• 간호행정학회지
• /
• 제16권4호
• /
• pp.409-418
• /
• 2010

Purpose: The purpose of this study was to compare the costs and benefits of home nursing care services between public health centers (PHC) and private hospitals. Method: Participants were 105 patients who had received home nursing care services from a private hospital or public health center. From a societal perspective, the researcher identified the costs and benefits of the services using performance data and calculated the net benefit and benefit/cost ratio. Result: The net benefit of the home nursing care service based in the PHC was 165.9 million won and benefit/cost ratio was 2.0, while the net benefit of the home nursing care services by the private hospital was 141.1 million won and benefit/cost ratio was 1.7. Both types of programs were economically validated. Conclusion: Home nursing care services were basically efficient as the results showed a positive net benefit. A cost-benefit analysis indicated that the PHC-based home nursing care services were more efficient than that of the private hospital. With limited human resources and management standards in public health centers, results suggest the need for a more systematic management of the home nursing care service to improve the health of this vulnerable community population.

• Nuclear Engineering and Technology
• /
• 제55권3호
• /
• pp.908-918
• /
• 2023

The Saudi National Atomic Energy project aims to adopt peaceful nuclear technologies and be part of the country's energy mix. As emerging nuclear energy, it is essential to understand public concerns and acceptability of nuclear energy, as well as the factors influencing acceptance to develop nuclear energy policy and implement nuclear energy programs. The purpose of this study is to analyze the public attitudes and acceptance of nuclear energy among Saudi Arabian citizens by utilizing protection motivation theory and theory of planned behavior. A total of 1,404 participants answered a questionnaire which was distribute by convenience sampling approach. A Structural Equation Modeling framework was constructed and analyzed to understand public behavior toward building the country's first Nuclear Power Plant (NPP). Before analyzing the data, the model was validated. The research concluded that the benefits of nuclear power plants were essential in determining people's acceptance of NPPs. Surprisingly, the effect of the perceived benefits was found higher than the effect of the perceived risks to the acceptance. Furthermore, the public's participation in this study revealed that the NPPs location has a significant impact on their acceptance. Based on the finding, several policy implementations were suggested. Finally, the study's model results would benefit scholars, government agencies, and the business sector in Saudi Arabia and worldwide.

• 한국병원경영학회지
• /
• 제28권3호
• /
• pp.39-46
• /
• 2023

Purpose: Korean medical services are not balanced across regions and social classes. To prevent mortality gaps, Korea must distribute its medical resources more efficiently. Patient factors affecting emergency room visits serve as basic data for determining best practices for public healthcare distribution. Methods: The data included 18 473 visits by 14 949 de-identified patients who visited a public emergency room over one year. The dependent variable was the number of emergency room visits. A Poisson regression was conducted with the independent variables, comprising sociodemographic, socioeconomic, and spatial accessibility factors and patient characteristics. Results: Older men with higher Korean Triage and Acuity Scale scores visited more frequently. Greater patient-hospital distance decreased visits; however, the presence of a hospital within 1 km of a patient's residence did not affect the number of visits. The use of 119 services was negatively correlated with the number of visits. Visits increased with more medical benefits. Conclusions: Patient age, distance to hospital, use of 119 services, and medical benefits should be considered when planning or managing public hospitals in Korea.

• Environmental Analysis Health and Toxicology
• /
• 제25권3호
• /
• pp.187-195
• /
• 2010

Nanotechnology is the fastest growing area in scientific research and it has important applications in a wide variety of fields. Nevertheless, consumers encountered this new technology without any identification of risks and benefits. Also until now, there are no specific safety evaluation methods for nanotechnology. For this reason, we studied risk communication strategy for nanotechnology to prepare its application in commercialized products on public. A survey was conducted to identify the differences in perception between public (N=110) and expert (N=37) toward applied nanotechnology in food, drugs and cosmetic products. The survey results were used to draw up a risk cognitive map which was introduced by Paul Slovic, and the perception level of public and expert on nanotechnology was evaluated. As a result of the survey, public recognized nanotechnology as "unknown but low dread" risk factor, but expert recognized it as "unknown and high dread" risk factor. These results indicate that there are perception differences between two groups. Several risk communication strategies are reported including care, consensus and risk communication. In the case of nanotechnology, it contains both risks and benefits. Considering the nature of nanotechnology, the "consensus communication" which informs consumers about risks and benefits of issues is the most appropriate strategy.

• Journal of Preventive Medicine and Public Health
• /
• 제13권1호
• /
• pp.47-51
• /
• 1980

This study attempts to assess the effect of the 1st class health insurance program to the income redistribution among the participants in a unit health insurance cooperative. One health insurance cooperative, located in Seoul, with 1558 members and 768 households was selected for this purpose. The relationships between amount of premium payed and benefits from the cooperative were compared. Necessary data were obtained from the bills submitted to the health insurance cooperative by the contracted medical institutions from 1st January 1977 to 30th June 1979. Households and individuals were the unit of the assessment. The indicators measuring income redistribution effect were the ratios between the benefit and expected benefit and the ratios between the benefit and the mean benefit. The major findings were: 1. The ratios between the benefits and the expected benefits were lower than 1 in the high income group and greater than 1 in the middle and lower income groups. This fact imply that the income redistribution effect was shown in the studied groups. It was shown that the middle income group received the greatest benefit, and then the lower income group. 2. The ratios between the benefit ana the mean benefit of the households in the higher standard income grade, were found to be higher. This means that the equity of the benefits of households were not achieved by the policy of the health insurance plan. 3. The health insurance utilization rates of the higher standard income group, measured by the household unit, were higher, and by the individual unit, the same rates of the middle income group were higher than other groups.

• Journal of Preventive Medicine and Public Health
• /
• 제33권4호
• /
• pp.484-494
• /
• 2000

Objective : To evaluate the relative benefits and the costs associated with the introduction of the new pharmaceutical provision called 'Mandatory Prescription System' which separates the role of physicians from that of pharmacists with respect to the prescription and dispensation of from the perspective of consumers (i.e., patients). Methods : The costs of the system were measured by considering both direct and indirect costs. Direct costs included additional payments for ambulatory care and dispensing fees that occurred under the new system. indirect costs consisted of transportation expenses and costs related to time spent for physician consultation, waiting for the prescriptions to be filled, and extra traveling. Benefits identified in this study were the reduction of drug misuse and overuse, and the overall decrease in drug consumption among the Korean population. Sensitivity analysis was peformed for the inclusion of benefits for outpatients of hospitals, price elasticity, and increased fees for established patients. Results : The net benefit was estimated to be about minus 1,862 billion won and the benefit-cost ratio was 0.478. This indicates that the costs of 'Mandatory Prescription' outweigh its benefits, relative to the previous system. The sensitivity analysis results for all the variables considered in this study consistently showed the benefit-cost ratio to be less than 1. Conclusion : The results of this study suggest that implementing Mandatory Prescription System in Korea might be inefficient from the consumer's perspective. The results of this study do not coincide with the results of previous studies, presumably because of the differences in study design and in which items of costs and benefits were considered.

• 정보관리학회지
• /
• 제24권1호
• /
• pp.187-208
• /
• 2007

본 연구는 공공도서관의 가치평가를 위한 새로운 접근방법을 모색하였다. 기존에 사용되던 가상가치평가법의 한계점을 지적하였으며, 아울러 이를 개선하기 위한 대안으로 Dissonance Minimizing(DM) 포맷을 적용한 가상가치평가법을 제시하였다. 가치평가의 도구로는 비용편익분석이 사용되었고 비용에는 서비스에 투입된 총 비용을, 편익에는 서비스에 대한 이용자의 지불의사금액 (willingness to pay)을 적용하였다. 그리고 사례분석을 통해 'J 공공도서관' 의 가치를 추정하여 DM 포맷이 공공도서관의 가치를 평가하는데 어떻게 사용되어지는지 보여주었다.

• 한국직업건강간호학회지
• /
• 제29권1호
• /
• pp.29-37
• /
• 2020

Purpose: The purpose of this study was to examine relationships between perceived exercise benefits/barriers, competence, depression, and wellness, and then to identify influencing factors on the wellness of traditional market traders. Methods: One hundred eight persons working in a traditional market participated in the study of questionnaire. Data were analyzed using t-test, ANOVA, and multiple regression. Results: The scores were 2.82±0.66 for "perceived exercise benefits", 1.84±0.42 for "perceived exercise barriers", 4.68±1.56 for "competence", 9.60±7.56 for "depression", and 3.64±0.64 for "wellness". Regression analysis to identify factors affecting the wellness of traditional market traders showed that "perceived exercise benefits" was the most significant factor (β=.32, p<.001), followed by "competence" (β=.04, p=.009) and "depression" (β=.17, p=.039). The explanatory power of these variables for wellness of traditional market traders was 53%. Conclusion: Our findings suggest that perceived exercise benefits, competence and depression are significantly related to traditional market trader's wellness. Therefore, wellness programs should be developed to reduce depression and improve perceived exercise benefits and competence.

• 한국콘텐츠학회논문지
• /
• 제21권6호
• /
• pp.237-247
• /
• 2021

본 연구의 목적은 사회보장급여가 빈곤완화 효과성과 효율성에 미치는 영향을 분석하는 것이다. 이를 위하여 2019 가계금융복지조사를 활용하여 공적연금, 기초연금, 양육수당, 장애수당, 기초생활보장지원금, 근로장려금, 기타 정부보조금 등 7개 급여의 빈곤완화 효과성과 효율성을 분석하였다. 분석결과, 첫째 빈곤율 감소측면에서 사회보장급여는 전체가구의 빈곤율을 6.8%p 낮추었고, 빈곤율 감소에 가장 크게 기여하는 급여는 공적연금으로써 이는 특히 남성노인에게서 명확하다. 둘째, 빈곤강도 감소 측면에서 노인세대 남성가구에게는 공적연금이, 노인세대 여성가구주에게는 기초연금이, 근로세대 여성가구주에게는 기초보장이 가장 크게 기여하고 있었다. 마지막으로 빈곤완화 효율성 측면에서, 사회보장급여 중에서 약 33% 정도가 빈곤격차를 줄이는데 기여하는데, 여성가구주의 빈곤완화 효율성은 57.6%, 남성가구주는 24.3%로써, 사회보장급여가 여성가구주에게는 빈곤격차 완화 기능을, 남성가구주에게는 가구소득 보충 기능을 주로 하는 것이 발견되었다. 이러한 결과를 바탕으로 본 연구는 사회보장 급여 효과성의 다각적 검토, 빈곤완화 효과성과 효율성을 동시에 높이는 전략으로써 다양한 빈곤상태 발굴, 여성노인을 대상으로 한 기초보장 확대, 사회보장급여의 목적과 핵심 대상과의 연결 등을 제안하였다.

• 대한예방의학회:학술대회논문집
• /
• 대한예방의학회 1999년도 제51차 추계 학술대회 연제집
• /
• pp.51-52
• /
• 1999