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An Analysis of Family Structure on Children's Medical Utilization (가족구조에 따른 미성년 자녀의 의료이용 분석)

  • Kim, Jung Wook;Choi, Jae Sung
    • Korean Journal of Social Welfare
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    • v.68 no.3
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    • pp.5-27
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    • 2016
  • In this study, we examine differences in the children's medical utilization by family structure with a focus on single-mother and single-father families using data from the Korean Health Panel Survey, years 2008~2012. We also investigate whether the cause of transition into a single-parent household, whether coresidence with children's grandparents, and number of siblings are associated with children's use of ambulatory visits. The main findings of this study are as follows. First, children who grew up in single-father households had fewer ambulatory visits compared to those living with both parents after controlling for children's demographic characteristics and family backgrounds. Second, coresidence with grandparents was not associated with children's medical utilization. However, number of siblings was significantly and negatively correlated with the use of ambulatory visits. Third, children living with a divorced father had fewer medical utilization compared to those living with a widowed father, and coresidence with grandparents was positively associated with children's use of ambulatory visits. Our findings suggest that tailored policy supports would be more fruitful based on characteristics of single-parent households such as gender of parents, and the supports should also pay more attention to health care needs and medical utilization of children.

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Analysis of Factors Affecting Profitability of General Hospital in Kyung-in Region (경인지역 종합병원의 수익성 관련요인 분석)

  • Kim, Young-Hoon
    • Korea Journal of Hospital Management
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    • v.4 no.1
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    • pp.41-65
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    • 1999
  • This study was attempted to identify the factors affecting profitability of general hospital in Kyung-In Region. Operating profit to gross revenues and net profit to gross revenues were used as a proxy indicator for profitability of hospitals. The unit of analysis was hospital, and the data were collected 5 years data from 20 hospitals. The major findings are as follows; (1) The average operating profit rate was 1.03% and the net profit rate was -5.00% in twenty hospitals in the Kyung-In Region for the last five years. In terms of maximum surplus, the operating profit rate was 14% and net profit rate was 3.40%. In terms of maximum loss revenue, the operating profit rate was -16.56% and the net profit rate was -22.83%. (2) Since the year 1993, which was the starting year of this study, the operating profits and the net profits consistently decreased. (3) Analyzing the difference in profits among various hospital groups, the tertiary hospital group and the 501-1000 beds group exhibited the highest in operating profit rate. Also, among the higher grade number of beds in hospital group, per 100 beds group, the 41-50 beds group exhibited the highest in operating profit rate. There is a statistically significant difference in those groups(p<0.05, p<0.01). (4) In the health care delivery system, the profit gain in the secondary hospital was 51.5% and in the tertiary hospital was 72.4%. Based on the number of beds in each hospital group, the highest profit gain was 75.0% in the over 1001 beds group, and 71.4% in the 501-1000 beds group. Also, among the higher grade number of beds in hospital group, per 100 beds group, the 41-50 beds group exhibited 88.6% surplus. (5) According to the surplus difference based on the analysis of health care utilization, a group with over 31 patients in bed turnover rate, a group with over 96% in bed occupancy rate and group with over 9% in emergency cases to outpatient visits exhibited the highest profit gains. In addition, a group with over 301 patients in daily outpatient visits per 100 beds and group with 11-12 days average length of stay exhibited the highest profit gains. These results are statistically significant(p<0.05, p<0.01). (6) According to a stepwise regression analysis, the variables measuring the bed turnover rate, number of licensed beds, and number of outpatient visits per specialist explain 34.1% of the variation in operating profits. In terms of net profits, the new outpatient visits, the bed turnover rates and the number of general bed variables explain 30.6%. These results are statistically significant(p<0.01).

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The Direction of Neurosurgery to Overcome the Living with COVID-19 Era : The Possibility of Telemedicine in Neurosurgery

  • Min Ho Lee;Seu-Ryang Jang;Tae-Kyu Lee
    • Journal of Korean Neurosurgical Society
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    • v.66 no.5
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    • pp.573-581
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    • 2023
  • Objective : Due to the implementation of vaccinations and the development of therapeutic agents, the coronavirus disease 2019 (COVID-19) pandemic that started at the end of 2019 has entered a new phase. As a result, neurosurgeons should reconsider the way they treat their patients. As the COVID-19 situation prolongs, the change in neurosurgical emergency patients according to the number of confirmed cases is no longer clear. Outpatient treatment by telephone was permitted according to government policy. In addition, visits to caregivers in the intensive care unit were limited. Methods : The electronic medical records of patients who had been treated over the phone for a month (during April 2020, while the hospital was closing) were reviewed. Meanwhile, according to the limited visits to the intensive care unit, a video meeting was held with the caregivers. After the video meeting, satisfaction was evaluated using a questionnaire. Results : During April 2020, 1021 patients received non-face-to-face care over the telephone. Among the patients, no critical medical problem occurred due to non-face-to-face care. From July 2021 to December 2021, 321 patients were admitted to the neurosurgical intensive care unit and 107 patients (33.3%) including their caregivers agreed to video visits. Twice a week, advance notice was given that access would be made through a mobile device and the nurse explained to caregivers how to use the mobile device. The time for the video meeting was approximately 20 minutes per patient. Based on the questionnaire, 81 respondents (75.7%) answered that they agreed, and 26 respondents (24.3%) answered that they strongly agreed that was easy to communicate through video meetings. Fifty-two (48.6%) agreed and 55 (51.4%) strongly agreed that they were easy to understand the doctor's explanation. For overall satisfaction with this video meeting, three respondents (2.8%) gave 4/5 points and 95 respondents (88.8%) gave 5/5 points, and nine (8.4%) gave 3/5 points. Their reason was that there was not enough time. Conclusion : In situations where patient visits are limited, video meetings through a mobile device can provide sufficient satisfaction to caregivers. Telemedicine will likely become common in the near future. Health care professionals should prepare and respond to these needs and changes. Therefore, establishing a system with institutional support is necessary.

Comparison of Frequency and Stay Time between Normal and Abnormal Elimination Behavior of Cats Using a Litter Box with Automatic Sensor

  • Ji-Woo Shin;Sun-Woo Han;Soon-Hak Kweon;Myungseok Kang;Jong-Hyuk Kim;Chung-Gwang Choi;Joon-Seok Chae
    • Journal of Veterinary Clinics
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    • v.41 no.2
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    • pp.71-78
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    • 2024
  • Changes in elimination behavior, including urination and defecation, are common clinical signs of numerous disorders in cats. Therefore, this study attempted to automatically measure the elimination behavior of cats using the litter box and develop an early warning system for the guardian in case of abnormalities. To construct an early warning system for abnormal changes through cat elimination behavior, it consisted of a litter box, an automatic sensor for data collection and data wifi transmission, a server for data analysis, and a mobile phone app for result transmission and early warning. To establish the reference interval (RI), the elimination behavior was monitored for more than 2 weeks using a motion sensor within a litter box in 37 healthy cats and 19 diseased cats. The data were expressed as daily total visits, daily total stay duration, average stay duration per elimination, weekly total visits, and weekly total stay duration. Healthy cats showed median daily total visits of 3 times/day (RI 1.0-7.0) and daily total stay duration of 192 s/day (RI 8.0-452.0). For weekly data, the median total visits were 20 times/week (RI 3.0-35.25) and the median total stay duration was 1,147 s/week (RI 80.0-2,249.5). The average stay duration per elimination was 59 s/elimination (RI 4.67-132.0). Diseased cats showed more frequent elimination behavior than healthy cats (p < 0.001). Otherwise, for each elimination, diseased cats had shorter stay durations than healthy cats (p < 0.001). This study established the RIs of elimination behavior parameters (frequency and duration) in healthy cats. The present study might help guardians and veterinarians detect changes in elimination behaviors in diseased cats at an early stage.

College Student Consumers′ Attitude toward the Internet Shopping, Internet Purchase Behavior, and Purchase Satisfaction (대학생 소비자의 인터넷 쇼핑에 대한 태도와 쇼핑행동, 쇼핑만족도)

  • 홍은실;황덕순
    • Korean Journal of Human Ecology
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    • v.6 no.1
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    • pp.1-13
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    • 2003
  • This study attempts to investigate attitude toward internet shopping. internet purchase behavior. and purchase satisfaction of college student consumers. The data used for this study were collected from 361 college students who is living the southern part of Korea. and purchased goods and services on the internet at least one time during the previous 12 months. in Autumn, 2001. Data analysis were carried out using SAS package. Statistics used for data analysis were Cronbach'$\alpha$, Pearson's correlation analysis, and multiple regression. The results were summarized as follows : First, college student consumers in general are favorable to the internet shopping. The variable that has significant influence on the attitude toward the internet shopping was the web searching competence. Second, the variables that have significant influence on the internet purchases were the number of site visits, internet using time, credit card possession. personal income, and web searching competence. Third, the variables that have significant influence on the amount of internet purchases were personal income, internet using time, number of site visits. and credit card possession. Fourth, the variables that have significant influence on the satisfaction with internet shopping were internet shopping attitude and web searching competence.

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Relationship between Uncertainty, Sick Role Behaviors, and Quality of Life of Rehospitalized Patients underwent Percutaneous Coronary Intervention (관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계)

  • Kim, Hye Ran
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.279-289
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    • 2014
  • Purpose: This study was conducted to investigate the relationship between uncertainty in illness and the future, sick role behavior with what diet, weight control, no smoking, abstinence, doctor visits, medications, etc, and quality of life of rehospitalized patients after percutaneous coronary intervention in a cardiology ward. Methods: A total of 120 patients participated in the study. Data were collected using a questionnaire and analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test, and Pearson's Correlation Coefficient. Results: The mean score for uncertainty was $3.45{\pm}1.08$. Sick role behavior of the patients showed a moderate value with a mean of $3.68{\pm}0.79$. The mean score for quality of life was $3.52{\pm}0.64$. Uncertainty in illness and the future was significantly correlated to sick role behavior with that diet, weight control, no smoking, abstinence, doctor visits, medications, etc (r=-.27, p=.002), and quality of life (r=-.35, p<.001), and sick role behaviors were significantly correlated to quality of life (r=.62, p<.001). Conclusion: The results implicate that there is a need to decrease the levels of uncertainty and reinforce positive behaviors by patients in order to improve their quality of life.

The Study on the Effect of Casino Tourism Policy : Focused on the Casino Tourists Service in Macau Area1

  • CHOI, Youngsoo;KIM, Chansoon
    • East Asian Journal of Business Economics (EAJBE)
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    • v.8 no.2
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    • pp.43-56
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    • 2020
  • Purpose - This study is regarding customer service environment in casino marketing under a study on the factors affecting casino tourist satisfaction based on casino tourists' various needs. Research design and methodology - The study of casino tourism policy factors is proceeded by interviewing tourists of Macao casino. A total of 220 copies were distributed and 193 copies were collected, but 13 copies were not conceded due to insincere responses, and a total of 180 cases were analyzed for this study. Based on the analysis results, the casino tourism policy factors were derived through satisfaction level of casino tourist service as follows. Results - Firstly, the casino tourist satisfaction is a positive influence on casino visits, so efforts should be made to enhance tourist satisfaction when establishing cultural experience programs and casino marketing strategies. Casino culture for tourist should be matured to develop casino tour. In order to increase the satisfaction level of revisiting casino resorts, various cultural products such as clean environment should be developed to enhance the satisfaction level of casino visitors in the future. Secondly, a positive impact of cultural, experiential visits and psychological motivations affect to tourists' psychological stability through cultural experiences as well as casino games. Thirdly, casino tourist satisfaction has been shown to provide a positive impact on behavior intention. Conclusions - Based on the results of this research, the marketing of casino tour is to identify tourists' needs and increase satisfaction.

A Study on Depression and Activities of Daily Living among Elderly Patients in Geriatric Hospitals (요양병원 노인 환자의 우울과 일상생활 수행능력에 관한 연구)

  • Hong, Ji-Youn;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.457-465
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    • 2010
  • Purpose: This study was conducted to examine the degrees of depression and activities of daily living (ADLs), and to identify factors that predict depression in elderly patients. Methods: The sample was149 patients (80% female; mean age 79.1) from three geriatric hospitals located in small cities and who agreed to participate in the study. Data were collected by staff nurses involved in direct patient care from October to September 2009. The level of depression was measured on a daily basis for seven days using a 13-item scale. Patients' ADLs was measured using a modified 10-item Bathel ADLs scale. Data were analyzed using SPSS/WIN 17.0. Results: Mean depression score was $10.05{\pm}4.77$ out of 26 points and about 27% was assessed as depressed with more than 13 points. Multiple regression analysis showed that low educational level, absence of spouse and fewer family visits predict depression. In addition, low ADLs and sleep disturbance predict depression. Conclusion: Nursing care providers need to be concerned about ADLs of older patients and should develop nursing activity programs to increase their in-hospital physical activities. It is also important care for older patients' sleep and encourages family visits to decrease their depression.