• 한국병원경영학회지
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• 제27권1호
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• pp.11-19
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• 2022

Purposes: This study was to investigate intention to exercise the patient's right of self-determination on adopting the non-benefit medical services and was to identify factors associated with intention to self-determined decision. Methodology: A total of 1,000 adult respondents aged 20 to 65 years were recruited using stratified random sampling and surveyed by online. Multivariate logistic regression analysis was performed to identify factors associated with intention to self-determined decision using SAS 9.4(SAS Institute Inc. Cary, NC, USA). Findings: 61.9% of total participants(n=592) had intention to exercise patient's right of self-determination on adopting the non-benefit medical services. Significant differences were observed in the exercise of self-determination in relation to prior explanation and opportunity for self-determination. Practical Implications: This study suggested that explanation duty of provider might influence on increasing intention to exercise the patient's right of self-determination. Considering appropriate use of non-benefit services, it is important to enhance explanation duty of provider.

• 한국병원경영학회지
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• 제29권1호
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• pp.56-63
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• 2024

Purposes: This study aims to analyze the correlation with the current status of the medical resident application rate, physician's income, and non-benefit rates of majors in each specialty subject and to suggest implications. Methodology: First, it analyzes the correlation between the medical resident application rate by specialty subject and the income of physicians. Second, it analyzes the correlation between the income of specialists and the non-benefit rate for each specialty subject at the clinic level. Findings: First, a significant positive correlation was found between the medical resident application rate and the average physician's income for each specialty subject (r=.718, p<.01). Second, a significant positive correlation was observed between physician income at the practitioner level by medical specialty and the non-benefit rate (r=.726, p<.01). Practical Implications: In this study, the correlation between medical resident application rate by specialty subject and physician's income, non-payment and physician's income was confirmed. Choosing a department that is less risky and can earn higher income is a natural phenomenon, but it is necessary to adjust the physicians crowding phenomenon to a specific specialty subject at the government level to maintain the medical system.

• 한국치위생학회지
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• 제17권3호
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• pp.431-440
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• 2017

Objectives: The study was conducted to evaluate the effects of the students majoring in dental hygiene on their oral health beliefs and oral health behavior. Methods: The survey was conducted using selfadministered questionnaires targeting 619 female students majoring in dental hygiene at three Universities in k and J province. The stronger health oral belief means higher score in susceptibility, severity, benefit and salience, but the higher score in barrier means stronger recognition in obstacle. Results: There was significant correlation between susceptibility and experience of not-treated oral disease (OR [odds ratio] 2.40; 95% CI [confidence interval] 1.73-3.34)' and 'dental caries (OR 2.36; 95% CI 1.25-4.45)'. Benefit had significant correlation with 'visiting dental clinic (OR 1.58; 95% CI 1.14-2.19)'. Salience had significant correlation with 'experience of not-treated oral disease (OR 0.70; 95% CI 0.52-0.94)'. Barrier had significant correlation with 'visiting dental clinic (OR 0.73; 95% CI 0.56-0.95)' and 'removing oral plaque (OR 0.71; 95% CI 0.52-0.95)'. There was no significant correlation between oral health belief and 'using of oral hygiene device' or 'regular tooth brushing'. Conclusions: Diverse oral health behaviors were affected by susceptibility, benefit, salience and barrier in oral health belief. The programs for oral health education and preventing oral disease should be prepared to change oral health belief to promote the oral health systematically based on the results of this study.

• 지역사회간호학회지
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• 제8권2호
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• pp.262-276
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• 1997

This study evaluates the relationship between health belief. self-efficacy and exercise and diet compliance in coronary heart disease patients. The study subjects were 96 CHD patients who visited the outpatient clinic at 3 general hospitals in Taegu city from April 3, 1997 to May 3, 1997. Data was collected by the researcher and two registered nurses who work at a cardiac outpatient clinic. Face-to-face interview was conducted. Moon's health belief scale(l990) and Hicky and others' Cardiac Diet Self-Efficacy Instrument (CDSEI, 1992), Cardiac Exercise Self-Efficacy Instrument (CESEI, 1992) were used. The instrument developed by the researcher based on the reference review was used to measure exercise and diet compliance. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, ANOVA, Tukey verification and Stepwise multiple regression with the SAS program. The results of this study were as follows; 1. The degree of health belief(score range: 1-4) perceived benefit: 3.06 barrier: 2.04 severity: 2.93 2. The degree of self-efficacy(score range: 1-5) exercise self-efficacy: 2.91 diet self-efficacy: 3.32 3. The degree of compliance (score range: 1-4) exercise compliance: 2.34 diet compliance: 2.95 4. The exercise compliance had a positive correlation with perceived benefit(r=0.5327, p=0. 0001), severity(r=0.2780, p=0.0061), exercise self-efficacy(r=0.6675, p=0.0001), and a negative correlation with barrier{r= -0.4236, p=0.0001). The diet compliance had a positive correlation with perceived benefit (r=0.6439, p=0.0001), severity(r=0.4244, p=0.0001), diet self-efficacy(r=0.6629, p=0.0001), and a negative correlation with barrier{r= -0.5098, p=0.0001). 5. According to pt's education level, (F=3.02, p=0.0336), received massage from mass media on exercise and diet(t=3.81, p=0.0002), presence of cardiac patients in the family members or friends(t=2.00, p=0.0478), created significant differences in exercise compliance. According to occuption(F=3.03, p=0.0215), hospitalized experience(t=4.59, p=0.0000), presence of chest pain(t=3.63, p=0.0005), there was also a significant difference in diet compliance. 6. The combination of exercise self-efficacy, perceived benefit and pt's education level explained 50.18% of the variance in exercise compliance. The combination of diet self-efficacy, perceived benefit and barrier explained 56.76% of the variance in diet compliance. On the basis of the above findings, the follow ing recommendations are suggested: 1. To promote the exercise. diet compliance for CHD patients, a well organized health teaching and nursing intervention program should be developed. 2. More research is needed to investigate other variables affecting exercise and diet compliance of CHD patients. 3. To promote self-efficacy and a positive health belief in CHD patients, a well organized and an approachable nursing intervention program should be developed. 4. Factors other than diet. exercise compliance should be evaluated to discover the impact on CHD patients.

• Journal of Periodontal and Implant Science
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• 제46권6호
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• pp.405-414
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• 2016

Purpose: This study aimed to evaluate the effects of a policy change to expand Korean National Health Insurance (KNHI) benefit coverage to include scaling on access to dental care at the national level. Methods: A nationally representative sample of 12,794 adults aged 20 to 64 years from Korea National Health and Nutritional Examination Survey (2010-2014) was analyzed. To examine the effect of the policy on the outcomes of interest (unmet dental care needs and preventive dental care utilization in the past year), an estimates-based probit model was used, incorporating marginal effects with a complex sampling structure. The effect of the policy on individuals depending on their income and education level was also assessed. Results: Adjusting for potential covariates, the probability of having unmet needs for dental care decreased by 6.1% and preventative dental care utilization increased by 14% in the post-policy period compared to those in the pre-policy period (2010, 2012). High income and higher education levels were associated with fewer unmet dental care needs and more preventive dental visits. Conclusions: The expansion of coverage to include scaling demonstrated to have a significant association with decreasing unmet dental care needs and increasing preventive dental care utilization. However, the policy disproportionately benefited certain groups, in contrast with the objective of the policy to benefit all participants in the KNHI system.

• 치위생과학회지
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• 제2권2호
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• pp.53-62
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• 2002

본 연구에서는 영구치 구치부 치아우식증을 예방하는 방법 중 영구치 구치부 치면열구저색과 정기검진을 통한 치아 우식증 예방에 대한 비용편익 분석을 통하여 영구치 구치부 치면열구전색과 정기검진으로 얻을 수 있는 경제적 타당성에 대한 평가를 하였다. 본 연구는 "2000 국민구강건강실태조사" 보건복지부를 근거로 비용편익분석을 시행하였으며, 영구치 구치의 맹출 1년 후 전 구치부 치아의 교합면 치면열구전색법을 시행하는 경우 영구치 구치부 고합면 치아우식증에 이환된 모든 사람이 적절한 치료를 받을 때 발생하는 비용과 편익을 분석하였다. 1. 2000년도 우리나라 6세부터 75세 이상의 연구를 대상으로 영구치 치면열구전색의 비용편익분석을 시행한 결과 인구 43,736천명의 치면열구전색의 비용은 1,610,994백만원 이었고 이에 대한 편익은 69,460,691백만원이었다. 2. 영구치 구치부 교합면 치면열구전색의 편익은 비용에 비해 약 39.51배인 것으로 조사되었다. 3. 연간 2회의 정기검진을 시행할 경우 정기검진비용은 전체 인구에서 직접비용 734,758백만원, 간접비용 1,943,786백만원, 총 2,678,544백만원으로 조사되었다. 4. 정기검진의 간접비용은 직접비용보다 2.6배 많은 것으로 조사되었다. 5. 영구치 구치부 교합면 치면열구전색과 6개월 간격의 정기검진의 비용과 편익은 각가 4,289,538백만원과 69,460,691백만원으로 조사되어 비용에 대한 약 16.2배의 편익이 발생됨이 조사되었다.

• 디지털융복합연구
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• 제11권5호
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• pp.385-394
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• 2013

최근 의료시장이 글로벌화 되면서 인터넷 정보의 중요성이 인식되고 있다. 이에 본 연구에서는 인터넷 정보를 갖고 의료관광 추구 편익 요인들이 관광 브랜드 자산 요인을 통하여 의료관광지 선택 의도에 정(+)의 영향을 미친다는 가설을 가진 연구 모형을 갖고 분석을 실시하였다. 분석 결과, 건강 및 미용 추구가 인지 및 품질 매개 요인에 유의한 영향을 미치지 못한 반면, 서비스 및 자연 추구가 인지 및 품질 매개 요인에는 유의한 영향을 미치는 것으로 나타났다. 하지만 체험 추구가 인지 및 품질에는 유의하지 않았다. 그리고 인지 및 품질 매개 요인은 최종 종속 요인인 의도에 영향을 미치는 것으로 나왔다. 이러한 가설 결과를 통하여 제주 지역 내 의료관광을 육성하는 정책자 입장에서는 기존에 제주지역이 지니고 있는 서비스와 인지도의 향상의 중요성을 감안하고, 이에 기반을 둔 의료관광 상품 개발에 기본적 근간으로 인식해야 할 것이다.

• 한국환경보건학회지
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• 제43권5호
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• pp.431-437
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• 2017

Objectives: To protect the health and safety of residents during chemical accidents, the governmental authorities need to provide personal protective equipment (PPE) to citizens who desire it. This study aims to investigate residents'awareness of PPE and perform an economic analysis on providing PPE to residents near chemical plants prior to the establishment of a related law. Methods: This study was carried out through a questionnaire completed by 600 residents composed of items such as residents'awareness of PPE, what type of PPE they need, and how to purchase PPE. Economic analysis (cost-benefit analysis) was conducted on providing PPE to residents near chemical plants on basis of the Gumi City hydrogen fluoride accident of 2012. Results: The results of the questionnaire showed that most residents recognized the need for PPE preparedness for chemical accidents, in particular, for respirators. The level of expense that respondents were prepared to shoulder to share the burden was $25. Except for chemicals of hazard level 2, the benefit of all kinds of chemical accident preparedness considerably exceeded costs in the cost-benefit analysis on providing PPE. An estimated government budget of $20 million per year would be required to provide PPE (hood-type mask) for all residents within a one-kilometer radius of chemical plants in Korea, but only $5.8 million when residents share the expenses. Conclusion: The results of this study suggest that programs for providing PPE for residents near chemical plants should be established by law.

• 한국병원경영학회지
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• 제28권1호
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• pp.1-13
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• 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.

• 보건행정학회지
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• 제28권2호
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• pp.105-106
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• 2018

Korea, which entered the aged society in 2018, is accelerating the progress of the aged society due to the rapid decrease in birth. Although the low birth rate is the important issue, comprehensive measures to cope with the aged society should be established. In particular, the reform of the healthcare system in response to the aged society is very urgent. The reorganization of the healthcare system in response to the aged society should focus on improving the functional abilities of the elderly and should be transformed into integrated older person-centered health service. The benefit package of National Health Insurance should be diversified and appropriate payment of each benefit package should be applied. The ageism should be overcame, and it is important to recognize that the measures for the older person are investments in future society. The reform of healthcare system for older person are very urgent in Korea, which is advancing into a rapidly aged society.