• Korean Journal of Health Education and Promotion
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• v.31 no.3
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• pp.27-37
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• 2014

Objectives: This study aims to identify the factors associated with regular medical services utilization of chronic disease patients. Methods: The research selected 4,489 adults aged over 30, diagnosed with hypertension, diabetes, hyperlipidemia, hypercholesterolemia, from the Korea health panel. We analyzed states of regular medical service utilization using descriptive statistics. Multiple regression analysis was used to examine the main factors associated with regular medical services utilization in chronic disease patients. Results: In terms of socio-demographic factors, gender, age, marital status, education level, employment, household income and disability were significantly different between hypertension, diabetes, hyperlipidemia and hypercholesterolemia. Among health status and behavioral factors, number of chronic diseases, subjective health status, smoking, high risk drinking, regular meals, physical activity, obesity were significantly different. From the multiple logistic regression analysis, age, number of chronic diseases, obesity, type of chronic diseases were associated with regular medical services utilization. Conclusions: It is necessary to develop effective health education programs and individualized approach to improve continuous management in chronic diseases patients.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.18-31
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• 2000

Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

• The Korean Journal of Health Service Management
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• v.10 no.4
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• pp.61-73
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• 2016

Objectives : The aim of this study was to investigate the satisfaction determinants of rehabilitation care group inpatients in rehabilitation long-term care hospitals. Methods : A survey was conducted with 262 patients from 6 rehabilitation long-term care hospitals located in Busan Kyungnam. Data were collected from June 2016 to July 2016 with a structured questionnaire and analyzed with SPSS 23.0. Results : The significant factors affecting the overall satisfaction score were disease group and 5 quality indices of medical services(Medical service quality, Rehabilitation services quality, Hospital reputation, External physical environment, and Internal physical environment). Additionally, the significant factors affecting intention to revisit were age, disease group, length of hospital stay and the 5 quality indices of medical services. Conclusions : The results of this study indicate that rehabilitation long-term care hospitals should try to improve the overall satisfaction of inpatients, especially focusing on the internal physical environment and the quality of the rehabilitation services and medical services, which will lead to a high level of intention for patients to revisit.

• Research in Community and Public Health Nursing
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• v.10 no.1
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• pp.44-52
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• 1999

This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

• Health Policy and Management
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• v.22 no.4
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• pp.703-710
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• 2012

Purpose : The aim of this study is to review the current status of healthcare provision and its human resources administrative management and propose a coordinated human resource management plan for the more efficient operations of healthcare organizations. Methods : We reviewed the literature and held discussions with officials from the United States Department of Health and Human Services to survey United States Public Health Service Commissioned Corps operations. In addition, we surveyed the literature to analyze the current structure and responsibilities of governing bodies involved in public healthcare in Korea. Results : In Korea, there are several administrative offices involved in public health: the Ministry of Health and Welfare, the Ministry of Defense, the Environment Ministry and others. Since these diverse agencies don't integrate their operations, it is difficult to grasp their management of both public healthcare services and their personnel. A potential model is the United States Public Health Service Commissioned Corps, a sub-group of the Department of Health and Human Services and an elite team of highly qualified, public health professionals, which coordinates and manages the overall work and personnel of diverse healthcare organizations. Conclusion : We suggest the establishment of a federal level, public health administrative department of human resource management to centralize and coordinate the existing, disparate healthcare administrative agencies.

• The Korean Journal of Health Service Management
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• v.7 no.3
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• pp.251-260
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• 2013

The purpose of this study was to make a comparative analysis of dental question and answer in portal sites. To achieve this, 4,212 questions were used for final analysis after connecting to Naver, Daum and Nate, which take first, second and third place in rank information of all sites at Rankey.com, to search dental information by keyword from January to late March. The results are as follows. Naver was the highest as a portal of Internet search engines. Questions on the use of dental clinics, the quality of dental services and the offer of dental services by types of dental clinics were very important. Dental clinics had to give dental patients customized services and information to please them through dental services and dental information services on the Internet, and questions and answers on this were increasing very explosively. Consequently, Dental clinics will have to give Internet users and health- and disease-related data searchers distinctive professional services by inquiring into factors affecting portal search and factors affecting health- and disease-related search, respectively.

• Journal of the Korea Safety Management & Science
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• v.13 no.4
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• pp.1-7
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• 2011

Korea enacted the occupational safety and health law in order to prevent industrial accidents in 1981. Led by ministry of labor, occupational safety and health support services policy has been built through government-affiliated organizations, research institutions and academic research. Korea's accident rate has remained at 0.7% for last 10 years despite continuous efforts over the last 30 years. These results means that the occupational safety and health support services policy conducted by the government have reached their limits. Therefore, the necessity of assessment about occupational safety and health support services policy is proposed. The main objective of this study, through the IPA analysis, is to grasp the point of worker's needs about occupational safety and health support services policy and to help formulate the efficient policy.

• Health Policy and Management
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• v.19 no.3
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• pp.45-70
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• 2009

Outbreaks of health risks such as the Influenza A virus (H1N1) are continuing, which highlights the immediacy of risk control strategies to reduce public's fear and protect the safety of the society. Evidence suggests that success for risk management is basically dependent on the public's willingness to adopt health behaviors recommended by experts, and the behavioral intention relies on their risk perception. Understanding of how individuals think of and feel about health risks is thereby important. This article aims to provide insights for future study on health-risk perception. The main streams and recent developments of theorizing and research on health risk perception are reviewed. The issues, such as (1) health risk perception is an important component for shaping relevant health policies as it reflects public trust of the institutions managing health risks, (2) despite this significance, however, few attempts have been made to address the meaning of 'perceiving health risks' in health services research, are shed light on. On the basis on the critical discussion of the contributions and the limitations of the literature, this article finishes with a few of research agendas by three levels of analysis in risk perception research.

• Health Policy and Management
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• v.27 no.2
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• pp.103-113
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• 2017

There have been many achievements for 40 years since the introduction of compulsory health insurance. Despite many achievements, it has many challenges in health insurance. Aging, non-communicable disease, and low growth economy are threatening the sustainability of health insurance, and it is time to reform the health insurance. A long-term reform plan will be an absolute necessity for reform of health insurance and health care system. Health insurance and health care reform should be an extremely revolutionary content that completely changes the framework. This reform should deal with the philosophy of health, approach of medical education and doctor training, changing supply of medical service, the innovation of primary medical care, reform of public health system, the management of medical utilization, the integration of medical cure and care services, enhancing the benefit coverage, prohibition of covered and non-covered services, etc. Therefore, it is urgent to form a consensus on the necessity of reform, to establish the health insurance plan on this consensus, and to make efforts to make health insurance sustainable.

• Korea Journal of Hospital Management
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• v.22 no.2
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• pp.87-91
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• 2017