• Title/Summary/Keyword: social welfare service utilization

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Factors affecting use of the emergency department at superior hospitals on public holidays (상급종합병원 응급실 공휴일 이용의 영향 요인)

  • An, Byeung-Ki
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.11-20
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    • 2019
  • The purpose of this study was to identify the factors affecting the use of superior general hospitals on public holidays by using the medical use model (Dutton's medical use model) with the medical panel data. The study found that 34.2% of superior general hospital emergency rooms were used on public holidays and the factors which made statistically significant influences on the use of superior general hospital emergency rooms on public holidays were whether patients were operated or emergency care and inspection etc. Also, there was a difference depending on whether the type of establishment of the medical insititution is national or private. In other words, patients who received emergency care and examinations were found to make more frequent visit to hospital emergency room on pubic holiday, compared to patients who underwent surgery and those who visited emergency rooms in the private superior general hospital did so, compared to those who visited emergency room in the national general hospital(OR, 4.4, 3.386, respectively). Therefore, it is necessary to consider the introduction of integrated care of health and social care medical service that focuses on primary care in Denmark, which focuses on patients, and pre-The Canadian Triage and Acuity Scale(pre-CTAS) in the UK.

Impacts of Health Insurance Coverage Expansion on Health Care Utilization and Health Status (건강보험 보장성 확대가 의료이용 및 건강수준에 미치는 영향)

  • Bae, Ji-Young
    • Korean Journal of Social Welfare Studies
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    • v.41 no.2
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    • pp.35-65
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    • 2010
  • The purpose of this study is to identify the relationship between health insurance and health by evaluating the impacts of health insurance coverage expansion on health care utilization and health status. To analyze the causal relationship between health insurance and health, this study employed a "difference-in-difference method" that could compare changes in health care utilization and health status across groups in health insurance coverage expansion in 2005. The researcher predicted that the expansion of health insurance coverage would be an exogenous source of variation in the prices of health service use. First, the difference-in-differences estimator between 'illness group' and 'non-illness group' revealed that the increase in coverage of inpatient care services would result from the increases in the stay of length of 'non-illness group' rather than that of 'illness group'. However, the difference-in-differences estimator between 'serious illness group' and 'chronic illness group' identified that the policy change that focuses on expansion of the coverage for 'serious illness' effects on the increases in health care utilization and promotion of health status. In summary, the changes of health insurance coverage focusing on serious illness and inpatient care have positive effects on health care utilization and health status of serious illness group. But, 'non-illness groups' with acute illness receive more benefits from the policy change than 'illness group' with chronic illness.

A Search on building process of Trust in voluntary association in the community - A Subject of Expanding of Social Welfare Services - (지역사회 자발적 결사체의 신뢰형성 탐색 - 사회복지서비스 확대 시대의 과제 -)

  • Choi, Jong Hyug;Yu, Young Ju;Kim, Hyo Jung
    • Korean Journal of Social Welfare Studies
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    • v.41 no.3
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    • pp.135-162
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    • 2010
  • The Purpose of this study is to get basic material about voluntary association in local community and its utilization. In order to achieve the purpose of this study, it was considered that trust of social capital plays a leading part in voluntary association to maintain or strengthen its role and activities. For this reason we attempt to find the process of trust building in voluntary association. The revised ground theory that is complementary weaknesses of ground theory is used in this study and in 11months, four times researches have investigated. As a result, it was analyzed that the structure of building trust can be categorized into three structure, building up relationship, dynamic interaction and structural stabilization in voluntary association. In the space that is structured spatially and temporal, role, activity, accomplishment, attitude, conflict and environment acted as basic attributes. These attributes can be found in every building process of trust and influence on continuance and growth of voluntary association. The fact that this study offers in-depth understanding of voluntary association and empirical directivity regarding the community welfare services is of great significant.

A Study on the Change of Needs for Using Rehabilitation Services of Injured Workers (산재근로자의 재활서비스 이용욕구 변동 연구)

  • Bae, Hwa-Sook
    • Journal of Digital Convergence
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    • v.16 no.7
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    • pp.19-26
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    • 2018
  • This study is purposed to analyze how the utilization of rehabilitation services and the desire for service utilization changes with time, to explain the factors affecting service needs and to suggest direction of policy improvement for injured workers. Using the Workers' Compensation Insurance Panel Data ver.1~3, this study analyzed 5,004 observations. Panel regression analysis was performed using STATA to examine changes over time. Two key findings were made: first, the factors influencing the degree of need for rehabilitation services were age, educational period, ability on job performance, community service experience, re-employment and unemployment; second, the significant factors influencing the degree of need for rehabilitation services according to time were age, education period, unemployment, ability on job performance, and experience in using community services. That results were different from the previous cross-section analysis. These findings indicate that it is necessary to check and adjust the initial intervention contents after the end of the period of care on a timely base.

A Study on the Characteristics of Labor Market Transition and Factors Influencing Labor Market Transition of Injured Workers (산업재해근로자 노동시장이행의 성격과 영향요인 연구)

  • Bae, Hwa Sook
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.193-212
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    • 2017
  • This study is purposed to explain the characteristics of injured workers' labor market situation and to analyze the factors influencing labor market transition of those workers. Using the Worker's Compensation Insurance Panel Data ver.1~3 which was surveyed by the Korean Workers' Compensation & Welfare Service in 2013-2015, this study analyzed 1,668 injured worker cases. The study shows that workers who have experience job retention at least once are 36.8% of all, 51.5% of them have experienced re-employment, and 36.9% have done unemployment. One result of the longitudinal analysis is that socio-demographic factors including gender, age, education years, convalescence period, ability on job performance, company size, term of service, temporary employment, daily-workers status before job accident and job training were associated with return to pre-injury job. The other result is that statistically significant factors affecting the probability to be the unemployed are gender, age, levels of disability, convalescence, ability on job performance, term of service before job accident, job rehabilitation service utilization. These findings indicate that we need to develop efficient intervention programs for supporting return-to-work and labor market transition of injured workers.

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A Future Study Agenda Applying Service Research Framework (서비스 연구 프레임워크 관점에서의 향후 연구과제)

  • Lee, JeungSun;Ahn, Jinho;Kim, Hyunsoo
    • Journal of Service Research and Studies
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    • v.7 no.1
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    • pp.83-96
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    • 2017
  • The importance of service science is emphasized in the modern economy, and the value and necessity of service research still increasing. Since the service research framework was proposed, it has been studied from various perspectives and incorporated into one framework--service research. The direction of service research has been established and a new baseline of research has been established. However, the modern economic and social environment could be described as a new era, the Fourth Industrial Revolution has changed drastically. More and more systematic research on services has become necessary. Therefore, this study analyzed the field of service research in the existing framework. The study suggested how service research could broaden the horizon of service research by studying the 'what'. To do this, we analyzed recent service research trends by themes. We also identified the shortcomings of previous studies about service, and suggested directions and research themes for future research. Based on this study we developed a general approach to the creation of new models from the viewpoint of service science. The authors were also able to develop a general approach to areas such as service innovation, service inference, service solution, and service design leverage. In addition, it is necessary to extend service research and business model to the utilization of service technology. This approach could contribute to forming the basis of future service development, and to utilize social media to create new value of innovative company. The results of this study could contribute to deepening and expanding service research.

Service Quality Measurement by Perception of A Day Care Service Users: Based on SERVQUAL Model (주·야간보호서비스 이용자 인지에 의한 서비스품질 측정: SERVQUAL 모형을 중심으로)

  • Lee, Jin Yong
    • 한국노년학
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    • v.31 no.3
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    • pp.691-709
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    • 2011
  • The purpose of this study is to measure the utilization of a day care service and service quality by SERVQUAL model, also to discuss policy implications based on this. The data analysis is conducted with 208 users of a day care service in Deajeon metropolitan city, Chungnam and Chungbuk area. The analysis result is as follows. First, it shows positive definiteness on tangibles, reliability, responsiveness, assurance, empathy in all categories because perceived level is higher than expectations. Perceived level after using the service is more highly rated than expectations before using it by most of seniors who use the service. Second, service quality is examined in accordance with demographic characteristics, but the difference is not statistically significant. Third, examining service quality in terms of characteristics of centers, it shows statistically significant difference in perceived level depending on management type of location, a number of provided programs per week, and the size of a facility and in expectations depending on established institution. Forth, as a result of examining service quality in accordance with characteristics of service users, there is no meaningful difference statistically.

A study on Implementation Factors of Infrastructure Expansion Policy in Long-term Care Service - Focus on Long-term care facility - (장기요양보장 인프라 확대정책의 집행요인에 관한 연구 - 노인요양시설을 중심으로 -)

  • Kim, Mee-Hye;Lee, Eun-Young;Park, Ji-Hye;Kim, Min-Kyoung
    • Korean Journal of Social Welfare Studies
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    • v.40 no.3
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    • pp.5-40
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    • 2009
  • As of June 2008, the government's expansion policy for the long-term care service infrastructure has achieved an outstanding 96.4% occupancy rate of facilities across the country. Despite such achievement, practical issues including the physical lack of facilities, disproportional regional spread and decline in government accountability have raised concerns about the effectiveness of the policy's implementation. This study was aimed at defining the implementation procedure of expansion policy for long-term care service infrastructure, analyzing variables that affect it, examining the problems revealed in implementation procedure, and suggesting improved plan on that policy. Research methods were to review literatures on infrastructure expansion policy, to conduct case studies on K province, C city and 4(2 corporations and 2 privately owned) facilities in C city for studying practical implementation procedure on a local government level, and to use Alexander(1985)'s framework for analyzing variables of policy implementation. As a result of this study, policy variables including the clarity and adequacy of policy goal, nature of service providers, task and responsibility between government authorities, and implementation variables such as propensity toward budget allocation, financial restraint, swift utilization of budgets and the streamlining of involved procedures and inter-agency relations stood out as the main factors affecting policy implementation. In adddition, this study suggested several improvement measures such as accounting facilities need based on real local demand and supporting to private participation and so on.

A Study on the Effect of the 1995 Merger of Some Rural and Urban Regional Health Insurance Societies: Policy Implications for the Merger Plan of the Entire Health Insurance Programs (1995년 실시된 도시지역조합의 농어촌지역조합의 통합 이후 나타난 변화에 관한 연구: 통합의료보험을 위한 정책제언)

  • Yoo, Tae-Kyun
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.307-326
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    • 1999
  • The primary purpose of this study is to analyze changes, if any, in the financial status and the intensity of health care service utilization of the regional health insurance societies following the 1995 merger of some rural and urban regional health insurance societies. Ultimately, this study is aiming at providing an empirical basis for predicting the impact of the 1998 merger of the Regional Health Insurance Program and the Health Insurance Program for Government Employees and Teachers and, further, predicting the impact of the merger of the entire health insurance programs scheduled for the year 2000. The study results did not suggest that the 1995 merger had brought about notable changes in the rate of increase in the total expenditures or the insurance payment of the merged regional insurance societies in comparison to non-merged ones. Neither did it show that the merger had resulted in significant changes in the intensity of the use of health services. The study, however, found that the 1995 merger had reduced the rate of increase in the management and operational cost of the merged insurance societies. Based on these findings, some policy implications are discussed, and suggestions are made for the total merger plan scheduled for the year 2000.

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A Study on Economic Value Analysis Model of Meteorological Information (기상정보의 경제적 가치 분석모형 연구)

  • Kim, Sung Tai
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.103-109
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    • 2019
  • The purpose of this study is to examine various existing models that analyze the economic value of meteorological information, to present a new analysis model, a market model, and to quantitatively analyze the economic value of meteorological information in the Korean service industry using the market model. The research method of this paper will basically use empirical analysis along with the theoretical approach to critically examine the existing analytical model of economic value of meteorological information and to suggest a new analytical model. The analysis results are as follows. Theoretically, the marginal cost of firms is reduced by providing the amount of weather information, and social welfare is increased by the increase of consumer and producer surplus. In this paper, the marginal cost of 1% increase in the amount of weather information decreases by 0.101% and the increase in social welfare increases by 1,247billion Won in 2017. On the other hand, in the accommodation and restaurant sectors, the marginal cost due to a 1% increase in weather information decreased by 0.218%, and the social welfare increase increased by 308billion Won in 2017.