In recent years there has been an increasing amount of attention paid to outosourcing of information systems (IS) functions in organizations. The changing and more strategic role of outsourcing in business firms has been given much coverage in academic and trade publications. Trying to remain competitive and up-to-date in the rapidly developing world of computer technology is becoming a financial burden to many organizations in fields such as banking and financial services, health care, and manufacturing. Hiring outsiders to handle part or even all of its information services helps an organization provide better services and maintain a competitive advantage. This paper attempts to provide a benchmark of current IS outsourcing utilization in Korea. A detailed descriptive analysis of survey responses from 78 Korean companies indicates the usage, length of experience, expenditure of outsourcing, and kinds of IS functions being outsourced. The study also analyzes the effects (strategic, economic, and technological) of IS outsourcing with respect to the length of experience, expenditure of outsourcing, and kinds of IS functions being outsourced As a result of the analysis there are significant differences in the strategic, economic and technological effects of IS outsourcing with respect to the expenditure of outsourcing, kinds of IS functions being outsourced and firm size.
In this study, industry-specific application systems operation cost estmation models are suggested. We reviewed operation cost models of previous researches, and developed a strong need for industry-specific operation outsourcing cost models. Security industry operation cost model and medical care industry outsourcing cost model are proposed, and tested with empirical data. We showed the validity of industry-specific application systems outsourcing cost models. Future research will be needed to develop outsourcing cost models for other industries and to refine cost models developed in this study.
This study aimed to explore the status of food service outsourcing behavior of long-term care institutions (LTCIs) through a cross-sectional survey using a questionnaire administered between July 16th and August 7th, 2020. The survey respondents were either dietitians or facility managers, who worked at 731 nursing homes, 477 group homes, and 673 day-care centers. Approximately 25.9% of nursing homes, 11.7% of group homes, and 33.1% of day-care centers used a managed-services company to operate their food service units. The main reason for outsourcing food service by nursing homes was related to the staffing of dietitians and cooks, whereas group homes and day-care centers outsourced food services due to factors relating to meal costs and the cooking process. Almost all the LTCIs entered into private contracts for outsourced food services. Only a few food service contracts included the types of meals, nutrition standards such as protein and calories per meal, and the parameter or ratio of food cost. Of the respondents, 84.5% from nursing homes, 87.5% from group homes, and 87.1% from day-care centers agreed that the quality of outsourced food services of the LTCIs should be regulated. Meals are essential for maintaining the health and functional status of LTCI users. As more LTCIs outsource their food services, we suggest the following: (1) Increasing the minimum dietitian staffing standards for LTCIs as per the Welfare of Senior Citizens Act and requiring at least one dietitian for every nursing home, (2) Making it mandatory to use a standard food service contract template when drafting food service contract, and (3) Developing realistic standards for food service operations considering the size and operation type of the LTCIs.
This study examines the employment conditions and labour experience of elementary after-school care teachers in South Korea. Based on the empirical data collected through in-depth interviews with after-school care teachers in Gwangju Metropolitan City, the study considers multifaceted problems faced by after-school care teachers in their workplace. The after-school care class is part of educational policies initiated and rapidly expanded by the Ministry of Education, resulting in the substantial increase of non-regular school workers. The irregularization of after-school care teachers illustrates that the common problems faced by female non-regular workers, such as social discrimination, exclusion and inequality, are also transplanted into the typical public sector. In the case of Gwangju Metropolitan City, during the past two years there have been evident increases both in under 15-hour short time contract care teachers and outsourcing of care classes. Temporary part-time contract care teachers suffer relentless job insecurity and experience poor working conditions, exclusion and discrimination within the workplace and labour alienation. In order to minimize the organized resistance of care teachers, school authorities implicitly individualize and isolate care teachers through hierarchization, the division of labour and the spatial division of classes between indefinite and temporary contract teachers.
This article examines the existing literature on the intersection of care and migration in Europe and the potential contributions of the Korean case. The paper reviews the three bodies of research: care, migration and their intersections. When defined as social reproductive labour, the concept of care not only captures individual/family level of experiences but it can also be an effective tool to analyse the diversity of the welfare state and the path of its evolution. Furthermore, in the context of globalisation and international migration, the concept of care can help overcome so-called 'the methodological nationalism' in the welfare state research. Accumulated evidence shows that only by applying a transnational perspective to the relationship between such social realities as class, gender and race, can we properly examine the dynamics of care distribution. Existing care-migration nexus research has found a widely observed trend of the 'migrantisation of care' in European welfare states; however, the actual modality of care-migration intersection varies reflecting historical and institutional contexts. This is why care-migration nexus research must go beyond the well-known welfare regime types. The Korean case can expand the geographical coverage and theoretical applicability of the intersection research by including a new welfare state regime type (productivist or developmental welfare states) and new patterns of migration (co-ethnic migration and marriage migration) which were rarely dealt with in this scholarship.
Nowadays, many organizations more increasingly show their interests in developing informations systems through not only in-house development but outsourcing. Selecting a proper information system developer, however, is not easy task partly due to the absence of evaluation criteria pertinent to explain the pros and cons of information system developers considered. Further, much care should be taken of choosing an appropriate decision method applicable to semi-structured or strategical decision making problems such as selection of information system developer even though evaluation criteria are well provided. The purpose of this paper is to provide for the selection process, ranging from identification of problem structure to solution method, of information system developer with the use of Analytic Hierarchy Process(AHP).
Byeoung Heon Yoo;Jin-Won Noh;Sei-Jong Baek;Eun Woo Nam
Korea Journal of Hospital Management
/
v.28
no.1
/
pp.1-13
/
2023
Purpose: This study purposed to analyze the economic feasibility of introducing a third party logistics system as a strategic alternative to hospital management. Methods: Economic analysis was performed by measuring changes in costs and benefits before and after implement the third party logistics system and estimating the size of net benefits for the next five years for the target hospital. A questionnaire survey and in-depth interview with stake-holders were conducted to find out the satisfaction and effectiveness of the system. Findings: According to results, the cost-benefit ratio for the implementation of the system was 1.18. For the next five years, the cost-benefit ratio was 1.48, the net present value was about 1.7 billion won, and the internal rate of return was 64%. The satisfaction of internal stake-holders was relatively high, in terms of improving the concentration of unique tasks and increasing the efficiency of inventory management. Practical Implications: It was found that the increase in benefits had a greater effect on the change in the cost-benefit ratio than the increase in costs resulting from the expansion of logistics, and the increase in the present value of net benefits gradually decreased as the cost increased. In addition, overall job satisfaction and satisfaction with outsourcing companies were relatively low, which means that stabilization of the new system is important. Further study is needed for more accurate economic analysis.
Objectives : The objective of this study was to examine preceding variables that affect the dual commitment of outsourced employees working at hospitals and to analyze the influence of these variables on job performance. Methods : Data were collected from 461 outsourced employees, working at 7 general hospitals, which had introduced the outsourcing system, using a structured, self-administered questionnaires. Frequency, validity/reliability, correlation and path analyses were done for data analysis. Results : The results of the path analyses showed that both commitment to the hiring company and commitment to the client company (hospital) had statistically significant positive effects on job performance. Additionally, when the 'single measurement' approach was used, dual commitment had a larger positive effect, compared with the 'parallel approach.' Among the preceding variables, 'satisfaction for the job itself' was found to be the most important variable affecting dual commitment and job performance. Conclusions : In conclusion, to enhance the job performance of outsourced employees, it is important for management to examine and improve the various factors related to job satisfaction. Additonally, for outsourced employees to have organizational commitments to the hiring and client companies simultaneously, management should emphasize a sense of unity and share organizational values.
Journal of agricultural medicine and community health
/
v.49
no.2
/
pp.132-145
/
2024
Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.
In the presidential new-year address in January 2, 2009, the President declared that 17 kinds of new driving force of growth that could create high-added value be selected to step up job creation and an increase in national wealth. The Ministry of Strategy & Finance announced plans for the 17 kinds of new driving force of growth after the presidential address. Specifically, that ministry announced an ambitious plan to select health care service named 'Global Health Care' as one of the five service industries that could create high-added value in a move to provide jobs to approximately 7,000 people and produce pervasive economic effects coming up to a trillion and 10 billion won. To attain the goal, several action plans were mapped out to globalize domestic medical institutions, to rearrange the relevant law and system for the purposes of raising awareness of domestic medical institutions among foreign patients and improving their accessibility and post-satisfaction level, and to lure lots of foreign patients through financial assistance. At the same time, the government announced plans to lure severe patients such as those in want of surgery or organ transplant, cancer patients or patients with heart diseases to create high-added value on a long-term basis. Thus, the government announced that it planned to formulate such strategies and to enter an agreement with foreign governments to attract plenty of foreign patients. In fact, however, there are little full-scale evaluation of medical tourism though it's been a year since it was introduced, and there are few actual efforts to implement what the government announced, either. According to the results of the evaluation of medical tourism, domestic hospitals are said to undergo little significant changes after the introduction of medical tourism, which shows that they take a dim view of medical tourism instead of having expectations for that. The medical tourism industries in major Asian countries have been dynamized, and there are several factors of their success. First of all, they are successful in creating new market opportunities by incorporating related industries such as medicine, tourism and IT and in developing medical tourism products and differentiated marketing by taking advantage of their competitive edge. They have offered full-fledged assistance to this sector, and another reason is the improved international credibility of their medical service. If our country fails to pinpoint our problems in consideration of the cases of the Asian countries or to provide appropriate financial aid, our country is bound to lag behind them. Given this reality, how to assess medical tourism and what challenges this sector is confronted with are discussed.
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