• 제목/요약/키워드: service utilization

검색결과 2,248건 처리시간 0.026초

고령층 만성질환 외래이용의 지역 간 변이 (Regional Difference in Outpatient Service Utilization for Chronic Diseases among the Elderly)

  • 윤희숙
    • 보건행정학회지
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    • 제24권2호
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    • pp.128-135
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    • 2014
  • Background: With ageing and growing importance of disease management system, it is necessary to investigate the extent of regional difference in service utilization for chronic diseases among the elderly and to reflect it in designing the system. Methods: A multiple regression analysis and descriptive statistics analyses were employed using patient survey, which covers nationwide health facilities and their users. Results: While the differences in the rate of service utilization/utilization outside living area between urban and rural areas or between income levels are not large, considerable variations are observed within urban or rural areas and within income groups. Conclusion: This results suggest that it is important to subsidize economically disadvantaged segments of the population and residents of less-favored areas to be better-equipped for chronic disease management in order to prevent the development of severe ailments and the need for treatment at higher-level medical institutions. Improvements to the service infrastructure in vulnerable regions are essential.

정신과 외래환자들의 의료이용에 관한 연구 (The Utilization of Health Service by Psychiatric Outpatients)

  • 김채봉;황성완
    • 보건의료산업학회지
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    • 제6권1호
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    • pp.77-86
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    • 2012
  • Objective of the study represents experiences of medical utilization of Psychiatric Outpatients. This research draws on information obtained from the 2008 National-wide sampling study of the Korean Healthcare Panel(KHP) conducted. The results of our study suggest the significance of variables such as the gender(p<.001) in the social demographical characteristics, the medical security type(p<.016), medical institution utilization(p<.012) treatment type(p<.004) in the utilization factors. In the case of medical utilization cost, the financial support factor(p<.018) showed a significant relationship. Depending on the particularities of gender, medical security type, financial support, medical institution utilization, treatment type were determined through a multiple logistics regression analysis. Gender showed that, among Psychiatric outpatient age of 30-59 level was 5.358 times and 60 years and older, their the second medical examination level was 4.490 times higher than Psychiatric outpatients under the age of 29. Health insurance type showed for the others medical allowance was 6.712 times higher than job health insurance and the other treatment was 0.395 times lower than drug treatment. Psychiatric outpatients utilization are rooted in the thoughts and factor levels of the Psychiatric patients and must be understood from the Psychiatric outpatients's perspective. The point is not only to gauge the patients research during Psychiatric medical utilization. The important of social community mental healthcare services levels goes beyond the goal of enhancing healthcare.

구강건강증진 관점에서의 치과의료서비스와 치과공포의 연관성 (Relationships between Dental Fear and Dental Services Utilization with Respect to Oral Health Promotion)

  • 최준선;김광기
    • 보건교육건강증진학회지
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    • 제23권4호
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    • pp.47-65
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    • 2006
  • Objectives: This research is to provide the basic data for the improvement on oral health by examining the relationship between the dental fear and the dental service utilization, and to discuss a strategy for dental health in order to lower the level of dental fear. Methods: Data were collected by conducting a structured survey of 1,607 people between the age of 13 and 70 who have experiences in visiting a dental institution. Both univariate and multivariate analyses were employed to analyze the relationship between the number of times dental service and dental fears. Results: The average level of dental fear the respondents reported was $52.16{\pm}15.71$ and 31.5% of the response was at the level of high dental fear. A strong physiologic response during the dental treatment was muscle tension and the stimulations that strongly arouse the dental fear were the anaesthetic needle and the sound of drill. A result of analysis on the relationship between the dental fear and the dental service utilization shows that as the level of dental fear became higher, the number of times for the dental service utilization for the last year had reduced. Also when a patient has an experience of putting off or canceling an appointment due to dental fear and as a physiologic response during the dental treatment became stronger, the result shows a tendency that the number of times for the dental service utilization for the last year had reduced. Conclusions: It has been observed that dental fear is one of the main barrier to use dental service. Therefore, a physio-psychological factor like the dental fear should be included in the task of promotion of dental health, and in analyzing the dental service utilization behavior. A discussion about how to lower dental fear was made with respect to oral health promotion. At individual level, improvement of communication skill by dental service providers should be made with rearrangement of clinic environment into more cozy one.

암 사망자의 의료이용 변이 (Variation of the Medical Service Utilization of the Dead by Cancers)

  • 홍월란;이원재;윤경일
    • 한국병원경영학회지
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    • 제12권3호
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    • pp.1-19
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    • 2007
  • This study focused on finding the variation of medical service utilization and medical payments of the patients died by three, cancers, stomach, breast, and colon cancer. For this study, data of the one-year episodes of the health insurance subscribers died in 2004 were selected. The frequency of medical visits, the lengths of slays, the days of outpatient visits, the total period of medical services and the total medical payments were compared by the characteristics of the suppliers and utilizers. The data of the patients died by cerebrovascular diseases and cancer in 2004 were selected. To select the dead by cerebrovascular diseases and cancer in 2004, were matched the 2004 reimbursement data of all medical institutions to the data of funeral fee payment by the National Health Insurance Corporation from January 2004 to May 2005 for the death in 2004. The results of the analysis were as follow. The variation of medical service utilization of the dead by cancers were not small in Korea. The current study found that the variation of medical care utilization was influenced by the factors of suppliers, such as types and locations of medical institutions and the factors of users, such as sex and age. It was suspected that the reimbursement by fee-for-service contributed to the variation quite a lot, but we could not compare the variation between the different reimbursement systems in Korea. The results of the study suggested that tile factors of suppliers and utilizers should he reviewed to reduce the under use and over use expressed by variations of medical service utilization. The processes of care, effective communication and management system should be investigated for the equity of medical service utilization. Additionally, prospective payment could he recommended to reduce the high variation of medical service Use. To find the variation caused by under use and over use, further study need to control the severity of diseases, socio-economic status of the users and the system factors.

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소셜 네트워크 서비스의 활용방안 연구 : 트위터를 중심으로 (Utilization studies of Social Network Service : Focused on Twitter)

  • 육지애;정형원;유수미
    • 디지털산업정보학회논문지
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    • 제7권1호
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    • pp.85-93
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    • 2011
  • 2010 trend of Web services is Social Network Service. What does Social Network Service are like this? What could really be used? I also take advantage of future can I do? To elicit answers to the question of Social Network Service and the overall status of the root is used in the case Learn about the current utilization plan after the proposed research. The use of practices being applied to Social Network Service, the three theories were derived positive and negative aspects. Research based on more than the utilization of Social Network Service to build a social safety net to take advantage and use of learning aids were divided into suggestions. Utilized for building a social safety net, and when the reported channel to channel, the use of learning aids to learning that one day, one-on learning by applying the proposed total of four kinds of utilization.

국내 제약 산업 수출지원서비스 품질이 기업의 수출 기대치에 미치는 영향 (Effects of the Korean Pharmaceutical Export Supporting Program's Service Quality on Export Performance Expectation of Korean Pharmaceutical Companies)

  • 이성빈;이상원
    • 보건의료산업학회지
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    • 제13권3호
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    • pp.105-114
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    • 2019
  • Objectives: This study aimed to provide a comprehensive analysis of the relationship between the service quality of the Korea Health Industry Development Institute (KHIDI), along with the utilization of and customer satisfaction with its export supporting program, and the export performance of Korean pharmaceutical companies. Methods: An online and offline survey was conducted on Korean pharmaceutical companies that have used the export supporting program provided by KHIDI. Data on the service quality of KHIDI, utilization of and customer satisfaction with the export supporting program, and company export performance were collected via survey. Results: Results indicated that systemizing and reliability service factors of the export supporting program have a significant impact on customer satisfaction, and customer satisfaction has a significant impact on utilization of the export supporting program. Furthermore, customer satisfaction and utilization of the program have a significant impact on company expectations regarding future export performance. Conclusions: As a result, service quality, utilization, and customer satisfaction were found to affect Korean pharmaceutical company's expectations regarding their future export performance. The results of this study can significantly impact the development of export supporting programs.

Satisfaction Through Clothing Utilization and Environmental Sustainability Based on Fashion AI Curation Service

  • Shin, Eunjung;Kim, Sohyun;Koh, Ae-Ran
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제16권9호
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    • pp.2867-2881
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    • 2022
  • This study investigates fashion Artificial Intelligence (AI) curation services to expand sustainable consumption. We analyzed the factors that affect the AI fashion curation service experience of women in their 20s and 30s using their clothes. An online survey was conducted from March 29, 2021, to June 4, 2021, for women of the previously mentioned age groups residing in the metropolitan area. Before answering the questionnaire, they installed the "Style Bot" application on their phone, took five or more photos of their clothes according to the manual provided by the application, stored them in a virtual wardrobe on the application, and then responded to the questionnaire using the AI recommended coordinating function. The effect of the properties of fashion AI curation service application on the use of clothes was investigated. Among the attributes of the fashion AI curation service application, convenience, speed, and usefulness were found to have a positive effect on the use of clothes, and promptness had no effect. Second, regarding the impact of clothing utilization on environmental sustainability, clothing utilization was found to have a positive effect on environmental sustainability. Third, environmental sustainability was found to have a positive effect on satisfaction. Fourth, clothing utilization had a positive effect on satisfaction. Thus, fashion AI curation service would help promote service development so that clothes could be used actively through an in-depth understanding of the properties of these services. Finally, the results of this study would contribute to promoting environmental sustainability.

MPLS망의 보호 복구 기술의 비교 (A Comparison of Restoration Schemes in Multiprotocol Label Switching Networks)

  • 오승훈;김영한
    • 한국통신학회논문지
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    • 제27권4C호
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    • pp.316-325
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    • 2002
  • This paper investigates the restoration schemes which are applied to the MPLS domain upon a network failure. We define the following three restoration service models by combining the various restoration schemes: "FIS-based protection service" (FIS: failure indication signal), "inversion traffic protection service" and "1+1 protection service". After a qualitative analysis of the performance in them, we have analyzed it on quantitative basis by the simulation. According to the simulation results, "1+1 protection service" guarantees the fastest and most lossless restoration service among them; however, it results in consuming considerable bandwidth and producing an amount of control traffic, which means poor network utilization. On the other hand, "FIS-based protection service" spends less bandwidth and generates less control traffic, which means better network utilization, but produces poor restoration service. "Inversion traffic protection service" provides the medium restoration service and utilization between "1+1 protection service" and "FIS-based protection service."

보건기관 이용 현황 및 만족도와 관련 요인 -'2010지역사회건강조사' 자료를 이용하여- (Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using '2010 Community Health Survey'-)

  • 김혜숙;박영희
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.95-109
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    • 2013
  • The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.

노인의 노인복지서비스 이용경험에 영향을 미치는 요인에 관한 종단연구 -서울과 춘천 노인들을 중심으로 (Longitudinal Study on Factors Affecting Older Adults' Welfare Service Utilization)

  • 임연옥;윤현숙
    • 한국노년학
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    • 제29권3호
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    • pp.1063-1085
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    • 2009
  • 본 연구는 시간이 경과함에 따른 노인들의 복지서비스 이용경험의 변화를 살펴보고, Andersen과 Newman(1973)의 행동주의 모델을 적용하여 서비스 이용경험에 영향을 미치는 요인들을 밝힘과 동시에 지속적으로 영향을 미치는 요인을 밝히고자 시도되었다. 이를 위해 2003년부터 2007년까지 세 차례에 걸쳐 수집된 한림고령자패널자료 중 60세 이상 노인을 분석대상으로 경로우대서비스, 여가서비스, 재가복지서비스 이용경험과 Andersen과 Newman(1973)의 모델에서 제시된 선행요인(성, 연령, 교육수준), 가능성요인(거주지역, 배우자유무, 월 용돈, 서비스 인지수준), 욕구요인(일상생활동작수행능력)에 해당하는 문항들을 분석하였다. 연구문제를 해결하기 위해 자귀회귀모형과 회귀분석을 결합한 모형을 만들고 이를 구조방정식 모형을 이용하여 분석하였다. 분석결과 첫째, 시간이 흐름에 따라 노인들은 경로우대서비스를 점차 보편적으로 이용하게 되었지만 여가서비스와 재가복지서비스를 이용함에 있어서는 아직까지 제한적이었다. 둘째, 경로우대서비스와 여가서비스에 대한 이용경험은 다음의 서비스 이용경험에 정적인 영향을 미치고 있었다. 셋째, 서비스 이용경험에 영향을 미친 요인들이 조사시점마다 달라졌지만, 경로우대서비스 이용에는 선행요인인 연령과 가능성요인인 거주지역, 여가서비스 이용에는 가능성요인인 거주지역과 배우자유무, 그리고 재가복지서비스 이용에는 선행요인인 교육수준과 가능성요인인 서비스 인지수준이 5년 동안 지속적으로 영향을 미치는 것으로 나타났다. 특히 선행연구들에서 서비스 이용에 욕구요인이 중요한 요인으로 지목되어온 것과는 달리 본 연구에서는 가능성요인이 중요하게 부각되었다. 이러한 결과를 통해 노인 개인이나 가족의 특성보다는 서비스를 공급하는 지역의 복지환경이 노인의 서비스 이용에 더 영향을 미침을 확인하였다. 따라서 노인의 노인복지서비스 이용을 확대하기 위해서는 경로우대서비스와 여가서비스에 대한 복지자원과 재정에 있어서의 지역 간 격차를 줄이고 재가복지서비스에 대한 홍보를 체계화하는 노력이 요구되었다.