• Health Policy and Management
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• v.12 no.2
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• pp.23-42
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• 2002

The purpose of this study was to analyze the results of 133 studies related to patient compliance published between 1980 and 2001 and to assess the effectiveness of intervention on compliance by using meta-analysis. We collected the existing literatures by using web and manual search 'patient compliance', 'sick role behavior', 'major clinical disease', and 'intervention' as key words and by reviewing content of journals related to medicine, nursing and public health. The compliance interventions were classified by theoretical focus into educational, behavioral, and affective categories within which specific intervention strategies were further distinguished. The compliance indicators broadly represent five classes of compliance-related assessments: (1) health outcomes (eg, blood pressure and hospitalization), (2) direct indicators (eg, urine and blood tracers and weight change), (3) indirect indicators (eg, pill count and refill records), (4) subjective report (eg, patients' or others' reports), (5) utilization (appointment making and keeping, use of preventive services). Quantitative meta-analysis was performed by MetaKorea program which was developed for meta-analysis in Korea. Among the 133 articles, 10 studies were selected through the qualitative meta-analysis process, and then only 6 studies were selected for the quantitative meta-analysis finally. The interventions produced significant effects for all the compliance indicators with the magnitude of common effect size (4.1192) than the non-intervention group in a random effect model. The largest effects were each study for patient of hypertension using health outcome such as blood pressure (0.4679) and diabetes mellitus using direct indicator such as glucose level in blood and urine (0.7753). These results suggest that strategic interventions showed clear advantage for improvement of patient compliance compared with non-intervention group.

• Information Systems Review
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• v.17 no.3
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• pp.65-76
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• 2015

This paper examines the influence of neutralization techniques and voluntary actions on intention to comply information security policy. Data were collected through an online survey and hypothesis results were all hypotheses were supported. The results of this study improve understanding on the voluntary nature of employee behavior for participating in the organization's policies and the rationalization of the employees trying weakening the organization's policy intentions. The organization shoud implement specific education and training in order to suppress the rationalization of employees and develop a plan to have a kinship with the employees of the organization.

• Quality Improvement in Health Care
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• v.21 no.1
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• pp.36-49
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• 2015

In Intensive Care Units (ICUs), where severely ill patients are treated, importance of reducing Hospital Acquired Infection (HAI) cannot be overstated. One of the simplest and most effective actions against HAI is proper hand hygiene (HH) behavior of Health Care Workers (HCWs). However, compliance varies across different cultures and different job types of HCWs (physicians, residents and nurses). This study aims to understand determinants of HH behavior by HCWs' job types in Korea. Qualitative analysis was performed based on Reasoned Action Approach style interviews with staff physicians, residents and nurses across 7 teaching hospitals. We found that all HCWs strongly believe HH is important in reducing HAI. There were, however, job type-specific HH behavior modifying factors; staff physicians stated feeling pressure to be HH behavior role model. Residents identified Quality Improvement team that measured compliance as a facilitator; a notable barrier for residents was senior physicians not washing their hands, because they were afraid of appearing impudent to their seniors. Nurses designated their chief nurse as a key referent. All participants mentioned heavy workload and lack of access to alcohol-based sanitizer as situational barriers, and sore and dry hand as deterrents to HH compliance.

• Health Policy and Management
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• v.11 no.4
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• pp.54-69
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• 2001

This study was conducted to assess factors associated with the degree of performance of qualify improvement(QI) activities. A mailed questionnaire survey was conducted between September 15 and October 30, 2000, with the staffs being charge of QI at each of the hospitals with 400 beds or greater. Of the 108 hospitals eligible for inclusion in our study, 79 participated, yielding a response rate of 73.1%. After excluding 12 hospitals that did not perform any QI activities, 117 responses from 67 hospitals were used for the analysis. Using the Malcolm Baldrige National Quality Award Criteria(MBNQAC), perceived performance of QI was measured in terms of the improvement of the quality of clinical practice, clinical supporting department, administrative procedure of receiving care, customer satisfaction, efficiency and standardization of work process. Factors evaluated for the association were the extent of QI implementation, compliance to 5 QI principles, participation of hospital CEOs, budget allocation, history of QI, and bed size. Path analysis was performed to assess the relationship between QI performance and these factors. Major findings of this study are as follows. Hospitals showing higher degree of QI implementation (path coefficient=0.5967, p<0.001)) and better compliance with the basic principes of QI(0.5736, p<0.05) tended to achieve better performance. Path analysis results showed that interest and participation of hospital CEOs(0.1954, p<0.05) and compliance with the basic principes of QI(0.4028, p<0.0001) indirectly affected the outcomes of QI by influencing the intermediate variable of the level of QI implementation. This study results suggest that having employees have a good orientation of the basic concept and principes of QI through relevant training be the most important requirement to achieve better outcomes from QI activities. In addition, to educate leaders of hospitals the need of active implementation of QI is important to encourage their participation and draw strong support for QI programs.

• Safety and Health at Work
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• v.10 no.1
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• pp.21-29
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• 2019

Background: Promoting healthy lifestyles at work should complement workplace safety programs. This study systematically investigates current states of occupational health and safety (OHS) policy as well as practice in the European Union (EU). Methods: OHS policies of EU member states were categorized as either prevention or health promotion provisions using a manifest content analysis. Policy rankings were then created for each prevention and promotion. Rankings compared eight indicators from the European Survey of Enterprises on New and Emerging Risks-2 data on prevention and promotion practices for each member state using Chi-square and probit regression analyses. Results: Overall, 73.1% of EU establishments take preventive measures against direct physical harm, and about 35.4% take measures to prevent psychosocial risks. Merely 29.5% have measures to promote health. Weak and inconsistent links between OHS policy and practice indicators were identified. Conclusion: National OHS policies evidently concentrate on prevention while compliance with health and safety practices is relatively low. Psychosocial risks are often addressed in national policy but not implemented by institutions. Current risk assessment methods are outdated and often lack psychosocial indicators. Health promotion at work is rare in policy and practice, and its interpretation remains preventive. Member states need to adopt policies that actively improve health and well-being at the workplace.

• Journal of Digital Convergence
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• v.10 no.10
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• pp.31-46
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• 2012

Drawing upon Griffin and Neal's safety climate and performance model, this study developed an information security climate model. Research model is composed of three research variables that include information security climate, information security compliance attitude, and opportunistic security behavior. Results of the study strongly support the fundamental proposition that the organizational security climate has significant positive influence on the individual's opportunistic security behavior. However, the study also reveals that the organizational climate may not directly associate with the reduction of opportunistic security behavior. Rather the organizational security climate nurtures the favorable attitude of the employee towards the compliance of information security, which in turn discourages opportunistic security behavior.

• The Journal of the Korea Contents Association
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• v.17 no.4
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• pp.461-467
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• 2017

Privacy laws are widely enforced throughout the general public and private sector, and the Ministry of Government Administration and Home Affairs is stepping up its annual level of protection and management levels annually. However, in actual field, it has limits to follow the laws that are amended to comply with the privacy laws of the public sector. Therefore, this study should examine the trends of privacy protection and examine items that require adherence to privacy practices in public institutions. In addition, it is hoped to draw implications for the problems arising from the task itself, as well as providing implications for the issues that are closely related to the public in the privacy of the privacy policies.

• The Journal of Information Systems
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• v.28 no.4
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• pp.105-129
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• 2019

Purpose Issues related to information security have been a crucial topic of interest to researchers and practitioners in the IT/IS field. This study develops a research model based on a Structure-Conduct-Outcome (SCO) framework for the social exchange relationship between employees and organizations regarding information security. Design/methodology/approach In applying an SCO framework to information security, structure and conduct are activities imposed on employees within an organizational context; outcomes are activities that protect information security from an employee. Data were collected from 438 employees working in manufacturing and service firms currently implementing an information security policy in South Korea. Structural equation modeling (SEM) with AMOS 22.0 is used to test the validation of the measurement model and the proposed casual relationships in the research model. Findings The results demonstrate support for the relationships between predicting variables in organization structure (security policy and physical security system) and the outcome variables in organization conduct (top management support, security education program, and security visibility). Results confirm that the three variables in organization conduct had a positive effect on individual outcome (security knowledge and compliance intention).

• Journal of Digital Convergence
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• v.19 no.2
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• pp.105-115
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• 2021

The purpose of this study is to present the effect of differences in individual coping and organizational homogeneity culture on information security compliance from an exploratory perspective. The study divided groups into individual coping (task-oriented, emotion-oriented) and organizational homogeneity culture (homogeneity, heterogeneity), confirms the difference in information security for each group through cross-design and presents a multiple mediation model between information security factors. As a result of the study, in the coping dimension, the average of the security compliance factors was higher in the emotion-oriented than the task-oriented, and in the homogeneity culture dimension, the average of the security compliance factors was higher in the homogeneity than the heterogeneity. Additionally, social influence and involvement had a multiple mediation effect on the relationship between information security awareness and compliance intention. The implications of this study were to confirm the difference in the effect of individual decision-making styles on security compliance according to the organizational culture differences. The results suggest the necessity of applying a customized information security compliance model for each organization and individual characteristics.

• Environmental Analysis Health and Toxicology
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• v.30 no.sup
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• pp.2.1-2.11
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• 2015

Objectives This study presents a methodology that enables a quantitative assessment of green chemistry technologies. Methods The study carries out a quantitative evaluation of a particular case of material reutilization by calculating the level of "greenness" i.e., the level of compliance with the principles of green chemistry that was achieved by implementing a green chemistry technology. Results The results indicate that the greenness level was enhanced by 42% compared to the pre-improvement level, thus demonstrating the economic feasibility of green chemistry. Conclusions The assessment technique established in this study will serve as a useful reference for setting the direction of industry-level and government-level technological R&D and for evaluating newly developed technologies, which can greatly contribute toward gaining a competitive advantage in the global market.