• Title/Summary/Keyword: delivery services

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Functions and Roles of Community Child Center Recognized by Practitioners (지역아동센터 운영자의 인식을 통해 본 지역아동센터의 기능과 역할)

  • Lim, Jeonggi;Park, Hyunsun;Chung, Ickjoong
    • Korean Journal of Social Welfare
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    • v.67 no.2
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    • pp.285-310
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    • 2015
  • The purpose of this study is to verify qualitatively and quantitatively practitioners' perceptions of functions and roles of community child center which plays a pivotal role in afterschool care in Korea. To achieve its purposes, we investigate environments, services, workers, service users, and delivery systems of community child center. As a result, 4 types of perception of community child center(service integration-oriented type focusing on professional workers, care-oriented type based on child care center's physical environment, delivering service-oriented type working in collaboration with schools, and individual case management-oriented type) were examined. These results were also classified into two categories. One focused on the importance of workers and supports for service environments. The other focused more on the functions of community child center to find commonality and originality in other afterschool care systems. This study can be valuable in understanding practitioners' different perception on functions and roles of community child center which have not yet been confirmed statistically. The results allow us to apply diverse practitioners' perceptions to the practice, and to elicit discussions regarding improved practice directions for managing community child center. It also can provide useful baseline data in policy decisions and enforcement.

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A Study on the Distributive Equity of Neighborhood Urban Park in Seoul Viewed from Green Welfare (녹색복지 관점에서 서울시 생활권 도시공원의 분배적 형평성 분석)

  • Kim, Yong-Gook
    • Journal of the Korean Institute of Landscape Architecture
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    • v.42 no.3
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    • pp.76-89
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    • 2014
  • The functions of urban park including health related benefit and climate adaptation and mitigation are expanding. However, in-depth research and discourse on the equitable distribution of expanded park function has been limited so far. Following research suggests Green Welfare concept to reflect distributive equity and multifunctionality in the process of urban park policy development and execution. This study developed park welfare indices to analyze disparities of neighborhood urban park(NUP) distribution viewed from green welfare by literature review. The findings analyzed through the Correlation Analysis and Cluster Analysis by SPSS 18.0. The results of the study are as follows. First, green welfare is defined as "to receive equitable benefits and participate in the delivery process of green services which are promoting health and securing safety from climate change risks for every citizen by life cycle regardless of socioeconomic status". Second, NUP per person in Seoul indicate meaningful differences by socioeconomic and environmental status of Seoul administrative districts. Park welfare indices correlated to NUP per person were shown population density(negative), percentage of individuals $aged{\geq}65$(positive), percentage of self-reliance of local finance(positive), flood and air pollution vulnerability by climate change(negative). Third, the cluster analysis identifies three significant clusters that indicate differences of park welfare level. Thus, it was found that NUP in Seoul from a green welfare perspective was provided disproportionately. Future urban park policy in Seoul was required equitable distribution of multifunctionality of park beyond quantitative expansion, and priority consideration should be given to park service consumer.

Outsourcing in Hospital Services: Experience of Korean Hospitals (우리나라 대형 종합병원의 아웃소싱 실태)

  • Noh, Tae-Hoon;Lee, Hae-Jong;Park, Eun-Cheol;Kang, Hye-Young
    • Korea Journal of Hospital Management
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    • v.8 no.4
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    • pp.59-75
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    • 2003
  • This study was conducted to investigate the degree of utilization of outsourcing in large hospitals in Korea. We also investigated the outcome and the level of satisfaction for adopting outsourcing in these hospitals. Types of work areas that were currently operated by outsourcing and were planned to adopt outsourcing in the future were identified. A total of 83 hospitals were eligible for this study, which had more than 500 beds, and were identified from the 2003 National Hospital List published by the Korean Hospital Association. A self-administered Questionnaire survey was conducted between April 25th and May 20th in 2003 with a personnel being charged of arrangement of outsourcing in each hospital. Among the 58 hospitals responding the survey(response rate=69.9%), 49 hospitals(84.5%) utilized outsourcing in at least one work field in their organizations. The largest proportion of the hospitals(85.7%) using outsourcing responded that the biggest outcome after introducing outsourcing were cost reduction(49.0%), followed by improved efficiency in operating the organization or human resources(34.7%) and the improved quality of the work(6.1%). The degree of satisfaction for outsourcing among the hospital managers(3.43) was significantly higher than that among the employees(3.l4) on a S-point Likert-type scale(p<0.05). Among the 7 work areas, the hospitals used outsourcing most frequently in facility management(housekeeping, building maintenance, hospital security and parking management), followed by non-medical profit business(funeral, convenient store, and cafeteria), logistics(provision of patient meal, in-house delivery, and purchasing), and information and computing system(hospital information system, maintenance of personal computers and printers). The work areas that the hospitals planned to adopt or expand the outsourcing in the future most frequently were facility management, non-medical profit business, logistics, and information and computing systems. In conclusion, outsourcing was highly diffused in large Korean hospitals, particularly in the work field of facility management and non-medical profit business. The satisfaction for outsourcing was not high yet in Korean hospitals.

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Using Implementation Science to Advance Cancer Prevention in India

  • Krishnan, Suneeta;Sivaram, Sudha;Anderson, Benjamin O.;Basu, Partha;Belinson, Jerome L;Bhatla, Neerja;D' Cruz, Anil;Dhillon, Preet K.;Gupta, Prakash C.;Joshi, Niranjan;Jhulka, PK;Kailash, Uma;Kapambwe, Sharon;Katoch, Vishwa Mohan;Kaur, Prabhdeep;Kaur, Tanvir;Mathur, Prashant;Prakash, Anshu;Sankaranarayanan, R;Selvam, Jerard M;Seth, Tulika;Shah, Keerti V;Shastri, Surendra;Siddiqi, Maqsood;Srivastava, Anurag;Trimble, Edward;Rajaraman, Preetha;Mehrotra, Ravi
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.3639-3644
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    • 2015
  • Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.

Cross-Channel Shopping Behavior between the Internet Retail Type and Store-Based Retail Types - Focus on Information of Fashion Product and Fabrics - (소비자의 인터넷 상점과 일반 상점간의 크로스 채널 쇼핑행동 분석 - 패션상품 및 소재정보를 중심으로 -)

  • Lee, Eun-Ha;Kim, Sook-Hyun;Choi, Jong-Myoung
    • Journal of the Korean Society of Costume
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    • v.62 no.4
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    • pp.46-57
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    • 2012
  • Consumers currently show cross-channel shopping behavior between the Internet and store-based retail types when searching information and purchasing sensory products such as fashion items to reduce risks. As consumers compare both types of stores before making a purchase decision, the Internet retail type and store-based retail type started conflicting/competing each other as the combined retail evolution theory proposed(Kim & Kincade, 2006). The purpose of this study is to examine consumers' cross-channel shopping behavior between the Internet and store-based retail types and their importance and satisfaction with information provided by the Internet retail stores. This study employs a quantitative research method using a survey. Demographics, types of stores used for purchase, satisfaction with the type of stores, Internet shopping behavior, importance and satisfaction with product information in the Internet retail stores were asked. MANOVA and descriptive statistics were used to test hypotheses. The result shows that a majority of participants(36.2%) shows cross-channel shopping behavior between the two retail types. Also, most participants(72.4%) decide on their purchase and are satisfied only after cross-channel shopping between the two retail types. Participants were grouped based on their information search and purchase behavior. Significant differences among the groups were found in importance and satisfaction with product information provided by the Internet stores. In measuring participants' satisfaction, a majority of participants(42.1%) showed satisfaction with their purchase at store-based retail stores after information search via the internet, followed by the satisfaction with the purchase at the internet retail stores after information search at store-based retail stores(30.3%). Fifty one point nine percent of participants search information via the internet(vs.48% at store-based retail stores), and they especially look for fiber contents and design details with pictures(37.4%). The satisfaction with price information provided by the Internet retail stores is the highest (m=3.70 out of 5.0) among fashion product information followed by design information(m=3.48). On the other hand, size information, refund/exchange and fiber content information received low satisfaction scores(m=2.81, 2.71, 2.57 in turn). This research suggests the Internet retail stores should provide more variety of information in detail using technology and improving customer services. This study could provide the Internet retail stores a guideline to establish a satisfactory information delivery system.

The Case Study on the Success Factors of Korean Car Sharing Business (한국 차량공유사업의 성공요인 사례분석)

  • Kim, Jiye;Han, Ingoo
    • Knowledge Management Research
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    • v.21 no.3
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    • pp.1-25
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    • 2020
  • This study analyzed key success factors of Korean car-sharing enterprises, Socar and Greencar, and the responsive strategies of Korean car-manufacturing company, Hyundai Motor Group, in the face of emerging sharing economy under the specific economic and regulatory system in Korea. The outcomes of the analysis are as follows. 'Timely market entry' in early startup phase and 'use of external resources' in early growth phase were key success factors common to both Socar and Greencar. However, the differences in the eventual business directions of the two companies also resulted in different key success factors in the expansion phase of their business. For Socar which focused on maintaining its independence and the external growth of B2C business, customer relation marketing and sufficient capital raising were key success factors. For Greencar which became a part of a business group and focused on improving the efficiency of business operations, timely market entry (B2B market) was key success factor. The use of external resources and cooperation with large corporations emerged as key success factors common to both companies in the rapid growth phase. The responsive strategies of the Hyundai Motor Group were collaboration, investment and direct management of DeliveryCar. The short-term goal of the responsive strategy was the operation of test-bed in collaboration with car-sharing company while the mid/long term goal was planning new mobility services by utilizing collected data. Securing opportunities for early market dominance for autonomous car industry was also found to be an important goal.

Impacts of Implementation of Patient Referral System in terms of Medical Expenditures and Medical Utilization (의료전달체계 정책효과 분석)

  • Jung, Sang-Hyuk;Kim, Han-Joong
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.1 s.49
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    • pp.207-223
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    • 1995
  • A new medical delivery system which regulated outpatient department(OPD) use from tertiary care hospitals was adopted in 1989. Under the new system, patients using tertiary care hospital OPD without referral slip from clinics or hospitals could not get any insurance benefit for the services received from the tertiary care hospital. This study was conducted to evaluate the Patient Referral System(PRS) with respect to health care expenditures and utilization. Two data sets were used in this study. One was monthly data set(from January 1986 to December 1992) from the Annual Report of Korea Medical Insurance Corporation(KMIC). The other was monthly joint data set composed of personal data of which 10% were selected randomly with their utilization data of KMIC from January 1988 to December 1992. The data were analyzed by time-series intervention model of SAS-ETS. The results of this study were as follows: 1. There was no statistically significant changes in per capita expenditures following PRS. 2. Utilization episodes per capita was increased statistically significantly after implementation of PRS. The use of clinics and hospitals increased significantly, whereas in tertiary care hospitals the use decreased significantly immediately after implementation of PRS and increased afterwards. 3. Follow-up visits per episode were decreased statistically significantly after implementation of PRS. The decrease of follow-up visits per episode were remarkable in clinics and hospitals, whereas in tertiary care hospitals it was increased significantly after implementation of PRS. 4. There was no statistically significant changes in prescribing days per episode following PRS. Futhermore, clinics and hospitals showed a statistically significant decrease in prescribing days per episode, whereas in tertiary care hospital it showed statistically significant increase after implementation of PRS. 5. Except high income class, the use of tertiary care hospitals showed statistically significant decrease after implementation of PRS. The degree of decrease in the use of tertiary care hospitals was inversely proportional to income. These results suggest that the PRS policy was not efficient because per capita expenditures did not decrease, and was not effective because utilization episodes per capita, follow-up visits per episode. and prescribing days per episode were not predictable and failed to show proper utilization. It was somewhat positive that utilization episodes per capita were decreased temporarily in tertiary care hospitals. And PRS policy was not appropriate because utilization episodes per capita was different among income groups. In conclusion, the PRS should be revised for initial goal attainment of cost containment and proper health care utilization.

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A Review on the Change of Health Policy Based on Ethical Issues (윤리적 쟁점을 중심으로 한 보건의료정책 변화의 고찰)

  • Lee, Dong Hyun;Kim, So Yoon;Sohn, Myongsei
    • Health Policy and Management
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    • v.28 no.3
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    • pp.222-225
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    • 2018
  • Health policy is a historical product in the process of development, including the political and economic factors of the state as well as the social and cultural elements of the country. Bioethics began to debate the ethical questions that arise in the overall process of life's birth and death, and gradually evolved by presenting ethical directions for various social phenomena. Especially, according to the moral awakening of 'scientific medicine' which caused in some human problems in the rapidized scientific society from the late 19th century to the early 20th century, as a result of distress including the concept of various social relations, it is possible to say that it has reached the bioethics. Although health policy and bioethics are different in terms of starting and concept, they can be found in common with social, cultural, and political diversity in the times. In 2004, 'Bioethics Law' was enacted through the issue of research ethics in the life sciences. Therefore, in order to examine ethical aspects of current health policy direction and major issues, it can be divided into before and after enactment of 'Bioethics Law' in 2004. The authors would like to examine how the evolution of the ethical viewpoint on the health policy has changed in line with the enactment of the 'Bioethics Law' and how it is trying to solve it from an ethical point of view. Through the various events that took place in the 1990s and the 2000s, various discussions on bioethics were conducted in Korea. Prior to the enactment of the 'Bioethics Law,' ethical judgments of professions, distribution of healthcare resources, if the discussion focused on the ethical judgment of abortion, and the various events that appeared in the early 2000s became the beginning to inform that the ethical debate about the life, death, and dignity of human beings began in earnest in Korea with the enactment of the 'Bioethics Law.' Since then, 'Hospice and Palliative care Law' which was enacted in 2017, is based on the fact that the health policy of our country focuses on the treatment of the past diseases, health promotion, and delivery of health care services. It was an opportunity to let them know that even the quality problems were included. Therefore, considering the various circumstances, the ethical issue facing Korea's health care system in the future is the change of the demographic structure due to aging and what is to be considered as the beginning and the process of life in the overall process of life. It is the worry about how to die and when it sees as death. This has far exceeded the paradigm of traditional health care policies such as disease prevention and management and health promotion, and calls for innovative policy response at the national level that reflects the new paradigm, which in many cases creates a predictable ethical environment. And health policy should be shifted in the direction of future ethical review considering sustainability in the development process of future health care rather than coercive management.

Emergency Health Care Utilization according to Income class (소득계층에 따른 응급의료이용)

  • Choi, Ryoung;Hwang, Byung-Deog
    • Korea Journal of Hospital Management
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    • v.18 no.4
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    • pp.78-96
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    • 2013
  • The purpose of this study is to analyze the emergency health care utilization using status according to income class. The target was the 2011 data out Korea Health Panel's raw data. 2011 data composed of total 17,035 people from total 5,741 households. This study set total 1,101 adults over full-20-years old having used an emergency health care utilization as its analysis target. In order to find out the number of emergency health care utilization use according to income class and the influential factors on emergency health care utilization cost, this study conducted the multiple regression analysis. And in order to more accurately analyze the emergency health care utilization use status depending on the income class and the features of emergency health care utilization use status, this study developed Models. As the result, this study found following findings. First, as the income class was lower, the gender was male, the age was lower, and the user has spouse, the user was not a business owner or a paid worker, the user is a house owner, the emergency medical facility type was a clinic, the means of transportation was others rather than 119 ambulance, the reason visiting emergency medical facility was belonged to others rather than accidents or poisoning, then the number of emergency was increased. Second, as the user was in higher income class, received the health insurance benefits, the using medical facility was general hospital, used 119 ambulance more often, stay days in emergency was shorter, then health care utilization cost was increased. In this study investigating the data out of Korea Health Panel, it was found that while the number of emergency health care utilization use was increased in the lower income class, but the emergency health care utilization cost was increased for higher income class. It is considered that this finding was caused from the facts that lower income class was more often exposed to dangers for physical health, so the number of emergency health care utilization use was increased, but their health care utilization cost was decreased because of their economic burdens against various examinations and their difficulties to pay such costs, comparing to that of higher income class. Therefore, in order to solve unequal problem of emergency health care utilization use between lower and higher income classs, it is required to set suitable solutions like the disease prevention effort by facilitating national health check-up programs, the enhancement of public health services in quantity and quality, the emergency health care utilization securing policy at using medical facilities, the promotional, educational activities about emergency health care utilization delivery system, the enhanced accessibility of emergency health care utilizations and emergency medical facilities.

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The Blueprint of Service Encounter by Types of Restaurants (레스토랑 유형별 서비스 인카운터 청사진 설계 및 비교)

  • Jo, Mi-Na;Shin, Seo-Young
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.8
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    • pp.1088-1096
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    • 2006
  • The purpose of this study was to identify the service encounter blueprint by types of restaurants in order to manage moment of truth when customers who visit a restaurant encounter services. The service encounter blueprint gives an overall picture of the service provision to visualize an entire service process and its integrated structure. The blueprint is used for service process analysis technique. The random samples of 15 customers were observed by types of restaurants and the records were collected for three-days' observation. Interviews were performed by 3 managers, 3 service encounter employees, 3 cashiers, 3 cooks and 10 customers by types of restaurants. After drawing the first service blueprint, it was revised by the interview with the 3 managers and 6 service encounter employees. In this paper, restaurant service processes are reviewed and analyzed. By use of service blueprint, the processes are analyzed to find a fail point, customer wait, employee decision. As a result of making a blueprint of service encounter by types of restaurant, blueprints of fine-dining restaurants and family restaurants were similar, while fast-food restaurants showed a little difference. In particular, difference was indicated in a point where interaction of service encounter occurred. Difference was indicated depending on types of restaurants. Therefore, the efforts to improve this problem were needed. The blueprint is a map or flowchart (called a process chart in manufacturing) of all transactions constituting the service delivery process. The results showed that service encounter blueprint can be used to improve the service process in the restaurant's encounter.