• 한국병원경영학회지
• /
• 제23권4호
• /
• pp.81-86
• /
• 2018

Purposes: The purpose of this study is to argue that the taxation system for non-for-profit medical institution in Korea should be revised and that the basic direction should be to expand tax exemption like the US. Methods: We analyzed the US context of taxation policy for non-for-profit medical institutions and compared the US and Korean situation. Findings: In the United States, for-profit or non-for-profit medical institutions eternities are the most important criteria for hospital classification. Basically, full tax-exemption has been applied for non-for-profit medical institutions. The reason why many hospitals maintain their status as non-for-profit are following. First, the American society places great importance on the social responsibility and role of non-for-profit hospitals. Second, maintaining the status of non-for profit medical institutions is financially beneficial while maintaining good social reputation. The most powerful financial incentives are tax deductions and tax deductions for donations. Practical Implications: How will the taxation system for medical institutions in Korea be reformed in the future? First, if Korean government do not allow for-profit medical institutions, Korean government should consider implementing a full tax exemption system suitable for non-profit medical institutions like the US. Second, there are many variation in taxation for non-for-profit medical institution according to their legal positions. Therefore, current taxation system should be revised. Third, the reorganization of such taxation system should be in a direction that can finally encourage community benefit activities of medical institutions of nonprofit hospitals.

• 한국임상보건과학회지
• /
• 제6권2호
• /
• pp.1126-1135
• /
• 2018

Purpose. The purpose of this study is to investigate the success model related to the hospital information system accomplishment. It is important to examine the success model of the hospital information system and to analyze the factors affecting the job satisfaction accomplishment. Methods. The method of this study is to 150 copies of the entire survey data were distributed and 135 copies were collected, showing a collection rate of 90%. In order to ensure the reliability of the questionnaire items, Cronbach's Alpha was used to test reliability, and exploratory factor analysis was conducted to determine the convergence of various items. In order to grasp the convergence of various items, exploratory factor analysis was performed. The results of exploratory factor analysis were used to analyze the correlations between variables that were proven to have a single dimensionality before calculating factor loadings and regression analysis by Orthogonal Rotation by Varimax method Results. The results of this study, first, the system quality of the hospital information system has a statistically significant effect on user satisfaction. Second, the information quality of hospital information system is statistically significant for user satisfaction, indicating that information quality improves user satisfaction. Third, service quality of hospital information system was statistically significant in user satisfaction. Finally, the higher the satisfaction of the users who use the hospital information system, the higher the accomplishment of the organization Conclusions. This study is based on the successful model of D & M information system. In addition, the hospital information system, the user satisfaction, and the organizational accomplishment in connection with it can be found significant.

• 대한통합의학회지
• /
• 제7권3호
• /
• pp.41-50
• /
• 2019

Purpose : The goal of this descriptive research study was to identify the relationship between t relative deprivation, absolute deprivation, self-esteem, self-efficacy, and social support of university students and their show-off behavior on social network services (SNSs), as well as to identify the influencing factors. Methods : The research tools consisted of 8 items for general characteristics, a measure of deprivation (9 items for relative deprivation and 8 items for absolute deprivation), 15 items for show-off behavior on SNSs, 10 items for self-esteem, 25 items for social support, and 20 items for self-efficacy. Data analysis was performed using the SPSS 22.0 program for the descriptive statistics, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. Results : The results showed relative deprivation (B=.102, t=4.060, p<.001) was the most important factor in show-off behavior on SNSs for university students. Furthermore, social support (B=-.178, t=-3.099, p=.002), absolute deprivation (B=-.175, t=-4.284, p<.001), and self-esteem (B=-.212, t=-2.490, p=.014) accounted for 21.5% of the explanatory power (F=14.215, p<.001). Conclusion : The study findings revealed that relative deprivation is the most important factor in the show-off behavior of university students on SNSs. Social support, absolute deprivation, and self-esteem were also identified as factors that affect their show-off behavior on such services. This study aims to contribute to the effective program progress by providing basic data for the development of the show-off behavior on SNSs intervention and prevention programs to reduce the side effects of various the show-off behaviors on SNSs of university students.

• Human Ecology Research
• /
• 제56권6호
• /
• pp.507-525
• /
• 2018

This study examines the consumer empowerment index for Chinese elderly consumers, the impact of socio-demographic variables, exposure to mass media, and communication about consumption on consumer empowerment. The consumer empowerment index is composed of three factors: consumer knowledge, consumer attitude, and consumer skill. Data were collected from 301 Chinese elderly consumers aged 60 to 80 years old via a professional online survey firm. The findings of the analysis were described using frequency, t-test, ANOVA, and multiple regression analysis. The results are as follows. First, the average of consumer knowledge was 35.69 points out of 100, consumer skill was 65.71 points, and consumer attitude was 68.87 points. Second, socio-demographic variables indicated that education level, previous occupation, type of residence and communication about consumption impact consumer empowerment. Elderly consumers with higher education had higher consumer attitudes and better overall consumer empowerment than those with lower education. Consumers who were self-employed workers had higher consumer skills than those of technical or service workers. Elderly consumers who live alone had higher consumer skills than those who live in a nursing home. Third, according to communication about consumption, family communication is positively associated with consumer attitudes, skills and overall empowerment, while friend communication is positively associated with consumer attitudes and overall empowerment. The findings of this study are useful in developing guidelines that help the government make consumer education systems for the elderly who want to improve consumer empowerment levels evenly among these factors.

• 한국응급구조학회지
• /
• 제23권1호
• /
• pp.49-60
• /
• 2019

Purpose: This study was conducted to analyze job stress, ego-resilience, and results of the impact of event scale in order to verify the actual job stress of firefighters and provide baseline data for developing resolution programs. Methods: Data were collected via e-mail from 270 firefighters working at 119 safety centers and firehouses in the regions of Gyeonggi, Chungcheong, Busan, and Gyeongsang-do between the $1^{st}$ and $30^{th}$ of July, 2017. Results: Regarding gender differences in job stress, women ($2.16{\pm}0.65$) showed statistically significant job stress compared to men ($1.93{\pm}0.57$). As for the results of the incident impact of event scale statistically significant differences were observed (p=.001), and ego-resilience in men ($4.15{\pm}0.54$) was significantly higher than that in women ($3.79{\pm}0.75$) (p=.006). Depending on the work period, there were statistically significant differences (p=.000) in job stress, ego-resilience (p=.002), and impact of event scale (p=.000). Conclusion: Since job stress, ego-resilience, and results of the impact of event scale were closely related to dispatch frequency and work period of the firefighters, detailed and continuous stress management programs that consider these factors need to be developed.

• Journal of Korean Neurosurgical Society
• /
• 제62권1호
• /
• pp.46-52
• /
• 2019

Objective : The aim of this nationwide study was to analyze the current state of patients with newly diagnosed metastatic spine tumors according to surgical methods. Methods : Data was extracted from the Korean Health Insurance Review and Assessment Service database. Surgery was categorized into three methods : fusion, decompression, and vertebroplasty. Data included patient age, sex, health insurance type, and co-morbidities. Survival rates of metastatic spine tumor patients according to each surgical method were evaluated. Results : Among 1677 patients who had an operation, 823 patients were treated by fusion, 141 patients underwent decompression, and 713 patients were treated by vertebroplasty. The three most prevalent primary tumor sites were the lung, breast, and liver & biliary. On the other hand, the three most prevalent primary tumor sites of patients who underwent surgery were the lung, liver & biliary, and the prostate. The median survival periods for each surgical method in the metastatic spine tumor patients were 228 days for those who underwent surgery, 249 days for decompression, and 154 days for vertebroplasty. Age, sex, and comorbidities significantly affected survival rate. Conclusion : For every primary tumor site, decompression was the least common surgical method during the study period. Although the three surgical methods did not significantly affect the survival period, patients with a poor prognosis tended to undergo vertebroplasty.

• 디지털융복합연구
• /
• 제17권1호
• /
• pp.219-227
• /
• 2019

본 연구는 보건계열 학생을 대상으로 환자안전 지식과 환자안전 수행자신감을 파악하기 위해 수행되었다. 보건계열학생 349명이 참여하였고, 자료분석은 SPSS 21.0을 이용하여 분석하였다. 연구결과 환자안전지식 정답률은 평균 65.7%였다. 환자안전 수행자신감은 평균 $7.11{\pm}1.74$점이었으며 문항별로 살펴보면 환자확인이 높았으며 효과적 의사소통이 낮게 나타났다. 환자안전지식과 환자안전 수행자신감의 하부영역인 환자확인, 의사소통, 수술시술, 낙상, 환자안전사고보고는 양의 상관관계였고, 환자안전지식과 감염관리, 시설환경은 음의 상관관계였다. 보건계열학생들에게 임상실습 전 환자안전에 대한 중요성을 높이고 안전한 임상실습이 수행될 수 있도록 환자안전교육프로그램을 개발하는 것이 필요하다.

• 한방재활의학과학회지
• /
• 제31권4호
• /
• pp.25-34
• /
• 2021

Objectives This study was conducted to evaluate the therapeutic effect of acupuncture after rotator cuff surgery. Methods Key words such as rotator cuff surgery and acupuncture were searched in 10 databases (Ovid-Medline, Ovid-EMBASE, Ovid-AMED, Cochrane Library, China National Knowledge Infrastructure [CNKI], National Digital Science Library [NDSL], Koreanstudies Information Service System [KISS], Oriental medicine Advanced Searching Integrated System [OASIS], KoreaMed, KMBASE), and only suitable randomized controlled trials (RCTs) were selected. Results 6 RCTs were finally selected, and acupuncture showed positive results for pain relief and functional recovery after rotator cuff surgery. However, the analyzed 6 RCTs showed a high overall risk of bias. Conclusions In the future, RCTs with a higher level of evidence on the effect of acupuncture after rotator cuff surgery need to be continuously conducted.

• 한방재활의학과학회지
• /
• 제31권4호
• /
• pp.35-47
• /
• 2021

Objectives This study was conducted to evaluate the therapeutic effect of herbal medicine after total knee arthroplasty. Methods Key words such as total knee arthroplasty and herbal medicine were searched in 10 databases (Ovid-Medline, Ovid-EMBASE, Ovid-AMED, Cochrane Library, China National Knowledge Infrastructure [CNKI], National Digital Science Library [NDSL], Koreanstudies Information Service System [KISS], Oriental medicine Advanced Searching Integrated System [OASIS], KoreaMed, KMBASE), and only suitable randomized controlled trials (RCTs) were selected. Results 8 RCTs were finally selected, and herbal medicine showed positive results for pain relief and functional recovery after total knee arthroplasty. However, the analyzed 8 RCTs showed a high overall risk of bias. Conclusions In the future, RCTs with a higher level of evidence on the effect of herbal medicine after total knee arthroplasty need to be continuously conducted.

• 한국융합학회논문지
• /
• 제12권2호
• /
• pp.327-336
• /
• 2021

국내 경도인지장애 노인의 약 10%는 매년 알츠하이머병이나 다른 치매로 이환된다. 이를 예방하기 위한 중재는 다양하게 수행되었으나, 이에 대한 근거의 통합은 시도되지 않았다. 이에 본 연구는 체계적인 문헌 고찰을 통해 경도인지장애 환자를 위한 인지 기반 중재와 그 효과를 알아보고자 수행되었다. 문헌의 검색은 2010년부터 2020년 9월까지 학술연구정보서비스(Riss)와 KoreaMed를 활용하였다. 문헌의 선택 및 배제 과정을 거쳐 최종 12편이 선정되었으며, 비동등성 대조군 전후 유사 실험연구가 7편으로 가장 많았다. 본 연구의 분석 결과, 경도인지장애 노인을 위한 인지기반 중재는 인지기능과 우울, 신체 건강 상태, 자아존중감, 운동 시·지각 검사, 생활 만족도, 자기효능감, 뇌파, 삶의 질, 의사소통과 상호작용기술평가 등에 긍정적인 영향을 주는 것으로 나타났다. 본 연구 결과를 토대로 경도인지장애 노인을 위한 중재 프로그램의 효과를 검증하기 위한 반복 연구를 제언한다.