• Title/Summary/Keyword: medical care service market

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A Study of Awareness of Nursery School Parents about Health Care Privatization (의료민영화에 관한 어린이집 부모의 인식 연구)

  • Choi, Kyung Nam;Park, Yun;Ahn, Byung ju
    • Journal of the Korean Society of Radiology
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    • v.9 no.7
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    • pp.495-500
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    • 2015
  • Health care privatization will have a very significant impact on the quality of medical service and income redistribution and risk diversification. This study was conducted to improve the situation without too much insistence that one did not understand the essence rife about the privatization of health care. In this study, grasp the implications of the current health care debate to be privatized, and dealing with the claims accordingly. Seeks to help establish an objective perspective, looking at the pros and cons at the same time claims for medical privatization policy. The Health and diversification through the capitalist market access as part of the transition process is being overlooked as a new growth engine industries. But health care is constrained to follow the growth of universal access and how to deal with life because it is practical conduct of the person. In addition to services that are not only for the benefit of the profit or government institutions.

The Roles and Professional Competencies of Health Education Specialists in Private Health Care Setting (민간 의료기관에서 보건교육사의 활동 영역과 능력 개발)

  • Kim, Young-Bok
    • Korean Journal of Health Education and Promotion
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    • v.27 no.2
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    • pp.37-48
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    • 2010
  • Objectives: In health care setting, patient education and health promotion services are inexpensive and effective initiatives to change health behavior due to use medical service resources and personnel. This study performed to define the responsibilities and competencies of health education specialist in private health care setting. For our suggestion, we reviewed regulatory, recommendation, and programs related to health education and promotion in clinics and hospitals. Results and Conclusion: The health promoting hospital and health services in Europe and innovative hospitals of community health promotion in the U.S. were examples of approaches that supply target groups with health promotion services in health care setting. The National Commission for Health Education Credentialing has suggested the specified responsibilities and competencies of health education specialist in health care setting according to their general duty. Considering the recommendation of the NCHEC, our suggestion included: 1) the three kinds of job scope, 2) the major targets, 3) the specified responsibilities and competencies, and 4) the available health promotion programs in clinic and hospital setting. The suggestion will contribute to the development of job market for health education specialist and to the cooperation with community health resources in health promotion services and comprehensive health care.

The Effects of Institutional and Market Factors on Nurse Staffing in Acute Care Hospitals (의료기관과 시장특성이 간호사 확보수준에 미치는 영향)

  • Kim, Yun-Mi;Cho, Sung-Hyun;Jun, Kyung-Ja;Go, Su-Kyung
    • Health Policy and Management
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    • v.17 no.2
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    • pp.68-90
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    • 2007
  • Nurse staffing level is an important factor that influences the quality of health service and patient outcomes. This study was carried out to examine the current state of acute hospital nurse staffing and find out factors that affect the nurse staffing level. Nurse staffing of individual hospitals was measured using the number of registered nurses per 100 beds. Descriptive and multiple regression analyses were conducted using 592 acute care hospitals' data. Regression model included structure factors such as referral level, ownership, medical and general staffing, and financial outcome factors such as occupancy rate, inpatient and outpatient revenues. Market characteristics included strength of competition, supply of nurses, and income and health status level of consumers. The average number of nurses per 100 beds was 28 and showed a great variation according to the referral level. Regression model explained this variation as much as 76.87%. Hospital structure variables which affecting the hospital nurse staffing level positively were ICU bed ratio, the staffing level of specialist, training doctor and employees except doctor and nursing personnel, while the negative factor was nurse aid staffing level. General hospitals employed more nurses than hospitals. Among outcome characteristics, occupancy rate and the amount of health insurance inpatient revenue affected positively on the hospital nurse staffing level. The more supply of the new nurse and the higher consumer income and health status in the medical service markets, the more nurses were employed by the medical institutes. According to the study result, hospitals employed more nurses when they had more financial incentive by increasing nurses. This means appropriate hospital incentive policy and regulation policy, which hospital violate nurse staffing level have to pay penality, should be needed. Clarifying job description between nurses and nurse aids and the reentry program for unemployed experienced nurses will be helpful to increase nurse staffing level.

Survey on the Management Status in Korean Medical Clinics and Doctor's Awareness, 2008-2010 (최근 3년간(2008-2010년)의 한의원 경영 현황 및 한의사의 인식도 조사)

  • Baek, Younghwa;Kim, Yunyoung;Jang, Eunsu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.5
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    • pp.667-671
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    • 2013
  • The aim of this study was to know the current management status in Korean medical clinics (KMC) and the awareness of Korean medicine doctor. The simple random extraction method from the membership list of 'The Association of Korean Medicine' in 2010 was used for survey. The questionnaire which had used in 2008 was revised, and those were sent to each KMC by mail. A total of 107 data were acquired and frequency analysis was conducted. The result showed that the annual average employees working in each KMC was 2.9 persons and the number of daily outpatient was 33.8 person in 2010. The proportion of sales covered by medical insurance at KMC has been increasing annually as 42.9%, 43.5%, and 44.8% of total sales, whereas the uninsured sales was 57.1%, 56.5%, and 55.2% of total sales in 2008, 2009, and 2010 respectively. All of the responders recognized that the current situation of Korean medical service market was not good and the reason was mainly resulted from undeveloped medical technique, popularized use of functional foods for health and alternative medical care by Western medicine. To expand Korean medical service, the expansion of sales covered by public health medical insurance, government support and advertizement for public relation were needed.

Related Factors to the Service Level of Aged Care Facilities in Korea (노인요양시설 서비스 제공 수준의 관련 요인 분석)

  • Jung, Eun-Wook;Jeong, Seung-Won;Seo, Young-Joon;Choi, Dae-Bong
    • Korea Journal of Hospital Management
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    • v.12 no.4
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    • pp.22-44
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    • 2007
  • The objective of this study is to examine relevant factors of the service level of aged care facilities. The sample used in this study consisted of 357 aged care facilities in Korea. Data were collected with self-administered questionnaire and 140 returned questionnaire were analyzed by SPSS Version 12.0. The major findings of the study are as follows: First, there was no significant mean difference in the service level by the facility characteristics, except the length of operation. Second, it was found that both administrative characteristics and employer characteristics were positively associated with the level of nursing and supportive services. Third, the study results revealed that the following three variables of employee education and training, community networks, and employer's philosophy and management principles had significant positive effects on the level of nursing services. Meanwhile, the following two variables of employee education and training, and community networks had significant positive effects on the level of supportive services. In conclusion, in order to improve their service level, the managers of aged care facilities in Korea should make efforts to provide more employee education and training, establish networks with the community stakeholders, for example, local clinics and hospitals. It is also recommended for the government to make a policy inducing more qualified private investors to enter the aged care market, as well as to strengthen the qualification of the managers of the public aged care facilities.

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Digital Health Care based in the Community (지역사회기반 디지털 헬스케어)

  • Han, Jeong-won;Jung, Ji-won;Yu, Ji-in;Kim, Ji-hyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.511-513
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    • 2022
  • Digital Health Care is the convergence of ICT and (non)medical technology, emphasizing the importance of prevent and monitoring health management in terms of new challenging medical paradigm: predictive, preventive, personalized and participatory. Beyond the limited medical industry of long-term care insurance, it is emerging that AI, IoT, Big Data related new services with new technologies in the 4th revolution era. It is also noted that business field based on test bed is emergent; Caring Robot, wearable devices need to be launched in the market. Diverse service is possible with Big Data and AI etc.

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Individual Characteristics Associated with the Market Size Change of Private Health Insurance Premium in Korea (민간의료보험 시장 규모 변동에 영향을 미치는 개인 특성)

  • You, Chang-Hoon;Kang, Sung-Wook;Kwon, Young-Dae
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.165-177
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    • 2012
  • This study examined market size of private health insurance premium and individual characteristics associated with the market size change in Korea, using wave 1 (2008) and wave 2 (2009) of Korea Health Panel. The market size was 24.4 trillion Korean won in 2008 and 26.9 trillion in 2009. The increase rate of private health insurance premium among those who were the elderly, single, or the poor was higher than that among their counterpart respectively. Health status and utilization were insignificant in determining the increase rate of private health insurance premium. These findings were more obvious among the uninsured in 2008 than among the insured in 2008. The increase of private health insurance premium in Korea imply the increase of willingness-to-pay for health risk through private sector. The authors suggest policy intervention for accessability to health care for the underprivileged and weak through enlargement of Korean social health insurance benefit.

Economic Effects of Subsidiary Services in Hospitals (병원급 의료기관 의료부대사업의 경제적 파급효과)

  • Lee, Ye Seol;Lee, Sang Gyu;Kwon, Sung Tak;Kim, Tae Hyun
    • Korea Journal of Hospital Management
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    • v.21 no.1
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    • pp.32-42
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    • 2016
  • This study is conducted to estimate economic ripple effects of subsidiary services of hospitals. Using the Input/Output Analysis, this study analyzes production inducement effect, added value inducement effect, and labor inducement effect. Also, it assesses potential economic effects of the subsidiary services of which the scope is expanded as the government's proposed in 2014. Data regarding hospital subsidiary services and economic effects are obtained from the hospitals' financial statements on the National Tax Services and the Bank of Korea. The major results of this study are summarized as follows; subsidiary service profits of hospitals are 466 billion won and rent profits of hospitals are 152 billion won. Of these, the rate of subsidiary service profits in tertiary hospitals is about 66% of total subsidiary service profits. Producement inducement effect of subsidiary services of hospitals is higher than that of total industry, service industry and medical service industry. Added value inducement effect of subsidiary services of hospitals is higher than that of total industry, manufacturing industry, service industry and medical service industry. Job position inducement effect of subsidiary service in hospitals is higher than that of total industry, service industry and medical service industry. Also, employment inducement effect of subsidiary service in hospitals is higher than that of total industry and medical service industry. The results may suggest that subsidiary services revenue in medical institutions contribute to improving operating profits. Facing with intense market competition and pressures to control health care costs, hospitals may need to determine whether subsidiary services help boost their profitability and improve customer satisfaction.

Private Health Insurance and the Use of Health Care Services: a Review of Empirical Research in Korea (민영의료보험이 의료이용에 미치는 영향 : 국내 실증적 연구의 고찰)

  • Kim, Seung-Mo;Kwon, Young-Dae
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.177-192
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    • 2011
  • The arguments exist that private health insurance(PHI) policy holders tend to use the health care services more than non-policy holders due to their little out-of-pocket spending, resulting in the adverse effects on the finances of National Health Insurance. This study aims to increase the objective understanding of the issue and to draw a direction of further research, by reviewing the articles, reports and statistics which examined the effects of purchasing PHI policies on health care utilization. Significant differences in healthcare utilization, except for the very partial increase of utilization in outpatient settings, have been not found. The similar trends of the results have existed in a few previous studies which tried to control the endogeneity of medical use and health insurance with latent variables which affect the decision on medical use and health insurance. However, we can not exclude the potential change of healthcare utilization patterns because the portion of the insured of indemnity PHI is becoming rapidly larger in the market. For further research, we should try to obtain the objective information of subjects' past medical history, health status, health related behavior, and income affecting purchase of PHI and utilization of healthcare services. And the efforts of controlling the endogeneity of medical use and health insurance with latent variables which affect the decision on medical use and health insurance, are very considerable.

A Study on the Consumer Choice Criteria based on Facility Purpsoe for Multi-Mixed Complex Medical Care Facility Development (의료복합시설 개발을 위한 시설용도별 이용자 선택기준에 관한 연구)

  • Sung, Nayoung;Lee, Sangyoub
    • Korean Journal of Construction Engineering and Management
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    • v.17 no.4
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    • pp.28-39
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    • 2016
  • The multi-mixed complex medical care facility consisting of mainly hospital and other associated facilities such as retail, office, accommodation, healthcare services, and so on, is currently recognized as a new segment in the real estate market. This study intends to identify the customer choice criteria for the development of multi-mixed complex medical care facility. Based on literature review and expert consultation, the 3 criteria with 12 sub-criteria for customer choice have been defined. And the AHP methodology has been implemented for the development of relative weight of those criteria depending on the type of facility including 'medical facility', 'supporting facility', 'healthcare service facility' and 'other ancillary facility'. Research findings indicated the implication for the optimal combination of facility development based on the customer choice criteria controlled by facility. Accordingly, this research intends to provide the guidance toward the development of multi-mixed complex medical care facility.