• 대한산업공학회지
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• 제42권3호
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• pp.198-208
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• 2016

A well-established e-health strategy at the national level is necessary to successfully achieve the trust-and-consensus-based e-health goals by linking strategic information planning and the execution of an implementation plan. This paper provides a methodology of how to establish a national e-health strategy and the case of e-Health Information Strategic Planning (ISP) of the Ministry of Health and Welfare of Korea. The ISP is to improve the quality of care and contribute to the economic growth by integrating a variety of policies and providing affordable and competitive services.

• 한국사회복지학
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• 제62권1호
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• pp.155-183
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• 2010

본 연구는 사회구성주의 시각에서 보건복지사무소와 사회복지사무소에 참여한 직원들의 보건복지 협력경험을 벤슨의 균형모델(Benson, 1975)과 바이크의 센스메이킹 이론(Weick, 1995)으로 분석함으로써 업무환경과 실무자의 역할을 구상하는데 함의를 얻고자 함에 그 목적이 있다. 두 시범사업의 각 네 지역을 선정하여 총 27명의 직원을 대상으로 반구조화된 면접을 실시한 결과, 양 분야 실무자들이 통합서비스 업무를 담당할 수 있는 구조적 관계적 환경을 초기에 구성하여 직역간 벽을 허물 수 있는 계기를 마련하는 것이 중요하다는 것이 부각되었다. 이러한 연구결과는 향후 이용자 중심 사회서비스 설계에 있어 보건 복지간 협력이 보다 중요해지고 관련된 정책구상이 불가피하다는 점에서 시사하는 바가 클 것으로 본다.

• 융합보안논문지
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• 제14권2호
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• pp.35-41
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• 2014

유비쿼터스 컴퓨팅 네트워크와 함께 IT 및 ICT 융합 서비스 개발을 통하여 미래 신성장 동력을 발굴하기 위한 정부, 기업 및 학계에서의 관심이 높다. 본 논문에서는 2000년 중반 이후 ICT 융합 키워드에 대한 트렌드 분석을 통하여 일반인들의 이해와 관심도를 측정하고 효율적인 정책 추진 방안을 제시한다. 이를 위하여 융합의 개념과 발전 단계를 짚어보며, 한국정보통신기술협회에서 선정한 ICT융합 서비스들에 대한 검색어를 분석한다. 융합 서비스를 스마트 홈 워크 교통, Health ICT, RFID USN, M2M IoT, e-Navigation, 지능형 로봇으로 분류하여 키워드 트렌드를 분석한 결과, 시간의 흐름에 따라 관심도가 바뀐 서비스와 일정하게 유지되는 서비스들을 알 수 있으며 M2M IoT, 원격진료, 스마트워크, 지능형 로봇 등과 같이 최근에 검색 트렌드가 높은 서비스들과 가전 로봇, Health ICT, 스마트 교통 등과 같은 새로운 개념의 서비스들을 구분할 수 있다. 효율적인 ICT 융합 서비스를 제공하기 위해서는 최신 정보기술의 개발, 표준화 문제, 법 제도 규정의 정비 및 정책 지원과 함께 수요자들의 원하는 맞춤형 ICT 융합 서비스 발굴이 요구된다.

• 보건행정학회지
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• 제18권1호
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• pp.21-42
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• 2008

This study investigates economies of scale, cost complementarity and economies of scope for healthcare organizations using econometric approaches. The economies of scale appear to exist in each service provided by a hospital such as inpatient treatment services, outpatient treatment services, and other patient treatment services, respectively. When we test all services in aggregate level, it also indicates that the healthcare industry on average exhibits the economies of scale of 6 percent, which implies that scaling up hospital sizes will bring substantial cost savings to them Evidence shows that cost complementarity exists between outpatient services and other services for patients and, i.e., these other services for patients experience the reduction in marginal costs as the outputs of the outpatient services increase. For the economies of scope, they are present in most service areas; aggregate level services, outpatient services, and other services for patients, respectively. Inpatient treatment services, however, do not show any evidence of the economies of scope. Results show that the economies of scope are achieved by the general hospital type that provides all service areas such as inpatient treatments, outpatient treatments, and other services for patients. The existence of the economies of scope provides the rationale for extending the existing line of business in a hospital into more diverse areas of services where its benefit comes in the form of cost savings. In sum, it overall provides evidence that the M&As in this industry are encouraged to achieve cost reductions from the economies of scale and scope by changing the size and the output mix.

• 한국병원경영학회지
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• 제28권1호
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• pp.37-51
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• 2023

Purposes: There exist many non-covered services that the National Health Insurance does not cover, and thus, their prices are set by individual health care providers. However, little study has been done to investigate how hospitals set prices for those services. The purpose of this study is to examine the relationship between ownership, profitability, and prices of those services for a sample of general hospitals. Methodology/Approach: Data regarding the prices of major non-covered services (e.g., upper-level hospital room fees, MRI, Da 7inci robot surgery, and LASIK) were obtained from the Health Insurance Review and Assessment Service and the financial information, as well as other characteristics, were derived from the financial reports from the Korea Health Industry Development Institute. Descriptive statistics, t-tests, and multiple linear regression analyses were used to test the relationship between the independent variables and the dependent variables. Findings: Hospitals owned by private universities appeared to have higher prices for non-covered services while regional public hospitals tend to have lower prices. Profitability, measured by operating margin, was not significantly related to the prices. Hospitals that charge higher prices were more likely to be located in the capital area (Seoul, Incheon, and Gyeonggi), and to employ larger number of personnel. Practical Implications: Public hospitals tend to charge lower prices for non-covered services. Relative market power appears to be related to pricing. Further research is needed to investigate whether such a relationship varies over time and its effects on the quality and access.

• 한국보건간호학회지
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• 제10권1호
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• pp.106-117
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• 1996

This study aims to provide information about the acute poisoning patients transferred by 119 ambulance service for nurses and emergency medical technicians. The data is based on 119 ambulance services patients charts of Seocho area in Seoul. The results were as follows: 1. Total number of emergency patients all over the country has been nearly fourtimes in 1995 compared to 1991. Total number of emergency patients were 322.051 in 1994. 2. About $35\%$ of total E.R. patients were transferred by 119 ambulance services in Seoul in the last 5years. Acute drug intoxication patients occupied $2-3\%$ of E.R. patients in Seoul. 3. About $4\%$ of E.R. patients in Seoul were transferred by 119 E.R. services of Seocho area in Seoul in 1995. Among them $2.4\%$ patients were drug intoxication patients. 4. Data were collected from available patients of 119 ambulance services from Jan. 1993 to Dec. 1995 in Seocho area. Total poisoning patients were 184. - The female/male ratio was 69.7:30.4 and most of patients$(69.7\%)$ were in the age of 20th and 30th. - The busy time of calling 119 ambulance service was from 6P.M. to midnight$(37.5\%)$ - It took within 10 minutes for patients$(62.8\%)$ from notification to arrival in hospital. - Regarding poisoning substances. hypnotics $(22.8\%)$, tranquilizer$(14.7\%)$, agricultural agents$(6.0\%)$ rodenticide$(27\%)$ and others $(10.3\%)$ were in order and unknown were $43.5\%$. - Most of the patients or protector $(72.8\%)$ chose hospitals. Among them $(87.3\%)$ were general hospital. - The most predominant symptoms were coma$(22.3\%)$. dizziness$(6.5\%)$ and then allergy. vomiting. gastrointestinal cramps etc. - Airway management and oxygen administration together was the main medical control of prehospital emergency medical services$(33.7\%)$. It is proposed that first, a systematic survey of drug intoxication patients must be conducted to give an appropriate prehospital emergency care for the emergency medical technician and second, a wide and regular public education to improve understanding of first aids should be undertaken.

• 지역사회간호학회지
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• 제14권4호
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• pp.587-597
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• 2003

Purpose: The purpose of this study was to estimate the demand and supply of visiting nursing services provided by health centers in urban area, aiming at strengthening infrastructure, which may improved the quality of life and health status of vulnerable population in the community. Methods: This study was conducted through nominal group discussion, focus group study. The demand and supply of visiting nursing were estimated by health economists based on the secondary analysis data from 25 health centers in Seoul. Result: Primary targets for the visiting nursing must be people who are homebound in the community. They can be classified into: a group of Level I: chronic patients who need visiting nursing care at least once a week: and a group of Level II: vulnerable families that need management periodically e. g. twice a month. Based on the estimation of demand for visiting nursing services in the community, the estimated supply required was $651{\sim}770$ visiting nurses including home health nurses in visiting nursing programs based on health centers in Seoul. Conclusions: The estimated demand and supply of visiting nursing are expected to provide basic data for establishing alternative policies on visiting nursing infrastructure that might be accomplished through demand-based visiting nursing programs by districts.

• Asian Journal of Business Environment
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• 제12권4호
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• pp.13-24
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• 2022

Purpose: Motivated by an expedited growth and distribution of Online Food-Delivery (OFD) services, especially during the recent Covid-19 pandemic, this research aims to explore 1) how consumers' sustainability considerations are associated with satisfaction with the services via opt-out cutlery options and 2) the role of the pandemic in the relationships between sustainability considerations, attitudes toward opt-out cutlery options, and satisfaction with the OFD services. Data and Methodology: An analysis of survey data using 434 consumers in the United States recruited from Amazon M-Turk was conducted using structural equation modeling. Results: Findings suggest that consumers' environmental, health, and ethical considerations are positively related to their attitudes toward opt-out cutlery options. Furthermore, attitudes toward opt-out cutlery options are positively related to satisfaction with the OFD services only when they feel connected with the environment, driven by perceived threats of an infectious disease (i.e. Covid-19). Conclusion: The study findings provide new insights to managers in the OFD service industry on how to promote sustainable consumption during the pandemic.

• 보건행정학회지
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• 제31권1호
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• pp.65-73
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• 2021

Background: With the recent aging of the population, the transition to a disease structure centered on chronic diseases is accelerating. Moreover, the socio-economic gap and the polarization of the health gap between regions further increase the burden of disease on the country. Accordingly, this study calculated the disease cost of hypertension, diabetes, and hyperlipidemia, which are the three major chronic diseases, to establish an effective health promotion policy strategy for each region, and analyzed the gap in disease cost within the region to determine health determinants at the individual as well as the regional level. Methods: This study utilized data from the 2015 sample cohort of the National Health Insurance Service and calculated the disease cost of patients (diabetes: I10-I15, hypertension: E10-E14, hyperlipidemia: E78) based on the main diagnosis. Results: Based on our analysis, the case of medical use in cities and provinces was higher than in metropolitan cities, with relatively small medical use in Seoul and Gangwon-do. In terms of the disease cost, the cost of chronic diseases in Seoul and Jeju was the highest, but the difference in disease cost between patients in each region was the largest in Seoul and Gangwon-do. Conclusion: The results of this study provide meaningful data for implementing efficient health promotion policies by analyzing the differences in disease cost and identifying health determinants in different regions. Furthermore, in Korea, where socioeconomic differences are clearly revealed, it can be used as a basis for preparing a strategic plan, from a long-term perspective, to improve the health of patients with chronic diseases in the future.

• 한국응급구조학회지
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• 제21권3호
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• pp.17-33
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• 2017

Purpose: The purpose of the study was to investigate knowledge and attitudes of students majoring in health-related fields toward automated external defibrillator (AED) and to identify the influencing factors of knowledge and attitudes in AED use among the students. Methods: Data were collected from 346 students and analyzed using descriptive statistics, t-tests, one-way ANOVA, post hoc $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and hierarchical multiple regression analysis, with SPSS Win 20.0 program. Results: Overall knowledge of AED in health-related major students, except paramedics and physical therapy was relatively low while attitudes were at moderate level. There were statistically significant differences in knowledge according to age, grade, major, cardiopulmonary resuscitation (CPR) awareness, exposure to AED and CPR education; and differences in attitude according to major, health status, health awareness, CPR awareness, exposure to AED, and CPR education. Significant factors explained 63% of knowledge on AED (F= 43.96, p<.001) and 37% of attitudes on AED (F= 15.84, p<.001). Conclusion: The study findings suggest that systemic education programs on AED should be implemented during undergraduate curriculum to improve survival rate of sudden cardiac arrest.