• 제목/요약/키워드: service policy

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농촌지역에서의 읍.면간 의료이용 비교 (Comparative Analysis of Health Service Utilization Patterns in Rural Region)

  • 진기남;한지숙;이규식;이동우
    • 보건행정학회지
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    • 제9권2호
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    • pp.40-54
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    • 1999
  • The purpose of this study is to compare the health service utilization patterns between up and myun and to find the determinants of utilization. For this purpose. this study used different versions of utilization rates. such as crude utilization rates. utilization rates adjusted for population composition. and age-sex adjusted utilization rates. Data used in this analysis were the Community Health Interview Survey which was conducted by interviewing 741 households from August 31 to September 11, 1998 in HongCheon-Gun. KangWon-Do. The major findings of the analysis are summarized as follows: 1. There was a statistically significant difference in the level of health service utilization between up and myun. Depending upon the unit of analysis employed (those who were interviewed vs those who were sick). the difference between up and myun was reversed. 2. Determinants of health service utilization are analyzed using logistic regression. The result showed that predisposing factor influenced health service utilization in rural areas, while the enabling factor didn't.

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Discrete-event와 Agent 기반의 시뮬레이션을 이용한 현장 서비스 요원 보급 정책 평가 사례 연구 (Field Service Engineer Replenishment Policy Assessment Using a Discrete-Event and Agent-Based Simulation Model : A Case Study)

  • 서은석
    • 대한산업공학회지
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    • 제41권6호
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    • pp.588-598
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    • 2015
  • In this paper, a simulation model for assessing the impact of alternative field service engineer replenishment policies is introduced. The end-to-end supply chain simulation model is created using a discrete-event and agent-based simulation model, which enables accurate description of key individual entities in the investigated supply chain, such as field service engineers. Once the model is validated with the historical data, it is used to assess the impacts of field service engineer replenishment policies for a major printing equipment manufacturing firm.In the case study, newly proposed replenishment policies for post-sale distribution supply chain are assessed for the level of service improvement to end customers.

스마트 어플리케이션 동향과 디지털 정책 시사점 (Recent trends of smart applications and implications for digital policy)

  • 한현수;우정아
    • 디지털융복합연구
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    • 제10권1호
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    • pp.1-10
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    • 2012
  • 본 논문에서는 최근 활발히 진화하고 있는 디지털 융합 관련 스마트 어플리케이션을 파악하고 디지털 정책 시사점을 제시하였다. 스마트 어플리케이션에 관한 기존의 많은 연구가 사용자 효용과 기술수용성 등을 중심으로 진행된 반면 정책 관점에 초점을 맞춘 연구는 상대적으로 미흡하였다. 본 연구에서는 이러한 연구의 갭을 메우고자 8개의 핵심 스마트 어플리케이션을 파악하고 이에 대한 삶의 질, 공공 이익, 역작용 등을 체계화하고 델파이 방법론에 기초한 실증분석을 통하여 검증하였다. 8개의 핵심 어플리케이션은 스마트워크와 스마트 상거래로 구분하여 각각 4개의 대표적 어플리케이션을 채택하였다. 본 연구 결과는 향후 관련분야의 디지털 정책 연구에 유용한 기초 결과로 사용될 수 있다.

우리나라 주요 해운정책의 통상법적 합치성 분석 연구 (A Study on the Trade Law Conformity of Korean Shipping Policies)

  • 안영균;이민규
    • 무역학회지
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    • 제47권6호
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    • pp.39-53
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    • 2022
  • This study conducted a conformity review of Korean shipping industry policy and suggested that the Korean five-year shipping reconstruction policy has not violated the WTO (World Trade Organization) trade law agreement yet. In order to investigate the latest Korean shipping policy, domestic and foreign reports were reviewed, and after that, the WTO's published data and domestic and foreign journals were analyzed. Through this process, this study tried to review the conformity of trade laws by major Korean shipping policies. The shipping industry is a representative service industry, and subsidies for this are not subject to WTO-level regulation in principle. The purpose of Korean shipping industry policy is to support the shipping industry, a type of service industry, and even if the ship-building and manufacturing industries (shipper) indirectly spread benefits in the process, this is unintentional or private-level support. That is, this study concluded that It is understood that Korea's five-year shipping reconstruction policy does not violate the WTO trade law agreement.

정책정보서비스에 대한 수요조사 분석 및 개선방안 제안에 관한 연구 (A Study on Possible Ways to Improve Policy Information Services and Demand Survey Analysis)

  • 홍현진;노영희
    • 정보관리학회지
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    • 제25권2호
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    • pp.69-97
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    • 2008
  • 정책정보는 유일무이성, 전문성, 특정성 면에서 국가적으로 매우 가치가 있으며, 정책정보가 국민 개개인에게 주는 의미는 매우 크다고 할 수 있다. 따라서 정부 및 행정기관이 갖고 있는 정책정보에 개인 누구나 쉽게 접근할 수 있는 제도적인 장치가 필요함은 물론 효율적인 정책정보서비스시스템의 개발은 매우 시급한 과제라 할 수 있다. 그러나 국내에는 정책정보를 총괄적으로 제공하기 위한 정책이나 시스템이 없는 것이 현실이다. 이에 본 연구에서는 설문조사를 통해 우리나라 정책정보유통기관의 현황을 분석하고. 국내 정책정보유통에 대한 요구분석을 하고자 한다. 이를 통해 국내에 산재되어 있는 정책정보를 국가적 차원으로 통합하여 국가정책정보 인프라를 향상시킬 수 있는 방안을 모색해 보고자 한다.

응급실 서비스 만족도에 대한 환자 가족의 평가와 의료진의 인식 차이 (Satisfaction Gaps among Physicians, Nurses, and Patient Family in the Emergency Department)

  • 강경희
    • 보건행정학회지
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    • 제23권2호
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    • pp.145-151
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    • 2013
  • Background: The objective of this study was to explore patient family's evaluation of emergency department (ED) service satisfaction and to compare these with ED staff perception of patient family's evaluation. Methods: Based on two surveys of the National Emergency Medical Center: the 2008 National Survey for Recognition and Satisfaction towards Emergency Medical Services and the 2008 Opinion Survey of Emergency Medical Service Providers, satisfaction gaps among physicians, nurses, and patient family were evaluated by Kruskal-Wallis tests and Wilcoxon-Mann-Whitney tests. Furthermore, the factors associated with satisfaction of emergency medical service were identified by ordinal logistic regression models. Results: There were statistically significant gaps among physicians, nurses, and patient family in overall satisfaction with ED visit, length of stay in ED, enough explanation, physicians/nurses kindness, and ED facilities. Age and income in the patient family model, the number of beds in hospital, job satisfaction and year of service in the physicians model, and the number of beds in hospital, job satisfaction and the number of patients per duty hour in the nurses model were statistically significant factors associated with evaluation/ perception of ED service satisfaction. Conclusion: Patient satisfaction is an important indicator of the quality of care and service delivery in the ED. To improve and understand satisfaction in ED service, a dyadic view of the evaluation of service quality and satisfaction-that is, from the perspectives of both the patient and the emergency medical service providers-should be concerned.

실시간 참고서비스의 효과적인 활용방안 및 고려요소 (The Factors which Should be Considered in Real-time Reference Service and the Effective Way of Using it)

  • 정재영
    • 한국도서관정보학회지
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    • 제37권3호
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    • pp.75-101
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    • 2006
  • 본 연구는 실시간 참고서비스의 도입을 위한 필요 요소들을 정책적 측면과 운영적 측면에서 고찰하고 효과적인 활용방안을 제시하고자 하였다. 참고서비스의 새로운 방법으로 소개되어지고 있는 실시간 참고서비스는 선진국의 사례에 기초해 성급하게 도입과 적용을 결정하기보다 충분한 사전 조사와 사례분석에 의한 적절한 적용 및 활용방안이 결정되어야 한다. 즉, 서비스정책의 수립, 적절한 프로그램의 선정, 프라이버시 정책의 확립, 그리고 도서관간 협력방안의 모색 등의 정책적 요소와 서비스 인력의 확보 및 교육, 운영시간, 홍보 및 평가시스템 운영 등의 운영적 요소에 대한 고려와 검토작업이 선행되어야 한다.

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이동통신사 서비스 요인과 전환혜택이 고객만족도와 전환의도에 미치는 영향에 관한 연구 (A Study on Effects that Service Factors of Telecommunication Company and Switching Benefit Influence to the Customer Satisfaction and Switching Intention)

  • 구승환;강호석;장성용
    • 경영과학
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    • 제31권2호
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    • pp.87-103
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    • 2014
  • This study looks for the service factors influencing to conversion among the domestic telecommunication companies and finds out the effect which the switching benefit affect the customer satisfaction and the switching intention. Eight service factors of the telecommunication company such as usability, call quality, terminal quality, auxiliary service, rates, after service, application and brand image are selected and verified using the structural equation model. Auxiliary service, rates and brand image give positive (+) effects to the customer's satisfaction, but the application gives negative (-) effects to the customer's satisfaction. Switching benefit affects significantly to the switching intention, but not to the customer satisfaction. The customer satisfaction gives a positive effect to the switching intention. The telecommunication service factors influence to customer satisfaction and switching intention, and switching benefit also influences to switching intention. It was analyzed that the significant influencing service factors were a little different among the telecommunication companies.

의약분업 이후 병원 약제부서의 업무내용 및 인력구조 변화 분석 (An Analysis of the Change in Job Contents and Personnel Structure of Hospital Pharmacy Services after the Implementation of the Separation of Prescription and Drug Dispensing Policy)

  • 윤경일;류시원
    • 한국병원경영학회지
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    • 제7권2호
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    • pp.37-51
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    • 2002
  • It has been 2 years since the implementation of the separation of prescription and drug dispensing policy. This study analyzes the effects of the policy on the job contents and personnel structure of hospital pharmacy. The main purposes of the analysis are to determine if the policy has causes the increase of professional activities of pharmacists in hospital and to investigate whether the hospital pharmacy is equipped with enough manpower to provide high quality pharmaceutical service as intended by the policy. The level of professionality of pharmacists' activities is measured by the number of activities of direct involvement in inpatient care such as participation in patient rounding, medication consultation, the number of hospital committee the pharmacists involved and the number of continuous education pharmacists took. The adequacy of personnel structure to provide high quality pharmaceutical care is measured by the level of compliance to the governmental standard of hospital pharmacy personnel. In order to collect the data, surveys were performed for two periods: year 1999 (before the implementation of the policy) and year 2001 (after the implementation of the policy). The results show that the pharmacists' participation in inpatient rounding decreased and that the inpatient medication history management activities, operation of ward pharmacy, participation in hospital committee increased. In personnel structure, the average number of pharmacist per hospital decreased and the number of prescription processing per pharmacist increased. Based on the results this study concludes that the professional activities of hospital pharmacists has increased a little and there were structural changes in hospital pharmacy service activities to increase the professionalism in providing care. However, the pharmacy departments were understaffed hampering the strive to increase the provision of professional pharmaceutical service in hospitals.

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Prescription of Systemic Steroids for Acute Respiratory Infections in Korean Outpatient Settings: Overall Patterns and Effects of the Prescription Appropriateness Evaluation Policy

  • Kim, Taejae;Do, Young Kyung
    • Journal of Preventive Medicine and Public Health
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    • 제53권2호
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    • pp.82-88
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    • 2020
  • Objectives: The objective of this study was to identify individual and institutional factors associated with the prescription of systemic steroids in patients with acute respiratory infections and to investigate the role of a policy measure aimed to reduce inappropriate prescriptions. Methods: We used data from the National Health Insurance Service-National Sample Cohort from 2006 to 2015 and focused on episodes of acute respiratory infection. Descriptive analysis and multiple logistic regression analysis were performed to identify individual-level and institution-level factors associated with the prescription of systemic steroids. In addition, steroid prescription rates were compared with antibiotic prescription rates to assess their serial trends in relation to Health Insurance Review and Assessment Service (HIRA) Prescription Appropriateness Evaluation policy. Results: Among a total of 9 460 552 episodes of respiratory infection, the steroid prescription rate was 6.8%. Defined daily doses/1000 persons/d of steroid increased gradually until 2009, but rose sharply since 2010. The steroid prescription rate was higher among ear, nose and throat specialties (13.0%) than other specialties, and in hospitals (8.0%) than in tertiary hospitals (3.0%) and other types of institutions. Following a prolonged reduction in the steroid prescription rate, this rate increased since the HIRA Prescription Appropriateness Evaluation dropped steroids from its list of evaluation items in 2009. Such a trend reversal was not observed for the prescription rate of antibiotics, which continue to be on the HIRA Prescription Appropriateness Evaluation list. Conclusions: Specialty and type of institution are important correlates of steroid prescriptions in cases of acute respiratory infection. Steroid prescriptions can also be influenced by policy measures, such as the HIRA Prescription Appropriateness Evaluation policy.