• Health Policy and Management
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• v.9 no.4
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• pp.65-86
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• 1999

In this study, we investigate the welfare effect of mandatory prescription(MP) in Korea. An immediate effect of MP is the increase in the implicit price of prescribed medicine, which could be obtained easily from drug stores before MP. This will lower the quantity demanded. which will in turn reduce the abuse of drugs. The key to the cost-benefit analysis of MP, therefore, should be focused on this point; price increase in the cost side and quantity decrease in the benefit side. Since we do not have as much information as needed for the analysis, however, we made strong assumptions for the clarity of numbers; the severity of moral hazard of medical doctors related to the sales of hospital drugs, constant demand elasticity, constant benefit multiplier of reduced drug usage, and so on, With these rather strong assumptions, we find that i) the benefit side is much more sensitive to demand elasticity than the cost side effect ii) the larger the demand elasticity, the greater the size of net gain of MP, though the result depends on the size of the benefit multiplier. This analysis shows that we need to have more information on the specific institutional path of health benefit diffusion caused by the reduction of drug usage, which was the major target of MP.

• Health Policy and Management
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• v.12 no.4
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• pp.68-90
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• 2002

The purpose of this study is to investigate the determinants of intent to leave among hospital physicians. A causal model of intent to leave among hospital physicians was constructed based on the exchange theory. The sample of this study consisted of 185 physicians from 8 general hospitals located in Seoul, Taegu, Kyunggi-province, and Kyungsangnam-province in Korea. Data were collected with self-administered questionnaires and analyzed using LISREL. The results of this study indicate that the following variables, listed in order of size, have significant negative effects on intent to leave among hospital physicians; job satisfaction, organizational commitment, task variety, promotional chances, task significance, and pay. Sex (female=0, male=1) was found to have significant positive effects on the intent to leave among hospital physicians. The results imply that hospital administrators should make an effort to improve job satisfaction and organizational commitment which are the key determinants of intent to leave among hospital physicians.

• Asia Marketing Journal
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• v.5 no.2
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• pp.49-70
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• 2003

현재 우리 나라 약업계에서는 의약분업, 일부 의약품의 슈퍼마켓에서의 판매 등의 급격한 환경변화로 약국경영형태의 혁신적인 변화가 진행되고 있다. 본 논문에서는 현재 약업계에서는 급속히 발전되고 있으나 학문적으로는 연구된 적이 거의 없는 볼런터리 체인형태의 협업체 약국에 초점을 맞추어 가맹약국과 체인본부와의 거래관계의 질과 체인약국 시스템의 효율적인 운영 및 관리방안을 알아보았다. 본 논문에서는 연구목적들을 달성하기 위하여 특정 협업체 약국체인에 참여하고 있는 168개의 가맹약국을 대상으로 자료를 전국적으로 수집하였으며, 구조방정식 모형을 사용하여 연구가설을 검정한 분석결과는 다음과 같다. 첫째, 약국체인시스템에 투자한 가맹약국의 거래특유자산과 기업가정신은 관계규범에 유의한 영향을 주었으나, 환경의 불확실성은 정보교환, 결속력, 운영유연성 등의 관계규범에 유의적인 작용을 하지 못하였다. 둘째, 거래특유자산과 동기적 투자는 체인구성원들간의 상호의존성을 유의하게 높였으나, 대체안의 획득가능성과 관계규범은 상호의존성에 중요한 영향을 미치지 못하였다. 마지막으로, 체인구성원간의 관계규범과 상호의존성이 관계의 질 즉 가맹약국들이 거래에서 느끼는 만족, 체인본부에 대한 신뢰, 약국체인에 지속적으로 참여하려는 몰입에 주는 영향을 분석하였다. 상호의존성은 관계규범과 신뢰에 영향을 주고, 관계규범은 만족을 통하여 신뢰에 유의한 영향을 주었으며, 그리고 신뢰는 몰입에 유의적인 영향을 주었다.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2003.10a
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• pp.219-223
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• 2003

현대사회는 정치, 경제, 행정, 문화 등 인류가 더불어 살아가면서 형성된 모든 영역이 정보통신 시스템을 통해 생성되고 유포되는 지식정보 기반의 사회구조로 급속히 진행되고 있고 정보화 시대가 현실화되면서 인터넷의 사용빈도도 급속히 증가하여 개인의 사생활이나 개인정보는 중요한 이슈가 되고 있는 실정이다. 네트워크와 인터넷의 발달로 많은 분야가 오프라인에서 온라인과 전자처리 방식으로 바뀌어 가고 있다. 이러한 정보통신의 변화와 개인정보의 중요성은 의료 환경에도 많은 변화를 가져오고 있다. 현재 의약분업이후 병원과 약국간의 종이 처방전 시스템에 대한 문제점이 발생되고 있다. 또한 전자처방전 시스템이 개발되어 있으나 아직 필수적인 인증 및 보안을 비롯한 각종 정보위협에 대한 대책 수립이 완전하지 않은 실정이다. 따라서 이러한 정보보호 서비스 유지 및 신뢰성을 보장해 줄 수 있는 PKI를 이용한 전자처방전 시스템을 연구하고자 한다.

• Management & Information Systems Review
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• v.7
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• pp.69-92
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• 2001

The purpose of this study is to show the problems and to suggest improvement methods on the introduction of Pharmacy Information Systems(PIS) after medical reform. Medical reform have influenced many aspects of patients, doctors and pharmacists. In the case of pharmacy, information systems have been key role in the pharmacy management after medical reform. Although one year has been passed, there are still many problems. The size of system development company, A/S, the ability of programmer and the frequent change of related laws and ordinances cause difficulties in the operation of PIS. In this paper, the case of A pharmacy in daegu was investigated for the operation of PIS. Analytic Hierarchy Process(AHP) and mathematical programming methods can be used for reducing the aspect of subjectivity and considering the resource constraints.

• Journal of the Korea Convergence Society
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• v.8 no.1
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• pp.13-18
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• 2017

As the convergence technology is developing rapidly and the portable mobile devices are spreading in ubiquitous smart healthcare, users were able to get medical information easily through the smart health platform. According to such rapid industrialization, wellness care, aging society, information society, changes in disease aspects and life style, user-centered healthcare, and health promotion contents are being offered. In this study, we proposed the mining based mental health and blood pressure management service for the smart health. The proposed method provides the mental health management service and the blood pressure management service for chronic disease patients within the mining based smart health platform. Users receive optimized healthcare services regardless of time and place in the PHR based smart health platform. For the performance evaluation of the proposed mining based mental health and blood pressure management service, F-measure verification are conducted.

• The Korean Journal of Applied Statistics
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• v.15 no.2
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• pp.281-296
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• 2002

On the new medical system separating the prescription and dispensing of the drug, the qualification of pharmacist in substitution of prescribed medicine was restricted, except bioequivalence-certified drugs. Also, Korean Food and Drug Association(KFDA) revised the bioequivalence regulation on August, 2001 Among many changes from old guideline, impressive one is the statistical consideration. Specially, to estimate and analyze bioequivalence measures, AUC and $C_{max}$, the log-transformed model is recommended and the equivalence interval is modified from $\pm$20 rule to [In(0.8),In(1.25)] one. This meaningful act is very hope-for because it is statistically reasonable and is agreed with worldwide bioequivalence guideline, including USA, EU, Japan and Canada. In this paper, we introduce the new regulation of assessing bioequivalence, announced at August, 2001, mainly on statistical view points. Key points for the new regulation are discussed and the minimum sample size based on simulation studies are proposed.

• Health Policy and Management
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• v.16 no.2
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• pp.117-134
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• 2006

Korean health care system introduced the reform for separation between prescribing and dispensing of drugs (SPD reform) in the latter part of the year 2000. The objective of this paper is to look at what change this reform has brought about in the financial situation of Korean public health insurance scheme, particularly in terms of insurance benefit outlay. Since the inception of the reform is a development of more than five years ago, its impact on the finance situation would now start to become apparent. Hypothesis is set in this study for each of three components of drug reimbursement in health insurance, i.e. average price level, composition of drugs and their overall volume. In terms of the classification of health care services by mode of production, the impact of the SPD reform is confined mainly to the last two among three drug reimbursement fields including inpatient department, out-patient department and pharmacy. Pure impact of the SPD reform was estimated to be more or less than 1.7 trillion won, 13.1% of the total outlay of the Nation Health Insurance in 2001, and more than 2.0 trillion won, 14.9% of the total outlay of the Nation Health Insurance in 2003. Both dispensing fees for the pharmacists, which had been newly introduced on occasion of the SPD reform, and larger share of expensive drugs in the medicines prescribed by doctors were confirmed to be main drivers of the augmentation of drug reimbursement.

• Journal of the Korea Convergence Society
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• v.6 no.6
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• pp.57-63
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• 2015

The objective of this research is to find out how strategy development and deployment effect on patients satisfaction, employee satisfaction, and work process in Korean hospitals. Previous researches suggested when establish a strategy had to reflect internal ability which are work process, employee satisfaction and others and external ability which are patients satisfaction and others. As a results, strategy development positive influence on patients satisfaction, employee satisfaction and work process, and strategy deployment positive influence on patients satisfaction, employee satisfaction and work process as well. Patients satisfaction positive influence on hospital performance and work process influence on hospital performance but employee satisfaction is not.

• Korea Journal of Hospital Management
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• v.7 no.2
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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.