• Title/Summary/Keyword: care policy

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Monopsony Power of General Hospitals in Nurse Labor Market (간호사 노동시장의 수요독점에 대한 연구 - 종합병원을 중심으로 -)

  • Jeong, Hyun-Jin;Yang, Bong-Min
    • Korea Journal of Hospital Management
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    • v.5 no.2
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    • pp.40-58
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    • 2000
  • Nurses are medical personnel, who play a key role in supporting patient care, so it is important to supply them adequately in balance with ever increasing medical demand. But there appears severe shortage of nurses in some hospitals because of their uneven distribution, especially in small sized-hospitals and rural-hospitals. As nationwide distorted distribution of nurses in Korea is just like what monopsony model(a kind of market structure model) tells us, it is attempted to explain this situation of nurse labor market in Korea on the basis of monopsony model and presented in this paper. Specifically, determinants of nurse wage and the level of their relative employment were examined, and monopsony impact on their wage and the level of relative employment controlling those determinants were studied. Major results of this study arc as follows. The most important determinant of nurse wage level in this study was the wage level of a local community where each hospital located Hospital owner's characteristics an educational function of each hospital were also important factors. With these factor controlled, it was found that monopsony power of each hospital was negativel associated with nurse wage level as expected. 1% increase in monopsony power of hospital(measured by Herfindah-Hirschman Index) reduced nurse wage by $5,674{\sim}19,19$ won(in Korean currency). With regard to the level of relative employment, the most important determinant wa the capacity for supplying nurses of the local community. Again, hospital owner characteristics and educational function of each hospital were also important. With these factors controlled, it was found that monopsony power of each hospital was negative associated with the number of nurses per bed, as expected. 1% increase in monopsony power of each hospital(again measured by Herfindah-Hirschman Index) reduced the number of nurses per 100 bed as much as $0.46{\sim}0.67$. In conclusion. structural factors of nurse labor market influence the instability of nurse labor supply in Korea. Further consideration for these market structural characteristics needed for policy making related to nurse resource allocation.

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The Degree of Market Orientation by Type and Size of Hospital, and Moderating Effect of Environments on Performance (병원의 특성에 따른 시장지향성 분석과 성과에 있어서 환경의 조절 역할)

  • Kim, Pyung-Wung;Yoo, Kyu-Soo;Lee, Yong-Gi
    • Korea Journal of Hospital Management
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    • v.5 no.2
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    • pp.1-21
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    • 2000
  • This study was to examine the degree of market orientated effort by hospital type and size,. and analyzed the moderating effect of environments between market orientation and it's performance. First, there was no significant differences by hospital type, such public hospital, university hospital, and private hospital. However, the orders of market orientation implementation was university hospital. private hospital, and public hospital This finding suggest that university hospital and public hospital, should be market-oriented, or customer-oriented more now, relatively. Second, there were no significant differences in marketing as management policy by hospital types, i.e. public, university or private sector hospitals. However, as to the intensity of the implementation of the market-oriented approach, private hospitals came first, followed by the university hospitals, then the public ones. This finding suggests that university and public hospitals should be more market or customer oriented to compete in the market. Third, only the competitive environment does active moderating roll on hospital performance. The competitive environmental factor forces the organization to be more market oriented. This means the more you are positively situated in the competitive environment, the more you are looking for a market oriented approach. You become more aware of the value of customers and you become more focused on the customer satisfaction and thus become more patient oriented in every facet of decision making. And market oriented hospitals recognize the importance of utilization of high tech medical treatment skills and equipment in patient care. Fourth, according the analysis, market oriented effort gives more influence on hospital performance than the environmental factors. This means that the market oriented effort should become a culture of the hospital which seeks to out distance themselves from its competitors.

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The Perception and Attitude toward the Attending System of Hospitals and Physician Participating in Attending System in Korea (개방병원제도 운영실태 분석)

  • Lee, Sun-Hee;Chae, Yoo-Mi;Kim, Hyun-Mi;Ha, Gwi-Yeom;Kim, Ju-Hye
    • Korea Journal of Hospital Management
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    • v.13 no.2
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    • pp.20-35
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    • 2008
  • Though the attending system was first implemented in 2003 to facilitate the efficient utilization of medical resources and specialties, only a few hospitals and physicians are participated in that system. The purpose of this study was to investigate the actual facts which related to operation of attending system and propose a basic information to revitalized of the attending system in Korea. The data were collected between August 1 and October 30, 2005 from 25 hospitals and 42 attending physicians who were in part of the attending system. Medical institutions were unwilling to participate despite the advantages of the attending system with respect to the utilization of medical resources and improvement in the quality of medical services. The primary reason for this was the lack of understanding among physicians about the attending system and the difficulty(lack of time) encountered by the attending physicians in administering care to patients hospitalized in the attending hospitals. Moreover insufficient reimbursement for rendered medical services constituted another important reason. In conclusion, we can state that the establishment of a committee is required to discuss the issues surrounding the attending system and to control the growing disparity between the viewpoints of hospitals and physicians. Regardless, there is a need to develop economical incentives for medical institutes. The attending system served as a useful policy in promoting the medical service system and bringing about an improvement in the management of medical institutes.

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Exploratory Measuring the Welfare State Change (복지국가의 변화 측정을 위한 새로운 시도)

  • Kim, Kyo-Seong;Kim, Seong-Wook
    • Korean Journal of Social Welfare
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    • v.62 no.1
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    • pp.5-30
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    • 2010
  • This paper offers an alternative approach to measure the welfare state change by using fuzzy-set methodology. The fuzzy-set method is particularly useful for assessing change across a limited number of cases, and that it can help to translate interval fuzzy membership scores into verbal qualifiers. Applying the measurement of welfare state change, four sets(accessibility, generosity, activation, state's care responsibility) in two dimensions(old and new social risks) have been identified, which reflect theoretical importance. The analysis sets out fuzzy membership scores for 12 OECD countries in the 16 possible welfare state ideal types. This paper found that each country has its own strategies to deal with the changes, however, the changes are not dramatic or a qualitative one. This does not mean that there are no changes, but that are no paradigm shifts or path breaking in the welfare state changes.

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System Dynamics Modeling for Policy Analysis of Occupational Injuries (시스템다이내믹스를 이용한 산업재해율 분석)

  • Chung, Hee Tae
    • Journal of Digital Contents Society
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    • v.16 no.3
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    • pp.417-424
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    • 2015
  • The research of occupational injury for safety and health is a comparatively recent occurrence. As labor activities took place regarding to employee concerns in industrial uprising, human resources health was tried to enhanced as a labor safety subject. Noticing that traditional statistics approach has limitations in learning future forecasting and major factors causing occupational injuries in each industry, Korean Government initiated a quantitative systematic simulation model project to analyze how the annual injury rate has been dropped and stays in a level for recent years. From this motivation and the project, system dynamics models have been developed to explain the mechanisms for reducing annual injury rate, and the mechanisms quantitatively. The main cause effects for the reduction of annual injury rate were due to the government driven investment on safety facilities. In overall viewpoint the gain achievable from these efforts has been reached a saturated level. However, it could reduce the annual injury rate if you chose the industry and size carefully. The model for forecasting, major injury factors, safety budget and allocation are introduced and analyzed, and Analyzing occupational injury related factors can also reduce employee injury and disease related costs, including medical care, quit, and disability assistance costs.

A Topic Modeling Analysis for Online News Article Comments on Nurses' Workplace Bullying (간호사의 직장 내 괴롭힘 관련 온라인 뉴스기사 댓글에 대한 토픽 모델링 분석)

  • Kang, Jiyeon;Kim, Soogyeong;Roh, Seungkook
    • Journal of Korean Academy of Nursing
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    • v.49 no.6
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    • pp.736-747
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    • 2019
  • Purpose: This study aimed to explore public opinion on workplace bullying in the nursing field, by analyzing the keywords and topics of online news comments. Methods: This was a text-mining study that collected, processed, and analyzed text data. A total of 89,951 comments on 650 online news articles, reported between January 1, 2013 and July 31, 2018, were collected via web crawling. The collected unstructured text data were preprocessed and keyword analysis and topic modeling were performed using R programming. Results: The 10 most important keywords were "work" (37121.7), "hospital" (25286.0), "patients" (24600.8), "woman" (24015.6), "physician" (20840.6), "trouble" (18539.4), "time" (17896.3), "money" (16379.9), "new nurses" (14056.8), and "salary" (13084.1). The 22,572 preprocessed key words were categorized into four topics: "poor working environment", "culture among women", "unfair oppression", and "society-level solutions". Conclusion: Public interest in workplace bullying among nurses has continued to increase. The public agreed that negative work environment and nursing shortage could cause workplace bullying. They also considered nurse bullying as a problem that should be resolved at a societal level. It is necessary to conduct further research through gender discrimination perspectives on nurse workplace bullying and the social value of nursing work.

Antioxidant Activities of Rice Bran Extracts for Wellness Convergence (융복합적인 웰리스를 위한 미강추출물의 항산화 활성)

  • Lee, Jae-Hyeok;Park, Jeong-Suk
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.401-406
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    • 2015
  • The aim of present study is to investigate antioxidative effect of the Rice Bran Extracts and Defatted Rice Bran Extracts. Rice Bran Extracts used Rice Bran Water Extract, Rice Bran Ethanol Extract, Defatted Rice Bran Water Extract, Defatted Rice Bran Ethanol Extract. This study was carried out to examine quenching effects of Rice bran extracts on DPPH-, Riboflavin-, and Xanthin oxidase- originated superoxide activities. In addition, in order to determine whether Rice Bran Extract can be safely applied to human skin, the cytotoxic effects of Rice Bran Extract in Human Dermal Fibroblast cells were determined using MTS Assay. These results demonstrated that RBE and DRBE had anti-oxidative properties and did not induce the cytotoxic effects in Human Dermal Fibroblast cells. Therefore, these findings suggest that anti-oxidative properties of RBE and DRBE may be considered convergence with skin care.

Fashion Styles and Characteristics of Game Characters (게임캐릭터의 패션스타일 유형 및 특성)

  • Seo, Mi-Ra;Kim, Ae-Kyung
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.343-349
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    • 2015
  • This paper aims to propose the typology suitable for games by analyzing the fashion styles of game characters and define the characteristics by type. The data collected was classified into the style groups with similarities, and the game character styles were named using representative terms. Then, five styles were identified and analyzed with the focus on clothing, hairstyle, and accessories: Creative Style, Attractive Style, Grotesque Style, Usual Style, and Suit Style. Creative Style was the unique style with partial addition or removal as the creative design. Attractive Style expressed the sexual attraction by design with significant exposure of body parts and skintight design. Grotesque Style showed grotesque, eerie, and dreary design. Usual Style was a plain and practical style. Finally, Suit Style was a kind of armor covering the whole body. The analysis results in this paper will bridge the difference of opinions between gamers and developers related to fashion style and, finally, help to enhance the competitiveness of game design.

U-Healthcare & Medical Information System of Status and Operative Challenges for Integrated Medical Information System (U-Healthcare 및 의료정보시스템의 현황과 통합의료정보시스템을 위한 운영과제)

  • Kim, Bo-Soo
    • Journal of Digital Convergence
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    • v.9 no.5
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    • pp.65-75
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    • 2011
  • For the latest information and communication technology convergence with related technology to integrate all the systems has been developed in the form. In this era as well as the flow of the healthcare industry in recent years many studies on the development and application has been actively. Health IT in healthcare information systems that integrate information systems that have evolved rapidly in the direction to go, and in the future it is expected to do better acceleration. In this paper, state-led ubiquitous environment for building the hospital application system and IT application services are practical and Free in the integrated health information for the patient care service strengthening to integrated medical information system proposal and design do's and At the same time the establishment of integrated health information systems plans and operational challenges presented.

Community health promotion and improvement of business for No-Smoking (지역사회의 건강증진을 위한 금연사업의 개선방안)

  • Han, Myung-Yee;Kim, No-Ma;Chandrkant, Mehta Jaydip
    • Journal of Digital Convergence
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    • v.10 no.4
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    • pp.317-322
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    • 2012
  • Public Health "NO-Smoking Clinic" smokers nine times more than 6 months smoking cessation counseling services and CO measurement, nicotine aids(patches, gum and candy) to provide. Behavioral enrichment items and memorabilia, including the provision of smoking cessation, smoking, andsmokingreducesinductionpracticeto improve the health of local residents to promote. Lifestyle habits such as smoking and excessive drinking, such as hyperlipidemia, and obesity is a major factor causing chronic disease, economic loss, and even new philosophy of life as a healthy culture is a factor that destroys. Smoking, heavy drinking, such as healthy life styles and cultural values of life as well as the economic value of medical care and also when you consider that there is a close relationship, such as smoking prevention and smoking cessation and moderation of the business and institutions involved in health education institutional support for the "NO-Smoking Clinic" should be parallel to the landing.