• The Journal of the Korea Contents Association
• /
• v.11 no.5
• /
• pp.270-279
• /
• 2011

This study to analyze differences of cancer patient's health utilizations in medical aid program and national health insurance by analysing health insurance claims data, and identify effects of health care systems. The majors results of the research were as follows. First, cancer patients in medical aid program more used total medical expenditures than in national health insurance mostly by many outpatient visits and long term hospitalization. Second, results of multiple regression, cancer patients in medical aid program more used total expenditures and inpatient expenditures. But, outpatient expenditures weren't different, cancer patients in medical aid program more visited medical institutions and hospitalized long term periods than in national health insurance. Therefore, it is too early to conclude that moral hazard is in health utilizations of medical aid program, because cancer patients in medical aid program many use in benefits for many nonbenefit burdens.

• Journal of agricultural medicine and community health
• /
• v.35 no.2
• /
• pp.111-123
• /
• 2010

Objectives: The purpose of the present study is to examine the effects of the Field Management Training Program for home care services personnel on their understanding and professional competences. Methods: The subjects were 373 team managers of public home care services who participated in the training program. Data was collected with a self-administered questionnaire in April and September, 2007. The subjects' level of understanding of home care was measured by 35 questions divided into 8 categories while their professional competence was measured by 15 questions divided into 5 categories. Result: After attending the training, the subjects' understanding improved from 20.90 points (possible range: 4~32) to 26.11 points. The most improvement was evident in the Planning and Public Health Education categories. Their professional competences improved from 10.81 points (possible range: 4~16) to 12.51 points. The improvement of their understanding and professional competences differed across to training places. It was also evident that an increase in understanding brought about an increase in professional competence. Conclusion: The Field Management Training Program needs to be continued with efforts to reduce the differences of training effects between training places. And additional recommendations should be made through further evaluation of subsequent training programs.

• Journal of Hospice and Palliative Care
• /
• v.19 no.2
• /
• pp.145-153
• /
• 2016

Purpose: This study was conducted to investigate patients' characteristics and actual conditions of home-based services offered by a free-standing hospice center. Methods: A retrospective review was performed with the medical records of 75 patients who received home-based hospice care from a free-standing hospice center from January 2014 through December 2014. Results: Most patients (54.7%) were enrolled via self-directed referral. The reason for the service termination was death at home 25.3%, admission to a hospice ward 50.7%, hospitalization 22.6% and patients' refusal 2.7%. Seventy three patients had cancer, and two patients had ALS. Among all, 58.7% were in a dying phase, and 34.7% were almost completely bedfast at the time of their enrollment in this study. When they enrolled, the patients' physical symptoms were characterized as pain (89.4%), sleep disturbance (71.2%), urinary difficulties (35.8%) and defecation difficulties (47.8%). Among all, 77.4% terminated the home visit service within one month. The mean frequency of the home visits was 3.25 (${\pm}3.98$), and less than five in 82.7% of patients. The mean frequency of the phone service was 3.40 (${\pm}3.12$). The frequency of doctor's home visits was $1.21{\pm}0.79$ on average, and the figure increased when patients' conditions turned unstable. Conclusion: It is necessary to develop a home-based hospice care model with consideration of patients' characteristics and the actual service conditions delivered by free-standing hospice facilities.

• Information and Communications Magazine
• /
• v.29 no.10
• /
• pp.66-73
• /
• 2012

전 세계적으로 노령인구가 급격히 증가하면서 만성질환자도 급증하고 있는 추세이다. 또한, 고도화된 현대사회와 과도한 업무, 서양화된 식습관, 그리고 운동부족은 젊은 층에서의 성인병 및 만성질환 증가를 부추기고 있다. 만성질환의 증가는 의료비 증가로 이어지고 결국은 국가재정 부담으로 돌아가게 된다. 만성질환자의 대부분은 지속적인 생체정보 측정과 이를 통한 관리가 필수적인데 매번 병원을 방문해 관리하는 것은 현실적으로나 비용적인 측면으로나 무리가 있는 것이 사실이다. 이러한 문제를 해결하고 언제 어디서나 시간과 공간에 구애받지 않고 생체정보를 원격에서 측정하고 관리 받을 수 있도록 하는 것이 U-헬스케어 서비스이다. U-헬스케어 서비스는 전통적인 의료 서비스에 정보통신 기술을 접목한 형태로 고령인구 및 만성질환자의 지속적인 관리를 위해 현재 주목 받고 있는 기술이다. U-헬스케어 서비스의 가장 중요하면서도 기본적인 요소는 원격지 사용자의 생체정보를 측정하고 수집할 수 있는 원격 생체정보 모니터링 기술이다. 이를 위해서는 다양한 종류의 생체정보 측정기기가 필요한데 장비나 시스템 간 통신 인터페이스의 상호 호환성이 매우 중요하다. 본 논문에서는 원격 생체정보 모니터링을 위한 표준 기술인 IEEE 11073 PHD를 소개하고 현재 IEEE 11073 PHD 표준에서 명시하고 있지 않은 보안 문제점과 필요 기술들을 분석하고자 한다. 또한, IEEE 11073 PHD에서 IEEE 11073-20601 표준 프로토콜을 이용한 사용자 인증 구조를 제안한다.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.11 no.8
• /
• pp.2926-2934
• /
• 2010

The purpose of this study was to examine the satisfaction level and behavioral intention of visitors in a health care and medical equipment fair in consideration of their benefits sought. The purpose is basically meant to identify the relationship of variables related to the satisfaction level of the visitors, their satisfaction level with benefits sought and behavioral intention to provide useful information to hosts of health care and medical equipment fairs and related people. The subjects in this study were 250 people who were selected from among the visitors in a health care and medical equipment fair in Wonju. After a survey was conducted, the collected data were analyzed by SPSS 14.0 and AMOS 16.0 programs, and descriptive statistics, factor analysis, reliability analysis and structural equation modelling were utilized. The findings of the study were as follows: Benefits sought had a significant impact on satisfaction level and behavioral intention, and satisfaction level affected behavioral intention in a significant manner as well. So all the hypotheses formulated in the study were accepted, and those who hosted a health care and medical equipment fair should try to address the needs of participants in the light of their characteristics and provide appropriate event products and services to stir up their satisfaction level and behavioral intention.

• 한국노년학
• /
• v.38 no.4
• /
• pp.837-851
• /
• 2018

This study aimed to investigate the relationship between frailty and health care utilization in a cross-sectional design of a population-based sample of community-dwelling older adults. We used the data of 516 participants who dwell in Daejon, aged between 65 and 84 years old. Using K-frailty index, frailty status were measured and categorized as three groups: robust, prefrail, and frail. Logistic regression analysis was used to examine if frailty affects emergency department(ED) visit or hospitalization. In addition, negative binomial regression was used to examine the association between outpatient visits and frailty. Our results showed that the frail elderly increased the ED visit and the number of outpatient visit significantly after controlling for demographic characteristics, socioeconomic status, the number of chronic diseases, and self-rated health status. Considering that frailty is an important independent factor affecting health care utilization, more attention is required to prevent the frailty in our health care system.

• The Journal of the Korea Contents Association
• /
• v.16 no.9
• /
• pp.560-568
• /
• 2016

In Korea, management support has been given at the government level for activities to attract foreign patients. China and Russia ranked on top of the lists for in-bound medical tourists. The purpose of this study is to examine the experiences of medical tourists in Korea, the demand for information, and the level of satisfaction regarding their experiences. 100 cases of medical tourists from China and Russia were collected through the mail survey. While Chinese used beauty, skin-care related products, Russian experienced the grocery shopping and wellness related services. Most patients from both nationalities experienced the traditional food in Korea and wanted to know about beauty products. Chinese wanted to get more information about Korean traditional food Russian. Finally, Russian showed higher overall satisfaction scores than Chinese respondents. If we reflect these results as a contents, it can be useful to attract foreign patients.

• Journal of Korean Gerontological Nursing
• /
• v.20 no.sup1
• /
• pp.137-143
• /
• 2018

Purpose: The purpose of this study was to examine effectiveness and usefulness of Information Communication Technology (ICT) in communication between physician and visiting nurses who provide visiting nursing services under long-term care insurance. Methods: Structured questionnaires were used to measure usefulness and satisfaction of the system, both accessibility and convenience to visiting nurses (31 people) and users (182 people). Results: From the user perspective, accessibility and convenience in terms of service users were both satisfactory as shown by users' percentage. No statistically significant difference was found for satisfaction between before and after using the system. The usefulness of the system for visiting nurses was satisfactory for most the nurses. Also most nurses answered that the system is needed and is very useful. Most of the participants (both visiting nurse and service users) were satisfied with use of the ICT system. However, there was no statistically significant difference in satisfaction between the pre and post service because the service provision period was too short (three months). Conclusion: The consensus from both users and service providers is that an ICT based visiting nursing system needs to be introduced but a more user - friendly environment for system development will be needed.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.11 no.3
• /
• pp.1146-1152
• /
• 2010

The Korean healthcare industry is rapidly changing along with the competition among hospitals. In the past, hospitals could make profit without designing competitive management strategies. Thus, they did not find importance in listening to customers' voices and identifying their wants. However, nowadays, the increasingly intense competition is encouraging hospitals to seriously consider competitive management strategies and Customer Relationship Management (CRM) activities to gain a competitive advantage and prosper. It tries to compare the expected satisfaction with the satisfaction of out-patient and in-patient and analysis of VOC(Voice of Customer). This survey was done from 27th, April, 2009 to 8th May and each 100 in-patients and out-patients. The paired t-test and descriptive analysis was used to analysis between before and after satisfaction. The result, the replied out-patients were the highest of I.M department, 43% and in-patients, surgery and other department are the highest each 22.0%. Nurses kindness is statistical significant in out-patients. Doctor, Nurse and staff's kindness and rounding service was statistical significant in in-patients. Totally, the satisfaction was lower than expected satisfaction, so the medical care institutions should analyst detailed the patient's satisfaction by VOC.

• Journal of the Korea Convergence Society
• /
• v.12 no.12
• /
• pp.443-451
• /
• 2021

This study is a qualitative research using focus group interviews with disabled people and their families to understand the unmet healthcare needs perceived themselves and to analyze the experiences of 'The 2^nd pilot project for primary care for people with disabilities', from 9 to 17 February 2021. The subjects of the study was the disabled who can express their opinions (group 1) or the guardians of the subjects who can not express their opinions (group 2). The participants were interviewed for about 100 minutes for each group once or twice. As a result of this study, the factors regarding unmet healthcare needs were extracted in subject, provider, institutional, and socio-cultural aspects. Further, the factors resolved and unresolved by the pilot project were extracted. Based on the results, we can recommend that the expanded application to the visiting service, inclusion of doctors from various departments, multidisciplinary approach including physical or occupational therapists, minimizing disconnection among the hospitals and healthcare centers, improvement of service quality by collecting opinions from people with disabilities, and more publicity activities should be applied.