• Journal of Preventive Medicine and Public Health
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• v.45 no.3
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• pp.148-155
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• 2012

Since the reformation of the National Health Insurance Act in 2000, the Health Insurance Review and Assessment Service (HIRA) in the Republic of Korea has performed quality assessments for healthcare providers. The HIRA Value Incentive Program (VIP), established in July 2007, provides incentives for excellent-quality institutions and disincentives for poorquality ones. The program is implemented based on data collected between July 2007 and December 2009. The goal of the VIP is to improve the overall quality of care and decrease the quality gaps among healthcare institutions. Thus far, the VIP has targeted acute myocardial infarction (AMI) and Caesarian section (C-section) care. The incentives and disincentives awarded to the hospitals by their composite quality scores of the AMI and C-section scores. The results of the VIP showed continuous and marked improvement in the composite quality scores of the AMI and C-section measures between 2007 and 2010. With the demonstrated success of the VIP project, the Ministry of Health and Welfare expanded the program in 2011 to include general hospitals. The HIRA VIP was deemed applicable to the Korean healthcare system, but before it can be expanded further, the program must overcome several major concerns, as follows: inclusion of resource use measures, rigorous evaluation of impact, application of the VIP to the changing payment system, and expansion of the VIP to primary care clinics.

• Health Policy and Management
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• v.28 no.3
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• pp.272-279
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• 2018

Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as 'limited health technology assessment system,' 'system for postponement of new health technology assessment,' 'one-stop service system,' and 'integrated operation of approval for medical devices and new health technology assessment.' Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.

• Journal of Digital Convergence
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• v.12 no.10
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• pp.391-403
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• 2014

This study seeks to carry out a literary review of preceding studies and the health improvement model of Pender(1987) on university students majoring in nursing to explain the health improvement behaviors and identify the factors that affect their activities to provide a framework for developing a more effective nursing mediation method that promotes health improvement behaviors. The study subjects were 204 university students majoring in nursing who have had clinical practice experience. The period for data collection was from April 1to May 30, 2014 and a total of 204 copies of the questionnaire were used for analysis. For the collected data, frequency analysis, percentage, ANOVA, t-test and correlation analysis were conducted using SPSS, LISREL, and path analyss was done for hypothesis testing. The overall index of hypothesis model showed a good congruence as ${\chi}^2=.06$(p=.812), df=1, ${\chi}^2(df)=.000$, GFI=0.97, AGFI=1.0, SRMR=.002, NFI=0.947, NNFI=0.957, RMSEA=0.016, CN=266. Looking at the verification of the hypothesis presented in the model, the variables that affect health improvement behaviors were perceived disability, perceived self-efficacy, perceived social support, while stress from clinical practice, perceived health status, persistence and perceived benefits did not affect health improvement behaviors.

• Journal of Information Technology Services
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• v.7 no.2
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• pp.223-242
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• 2008

We assess service delivery system for outpatients of general hospital(A) using service blueprint. Service blueprint for outpatients' service process currently being implemented in general hospital(A) is analysed to improve hospital services and define hospital service delivery system more accurately. In addition, comparative analysis of service blueprint between before and after improvement is conducted to find that health care services Is now more customer-oriented and hospital employees can link their duties to service delivery system. Dealing with the efficiency of health care service delivery system based on service blueprint analysis is expected to pave the way for continual service quality improvement of general hospitals in the future. The analysis of service blueprint of outpatients' service process suggested in this study is useful for setting strategies for health care service. It also helps service process design and service digitalization of other general hospitals in the future.

• Korean Journal of Occupational Health Nursing
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• v.6 no.2
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• pp.156-167
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• 1997

In Korea, based on the Revised Law of Occupational Safety and Health a new entity of institution was set up in 1990 to provide occupational health services to SSE in which three sorts of personnel as a team have to be involved. These institutions, in charge of scores to hundreds of workplace area-wide, have been providing occupational health services without payment from employers or employees, and government reimburses through the Occupational Injury Prevention Insurance since 1993. As a service provider, a team is composed of doctors, nurses and industrial hygienists. Undergraduate and postgraduate educations for the SSE occupational health are not specified and the question on the performance of the personnel has been raised. This study was designed to analyze the facilitating factors of and barriers to the performance and its improvement of these personnel. In 1997, the survey was conducted with all 58 institutions. Structured questionnaires were mailed to 200 personnel who were providing the occupational health service for SSE. The response rate was 51.7% for doctors, 58.6% for nurses, and 60.3% for industrial hygienist, respectively. Results are as follows : 1) There is a guideline for occupational service mandated by the government. Under the guideline, the minimum frequency of visiting workplace is assured with six times of doctors, 17 times for nurse and industrial hygienist in a year. There are one doctor for every 200 factories, one nurse and one hygienist for every 100 factories. 2) All respondents have basic qualification for occupational health service. About 16.7%. of doctors are certified in industrial medicine or preventive medicine, and 64.7% of industrial hygienists had first grade certification. Totally 66.7% of personnel have been involved in occupational health for more than one year. 3) As a support system for the performance improvement, 66.3% respond that they have been provided with educational materials, advice related to industrial environment and guidance of MSDS from Korea Industrial Safety Corporation. Most respondents indicate the lack of concern of employers and employees as a main barrier to the improvement of the service. Also they are in the need of the training opportunity more focused on SSE. The Governments policy for SSE is a principal facilitating factor. Training program focused on SSE situation, manpower, technical support, etc. are areas to be improved to have a better occupational health service for SSE in Korea.

• Research in Community and Public Health Nursing
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• v.28 no.4
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• pp.513-523
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• 2017

Purpose: We evaluated the psychometric properties of a questionnaire on the acceptance of the quality improvement information system (QIIS) among long-term care workers (mostly nurses). Methods: The questionnaire composes of 21 preliminary questions with 5 domains based on the Technology Acceptance Model and related literature reviews. We developed a prototype web-based comprehensive resident assessment system, and collected data from 126 subjects at 75 long-term care facilities and hospitals, who used the system and responded to the questionnaire. A priori factor structure was developed using an exploratory factor analysis and validated by a confirmatory factor analysis; its reliability was also evaluated. Results: A total of 16 items were yielded, and 5 factors were extracted from the explanatory factor analysis: Usage Intention, Perceived Usefulness, Perceived Ease of Use, Social Influence, and Innovative Characteristics. The five-factor structure model had a good fit (Tucker-Lewis index [TLI]=.976; comparative fit index [CFI]=.969; standardized root mean squared residual [SRMR]=.052; root mean square error of approximation [RMSEA]=.048), and the items were internally consistent(Cronbach's ${\alpha}=.91$). Conclusion: The questionnaire was valid and reliable to measure the technology acceptance of QIIS among long-term care workers, using the prototype.

• Journal of the Korean Society of Safety
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• v.33 no.1
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• pp.88-94
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• 2018

The improvement of safety and health education method in construction site was investigated through the survey for workers and delphi technique. The results of preliminary survey done for workers were analyzed using the multi variance analyses, and the questionnaires for delphi survey were composed based on the results of preliminary survey. Finally, the participatory safety and health education method was suggested. The result showed that most of workers were very interested in accident prevention and health. On the contrary, they did not actively participate in safety activities in sites including safety and health education. In order to improve workers' levels of safety consciousness and prevent the construction accident, the participatory safety and health education method that construction workers directly examine and give presentations about accident causes and measures was suggested and verified by tests. One-way instructor-led safety and health education used widely and participatory safety and health education with workers were carried out by dividing participants into two groups. After education, the examination is done for two groups. The test results found that the average score of safety consciousness of the worker group that received participatory safety education was higher than that of the work group that received instructor-led safety education. And the Delphi technique utilizing experts was analyzed that participatory safety education has a great effect on improvement of workers' level of safety consciousness.

• Annals of Occupational and Environmental Medicine
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• v.35
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• pp.10.1-10.10
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• 2023

The purpose of this paper was to review the problems relating to Korea's occupational health services and suggest ways to improve them. Korea can be classified as a welfare state type of conservative corporatism partially interwoven with liberalism. While experiencing compressed economic growth, the economic sectors of developed (excess areas) and developing (deficient areas) countries are interwoven. Therefore, it is necessary to perfect conservative corporatism along with a complementary reinforcement of liberal contents and to apply a multilayered approach focusing on complementing the deficient areas. It is essential to form a national representative indicator related to occupational health, and a strategy for selection and concentration is needed. The proposed central indicator is the occupational health coverage rate (OHCR), which is the number of workers who have applied for mandatory occupational health services under the Occupational Safety and Health Act in the numerator with the total working population in the denominator. This paper proposes ways to raise the OHCR, which is currently at the level of 25%-40%, to 70%-80%, which is the level of Japan, Germany, and France. To achieve this target, it is necessary to focus on small businesses and vulnerable workers. This is an area of market failure and requires the active input of community-oriented public resources. For access to larger workplaces, the marketability of services should be strengthened and personal intervention using digital health resources should be actively attempted. Taking a national perspective, work environment improvement committees with tripartite (labor, management, and government) participation for improvement of the working environment need to be established at the center and in the regions. Through this, prevention funds linked to industrial accident compensation and prevention could be used efficiently. A national chemical substance management system must be established to monitor the health of workers and the general public.

• Journal of Agricultural Extension & Community Development
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• v.11 no.1
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• pp.37-52
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• 2004

The rural living improvement in Japan operates in considerations of socio-eoonomic circumstances of rural community as in Korea. After 1945 the program emphasized the improvement of living conditions such as poverty alienation improvement of house and toilet nutrition after war, From 1955, health programs including better cooking and nutrition, house modification and improved living conditions corresponding to the goal of the developed country were carried out. In 1965. the goal of the rural home economics was focused on the harmonized production and living, improvement of the levels of rural living, health and building rural community. From 1975, the goals of the program were to organize the farming in the better ways and improvement of rural women's role. In 1985, making agreeable living conditions was emphasized under the goal of vital rural society. From the period of Heysey(1989${\sim}$), for better living of rural people the government is emphasizing the programs including farm labor management, utilization of farm products, farm management and rural environments. Recognizing the important influencing resources of agents in extension services, on the job and education was implemented step by step from basic to planning to upgrade competencies. The government is trying to construct better with infrastructures, encouraging direct selling the value-added processed food from local farm products with rural people's real name and other countryside resources. Major programs in the 21st centuries are building better rural society with men and women together and considering elders as well as new farmers.

• Quality Improvement in Health Care
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• v.3 no.2
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• pp.14-15
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• 1997