요인이 단계별로 차이가 있음을 밝힘으로써 고객 유지 및 이탈 방지를 위한 가이드라인을 제시할 수 있을 것이다. 또한 고객 유지 역량을 증대시킴으로써 기업성과를 향상시키고자 하는 경영자들에게 실질적인 도움을 줄 수 있을 것이다.

• 한국비블리아학회지
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• 제27권1호
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• pp.291-312
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• 2016

본 연구의 목적은 대학도서관에서 이용자의 연구를 지원하는 정보서비스를 활성화하기 위하여 이용자 특성과 요구에 기반 한 정보서비스 개발에 도움이 될 수 있는 기초자료를 제시하는데 있다. 본 연구는 탐험적인 연구로써 실제 이용자를 대상으로 정보서비스 전 과정을 조사 분석하였다. 이용자와 정보제공자 사이의 면담과정과 정보서비스에 대한 정보제공자의 관점에 의하면, 이용자 정보 및 주제 분석, 효과적인 면담방법, 커뮤니케이션 기술, 정보제공자의 정보서비스에 대한 인식 및 핵심능력이 효과적인 정보서비스의 중요한 요소임을 나타내었다.

• 보건행정학회지
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• 제16권2호
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• pp.49-76
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• 2006

The aim of this study was to explore the effects of a computerized review program which was introduced in August 1, 2003, using claims data for acute respiratory infection related diseases. National Health Insurance (NHI) claims data on respiratory infection related diseases before and after the introduction, with six month intervals respectively, were used for the analysis. Clinic was the unit of observation, and clinics with only one physician whose specialty was internal medicine, pediatrics, otorhinolaryngology and family medicine and clinics with a general practitioner were selected. The final sample had 7,637 clinics in total. Indices used to measure practice pattern was prescription rates of antibiotics, prescription rates of injection drug per visit, treatment costs per claim, and total costs per claim. Changes in the number of claims for major disease categories and upcoding index for disease categories were used to measure claiming behavior. Data were analysed using descriptive analysis, t-test for indices changes before and after the introduction, analysis of variance (ANOVA) for practice pattern change for major disease categories, and multiple regression analysis to identify whether new system influenced on provider' practice patterns or not. Prescription of antibiotics, prescription rates of injection drug, treatment costs per claim, and total costs per claim decreased significantly. Results from multiple regression analysis showed that a computerized review system had effects on all the indices measuring behavior. Introduction of the new system had the spillover effects on the provider's behavior in the related disease categories in addition to the effects in the target diseases, but the magnitude of the effects were bigger among the target diseases. Rates of claims for computerized review over total claims for respiratory diseases significantly decreased after the introduction of a computerized review system and rates of claims for non target diseases increased, which was also statistically significant. Distribution of the number of claims by disease categories after the introduction of a computerized review system changed so as to increase the costs per claims. Analysis of upcoding index showed index for 'other acute lower respiratory infection (J20-22)', which was included in the review target, decreased and 'otitis media (H65, H66)', which was not included in the review target, increase. Factors affecting provider's practice patterns should be taken into consideration when policies on claims review method and behavior changes. It is critical to include strategies to decrease the variations among providers.

• 유통과학연구
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• 제14권4호
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• pp.81-92
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• 2016

Purpose - In recent years, management scholars have expressed growing interest in the concept of person-Job fit because of having many benefits for employees' attitudes and behaviors. The related research is needed to determine what specific types of fit are related to each other, and to get important individual outcomes. Person-job fit of employees in service organization plays an important role in company as well as person in service industry. Person-job fit, representing the consistency between person (service provider) and job (service provided to the customers), gives significant and positive effects on the attitude and behavior of service provider. On the basis of the study background, the purpose of this study is as follows. First, we would like to examine the effects of person-job fit of service provider on their emotional intelligence. Emotional intelligence is divided into four sub-factors such as self-understanding, understanding others, emotional utilization, and emotional regulation. Second, we would like to identify the relationships between job satisfaction and sub-factors such as self-understanding, understanding others, emotional utilization, and emotional regulation. Research design, data, and methodology - We performed structural equation model using Spss 18.0 and Amos 20.0 in order to verify the hypotheses. Subjects were golf service assistants who were high-touching service with high degree in interaction and long contact time with customers. 178 out of the total 200 surveys were used in evaluation from helpers of golf service working as full-time service provider after selecting two locations of golf course located near Busan. From the evaluation of reliability and validity with variables used in this research, they satisfied and confirmed certain standard. Results - The results are as follows. First, as the results of identifying the relationships between person-job fit and emotional intelligence of service provider, person-job fit did not have positive and significant effect on self-understanding. On the other hand, it affected positively and significantly other factors in emotional intelligence such as emotion to others, emotional utilization, and emotional regulation. Second, as the results of identifying the relationship between emotional intelligence and job satisfaction, sub-factors in emotional intelligence such as emotion to others, emotional utilization, and emotional regulation except self-emotion affected significantly and positively job satisfaction. However, self-emotion did not have significant and positive effects on job satisfaction. Conclusion - These results will be valuable and used for service providers. In addition, many service providers will recognize that person-job fit is very important to get a job. This research has a purpose on the assumption that appropriateness between individual and task in service industry shall act as major influence in emotional intelligence of service provider. Recognitive ability of service provider is also very important per characteristics of service, but emotional intelligence that interacts and connected directly with most customers can be a very meaningful factor as well. Emotional intelligence allows people to recognize, understand, and empathize the emotion of customers shall be a positive reinforcement for customers to evaluate the service ultimately.

• 보건행정학회지
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• 제28권2호
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• pp.138-144
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• 2018

Background: Diagnostic imaging fee had been reduced in May 2011, but it was recovered after 6 months because of strong opposition of medical providers. This study aimed to analyze the behavior of medical providers according to fee changes. Methods: The National Health Insurance claims data between November 2010 and December 2012 were used. The number of exams per computed tomography was analyzed to verify that the fee changes increased or decreased the number of exams. Multivariate regression model were applied. Results: The monthly number of exams increased by 92.5% after fee reduction, so the diagnostic imaging spending were remained before it. But medical provider decreased the number of exams after fee return. After adjusting characteristic of hospitals, fee reduction increased the monthly number of exams by 48.0% in a regression model. Regardless type of hospitals and severity of disease, the monthly number of exams increased during period of fee reduction. The number of exams in large-scaled hospitals (tertiary and general hospital) were increased more than those of small-scaled hospitals. Conclusion: Fee-reduction increased unnecessary diagnostic exams under the fee-for-service system. It is needed to define appropriate exam and change reimbursement system on the basis of guideline.