• Health Policy and Management
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• v.33 no.3
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• pp.253-263
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• 2023

Background: The purpose of this study was to explore the relationship between the local extinction index and total medical service utilization. Methods: A fixed effects model in panel analysis was performed for the 228 administrative districts in Korea. The statistical yearbook on the usage of medical services by region and Korean Statistical Information Service data were used from 2010 to 2019 for analysis. Medical service utilization was represented by the number of visits day, the number of inpatient days, and medical charges. Control variables were selected by using an Anderson model. The local extinction index was calculated using resident registration population data. Results: Descriptive statistics showed that the number of areas at risk of extinction increased from 61 to 95 for the study years. In addition, the number of visits, the number of inpatient days, and medical charges all increased during the study years. After controlling for variables affecting medical service utilization and doing a panel fixed effects model, the result suggested that a one-step increase in the local extinction index was significantly associated with a 12.29% decrease in medical charges of inpatients, a 7.33% decrease in medical charge of outpatient, a 5.21% decrease in the number of inpatient day, and a 5.54% decrease in the number of visits day. Conclusion: This study showed that the higher the region's extinction risks, the higher the region's total medical service utilization. The results of this study suggested that there was a disparity in medical service utilization between areas at risk of extinction and areas not at risk of extinction, so measures should be taken to address this disparity.

• Health Policy and Management
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• v.33 no.4
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• pp.379-388
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• 2023

This study aims to propose the implementation of innovative payment models in Korea in order to promote the financial sustainability of the national health insurance system by reviewing the current status of the payment system in Korea and examining other countries' experiences with various innovative payment models. Korea primarily uses a fee-for-service payment system and additionally uses various payment systems such as case payment, per diem, and pay-for-performance. However, each payment system has its limitations. Many OECD (Organization for Economic Cooperation and Development) countries have pointed out the limitations of existing payment systems and have been attempting various innovative payment models (e.g., add-on payment, bundled payment, and population-based payment). Therefore, it is essential for Korea to consider innovative payment models, such as a mixed payment model that takes into account the strengths and weaknesses of each payment system, and to design and pilot these models. This process requires stakeholders to work together to build a social consensus on the implementation of innovative payment systems and to refine legal and systematic aspects, develop an integrated health information system, and establish dedicated organizations and committees. These efforts towards innovative payment models will contribute to developing a sustainable health insurance system that ensures the public's health and well-being in Korea.

• The Korean Journal of Health Service Management
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• v.7 no.3
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• pp.225-235
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• 2013

This study purposed to analyze the productivity of regional medical capacity in attracting medical tourist between 2009 and 2011. Data envelopment analysis (DEA) and Malmquist productivity index (MPI) were applied to test the productivity and changes in study periods. The DEA model included a number of doctors, nurses, and beds as input factors, and a number of inpatient and outpatient, and hospital income as output factors. The result of the study were as follow. Jeju had efficiency value of 1 for three years. Seoul, Busan, Daegu, Daejeon, Ulsan, Gyeonggi, Gangwon, Jeonnam, Gyeongbuk, and Gyeongnam showed an increasing trend of efficiency value over three years. Seoul had the efficiency value, 1, in 2011. But, Incheon, Gwangju showed decreasing efficiency score during the study period. MPI showed overall productivity decrease during the period. Further studies will be needed by collecting more time-series data.

• Korean Journal of Occupational Health Nursing
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• v.14 no.2
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• pp.93-107
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• 2005

Purpose: The purpose of this study is to identify the trends of studies on work-related musculoskeletal disorder and to suggest the direction of future research. Method: 144 research thesis for a degree on work-related musculoskeletal disorder were systematic reviewed and published from Jan. 1990 to Mar. 2005. The analyzed using descriptive statistics, an actual number, percentage. Result: As its result the work-related musculoskeletal disorder research which is announced from domestic the doctorate dissertation at the 2004 year 42 the most many 144 dissertation middle most to be 129 in master degree dissertation was 15 in Ph D degree. Dissertation contents character the contents against the result relation that it analyzes especially and a condition and an obstacle was many most at 84. Research plan in most description investigation research 121 the dissertation field to be the especially public health (hygiene, industry and environment) at this 57 most many research object person distribution manufacturing industry in the research object one dissertation was many most at the 40. The tools which are used in each measurement in the question tool which it uses most the question price of land which uses the condition investigation ticket which it made from the NIOSH and the ANSI most many 33, the hazard which analyzes a work attitude in the tool which it uses the RULA was many most at 14. In the stress test tool social psychological healthy measurement PWI (Psychological Wellbeing Index) the dissertation which uses the Job Strain of the Karasek Model to be many most at 19 PWI (Psychological Wellbeing Index) 7 easy use. Work-related musculoskeletal disorder measurement hazard in physiological index and the machinery and tools which it uses there were 9 researches to use an electromyogram most plentifully. With the effect goes to a work-related musculoskeletal disorder they are 33 where the age is many most from general quality. From healthy act with the relation of smoking the year to be many from 16 dissertations. Work of the corpse an attitude (the attitude which is inappropriate) with 5 and the work market the work burglar is many most at 9, the society-support of 36 where the stress is many psychologically most, the stress and service also the most many duty discretion (authority and autonomy) is 6 at the duty demand boat song 9. The service career to be many is 22 of extraordinarily with relation of service. Conclusion: It is recommended the research which it sees being limited in only domestic thesis for a degree the international comparative study to become accomplished. It comes to think with the fact that it will be necessary to make the protocol which it conforms in the civil official guide the test researches for the protocol or arbitration program which is standardized are necessary. Prevention and the civil official of work relation bones and sinews standing total disease hazard scientific base one program is necessary with base.

• Korean Management Science Review
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• v.32 no.4
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• pp.175-192
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• 2015

Due to the emergence of open innovation driven by development of network service technologies and convergence in ICT service industry, It is necessary for ICT service firms to examine their capabilities for open innovation. The purpose of this paper is to empirically examine determinants affecting open innovation in Korean ICT service industry. In order to analyze, this paper uses logistic and multiple regression models based on survey data of Korean ICT service firms. Estimation results show that external network for collaboration is positive on the technological innovation activity regardless of the innovation type. Specifically, user networks are significant in all types of technology innovation, revealing that it is important to innovation activities of the ICT service firms.

• Journal of the Korea Computer Industry Society
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• v.10 no.1
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• pp.29-36
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• 2009

Sensor network in Ubiquitous age that change fast made paper about U- health medical treatment administrative service construction model as a technology that attach electron tag (RFID) and procures information by real time because detects surrounding environment information to basis and uses realization information of things through this to all necessary things. Prognostication that thorough administration about contagiousness carrier with side effect of possession Asia's vaccination and AISD that often occur is difficult utilizes RFID chip aiming and did by purpose constructing more better health medical treatment administrative service.

• Health Policy and Management
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• v.10 no.2
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• pp.78-102
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• 2000

Factors influencing the success or failure of information systems9IS) have been discussed in many literes. However, little thertical development or empirical research has examined effectiveness of information systems in health center. This study evaluates several model that contribute to IS success in bealth center. In this study, we propose a process model that exhibits several variables influence one after another. These can be classified into six different dimensions. These inclube system aspect, invidual effect. The system aspect is classified by system quality, information quality and service quality. On individual and organizational aspect, this study uses computer self-efficacy and support of top management. The results of this study are as follows: according to multiple regression analysis of user satisfaction, information quality and support of top management are statistically significant influence on user satisfaction. System quality and service quality are a partially significant influence on user satisfaction. Hypothesis 5, proposing that computer self-efficacy would relate positively to user satisfaction, ws not supported by the questionnaire results. Based on these results, information quality and support of top management are very important variables for IS success.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.20 no.6
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• pp.251-260
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• 2010

Through the convergence of medical services and the IT technique, the patient's personal health information computerization has been rapidly spread with propagation of electronic medical record(EHR). In addition, by entering u-health, the demand of the secondary use for public health, medical research, and medical service using electronic patient health care records are increasing. The personal health information secondary uses for the development of academic medical area and service, are very good thing. But, carelessly to use personal health information, the patient privacy would be damaged. However, there are not yet systematic studies about secondary use of personal health information. Therefore, in this paper, we analyze the difference of the internal and external bill for personal medical data secondary use and propose the direction of the medical service development and preservation of the individual's privacy.

• Korea Journal of Hospital Management
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• v.25 no.4
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• pp.94-102
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• 2020

Purposes: The purpose of this study was to analyze the trends of hospitalization and emergency room visits of asthma patients over the three years in 25 districts of Seoul. And analyzed the relationship between preventable hospital service uses and number of clinics for asthma patients. Methods: Data was collected from a customized database of the NHI(National Health Insurance) for 2016 to 2018. The number of clinics means Internal Medicine, Pediatrics, Ear-Nose-Throat, and Family Medicine clinics. The hospital service means the number of adults admission for asthma and the number of total asthma emergency visits. This study used kappa analysis to assess the agreements of indicators between years, and structural equation modeling analysis was applied to analyze the relationship. Findings: The kappa value of the number of adults admission for asthma was compared between 2016 and 2017(kappa score=0.68), and was lowered when compared between 2016 and 2018(kappa score=0.26). And the value of kappa in the number of total asthma emergency visits due to asthma between 2016 and 2017(kappa score=0.51) was lower than that of between 2016 and 2018(kappa score=0.60). And the results showed that the number of clinics significantly negatively related to the uses of hospital services in asthmatic patients(β=-0.5, p=0.005). Practical Implication: This research could provide policy implications for strengthening primary care services that can contribute to the reduction of preventable hospital services.

• Health Policy and Management
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• v.10 no.1
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• pp.126-147
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• 2000

This paper empirically explores the nature of the medical service industry and its various propagation effects on the economy in the input-output model, as revealed by a comparative analysis between Korea and Japan. The main findings of the paper are as follows; First, the growth of medical industry induces above-average effect on employment. Second, the industry is of the characteristics of weak both backward and forward linkage effects implying a 'final demand dependency industry'. When compared with public service sectors, however, the medical services industry shows stronger backward linkage effect than those sectors. Furthermore, it has strong repercussion effects on the goods industries. Third, in order to produce per unit of services, the medical services industry of Korea uses relatively more drugs and medical devices than that of Japan. In general, it has been shown that production structure of medical service industry in Korea is 'hardware-oriented' one; on the other hand, 'software-oriented' in Japan which means that, as intermediate inputs, outsourcing and informatization has been used than those of Korea. From the findings of the paper it could be emphasized that the medical organizations in Korea should put more efforts on shifting the current hardware-oriented production structure to strengthen core competence by enhancing productivity and by outsourcing to improve efficiency of production process. However, the medical organizations in Korea would not have enough incentives for high value-added production structure because they enjoy high operating surplus. Therefore, it would be necessary that government policy should be taken into account of these environments.