• Korean Journal of Clinical Pharmacy
• /
• v.30 no.3
• /
• pp.177-184
• /
• 2020

Background & objective: The Korean government has expanded its benefit coverage to enhance patients' access to orphan drugs and cancer medicines. However, the number of new drugs whose indications were not applied to reimbursement in health insurance was increased. This study aimed to understand the perspectives of experts and various stakeholders on the introduction of a new funding program for cancer treatment and orphan drugs. Methods: We conducted email surveys comprising 19 questions, from September 9 to 26, 2016. We distributed questionnaires to members of the Pharmaceutical Benefit Appraisal Committee and Cancer Assessment Committee. We also conducted a qualitative study through group interviews with stakeholders, including pharmaceutical companies and some patient groups for diseases. Results: A total of 35 survey respondents recommended the introduction of a funding program for orphan drugs, whereas 66% recommended the launch of funding for anticancer drugs. In addition, most pharmaceutical companies and patient groups recommended the introduction of new funding programs targeting patients with cancer and rare diseases. However, some participants asserted that it would be more appropriate to modify the existing reimbursement scheme than launch new funding. Conclusion: This study concluded that introducing new funding needs a social consensus to relieve financial hardships at the patient level.

• Journal of Technologic Dentistry
• /
• v.33 no.4
• /
• pp.529-538
• /
• 2011

Purpose: The purpose of this study was to investigate the factors affecting turnover and job satisfaction, to reduce turnover rate of dental technician. Methods: Subjects included dental technicians in the metropolitan areas of the cities of Daegu and Gyeong-buk. Surveys were filled out by consenting dental technicians. Statistical analysis was done using the Statistical Package for Social Sciences version 18.0 for Windows. We determined frequencies and percentage, calculating means, and standard deviations, and determining statistical significance using t-tests, analysis of variance. Results: Job satisfaction showed differences in General characteristics associated with gender, age, monthly salaray, education. Turnover intention showed differences in General characteristics associated with age, monthly salaray. Job satisfaction showed differences in dental laboratory characteristics associated with Career, Working time. Turnover intention showed differences in dental laboratory characteristics associated with working time. Conclusion: In order to reduce turnover rate of dental technician, Job satisfaction of dental technicians have to find ways to improve. The comprehensive and reliable research which measures job satisfaction of dental technician is necessary.

• Journal of Korean Academy of Nursing
• /
• v.42 no.2
• /
• pp.199-206
• /
• 2012

Purpose: This study was done to identify the impact of physical activity on healthcare utilization among Korean adults. Methods: Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the $X^2$-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare. Results: Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors. Conclusion: An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.

• Journal of Distribution Science
• /
• v.17 no.12
• /
• pp.63-70
• /
• 2019

Purpose: This study was to propose effective deployment of automatic external defibrillators (AEDs) installed at general supermarkets. Research design, data, and methodology : We conducted interview and data surveys on 72 large distributors in Seoul and Gyeonggi province in South Korea. The content of this survey was consisted of general status on the general supermarkets, AED deployment and management regarding public access defibrillation (PAD). G^⁎Power (v 3.1.9.4; Universität Kiel, Kiel, Germany) was also used to analyze statistical power. Radius and actual distance, radius and retrieval time were compared by t-test at α=.05. respectively. Results : Difference between the radius (102.7 meters) and the actual distance (187.8 meters) was 85.1m, it had statistically significant difference (p<.001). The actual distance was longer compared to the radius distance. Difference between the radius (114.1 seconds) and the retrieval time (208.7 seconds) was 94.6s, it had statistically significant difference (p<.001). The retrieval time took longer compared to the radius time as well. Conclusions : The finding shows that only 45.9% of the general supermarkets are satisfied with the actual AED coverage within 3 minutes. This needs to enhance AED deployment to reduce defibrillation time and AED management to boost application in South Korea.

• Journal of Preventive Medicine and Public Health
• /
• v.26 no.3 s.43
• /
• pp.442-456
• /
• 1993

Financial stability is the foremost prerequisite for the continuous growth and development of hospitals. The present study aimed at developing a deterministic model using the factors which affect the hospitals profitability and at discovering which factor affected the hospital profitability. The study conducted questionnaire surveys on all general hospitals, with the exception of special hospitals, with over eighty hospital beds. Of the 274 subject hospitals, 136 of them, consituting 49.6% of the whole, were used in the study. The results are as follows. 1. In the deterministic model, outpatient revenue was affected more by the number of physician visits than by outpatient service intensity. Inpatient revenue was found to be affected more by the number of discharged patients than by inpatient service intensity. However, the increase rate of the service intensity not only contributed in stepping up the operating margin by $4{\sim}8%$ in outpatient and $3{\sim}6%$ in inpatient, but it was statistically significant. 2. Among the factors which determined the operating cost within the deterministic model, the number of patients had a greater impact on the operating cost than the resource consumption per patient. 3. The resource consumption per patient were proved to have the greatest effect on the profitability within the probabilistic model. The management cost per adjusted patient, in particular, was proven to have a statistically significant effect on the profitability in all hospitals.

• Korean Journal of Community Nutrition
• /
• v.5 no.3
• /
• pp.475-483
• /
• 2000

The develop a simple screening test for identifying Korean elderly at risk of undernutrition, the data of the health-related habits, dietary behaviors and nutrient intakes of the elderly in Chongju were analyzed. Two risk indicators, mean adequacy ratio (MAR) and the respondents perceived health, were used to detect the undernutrition risk of the elderly. In order to select a list of questions for the test, factors a affecting nutritional status and items investigated in previous nutrition surveys of the elderly were considered, and 21 questions were primarily selected. A multiple regression and stepwise regression analysis were used to take out the weak predictors of poor nutrient intake, and to give item weights to the strong predictors, and a list of 17 questions was finally adopted. To determine the cut-point of the test score, sensitivity, and positive predictive values were calculated. The Simple Screening Test developed in this study is a brief, easily scored tool to predict poor nutrient intake and the perceived health status of the elderly. The test may provide a basis of further comprehensive nutritional assessment or intervention planning, if necessary, for those who are diagnosed ad "high risk". The test, however, needs to be independently validated by other groups of individuals.dividuals.

• Korean Journal of Occupational Health Nursing
• /
• v.13 no.1
• /
• pp.40-47
• /
• 2004

Purpose: To understand the recent trend of studies for nursing job stress, we collected Korean articles about job stress of clinical nurses. Method: Seventy two articles were selected from the database of "richis", Korean journals of related academic society, and dissertation papers, which are presented from 1981 to 2002. Result: The trend shows that the number of researches for the job stress of clinical nurses are increasing from the year of 1996. Most of the researches are for dissertation papers (75.0%), have done surveys (90.3%), and used questionnaires (94.4%). The nurses who were studied have their jobs in general wards of hospitals (50.6%). And 36.1% of the researches used the tool of Kim and Gu (1984) to measure job stress. These researches focused mainly on job satisfaction, burnout and coping successively. Conclusion: As only 6 out of 72 researches examined in this study have experimental design (8.3%), it can be said that more experimental studies are needed in this area. And we might also consider to use meta-analytic techniques for further studies, because these researches have used very similar tools for the same subject.

• Korea Journal of Hospital Management
• /
• v.12 no.3
• /
• pp.99-119
• /
• 2007

In recent years, many of medical institution have reinforced educations for their employees aiming to secure competitiveness and to achieve higher performances. In an effort to actively response to the fast changing environment in the medical industry, the Ministry of Health and Welfare has implemented "Innovation and Service promotion" educations for employees of 34 regional medical institutions and 6 Red Cross hospitals. In this regards, the effect of the educations to change employees' mind for innovation and services and its results need to be evaluated. This study conducted surveys asking participants of the 2006 Education for Innovation of Regional Public Hospital Employees and Service Promotion and synthetically analyzes the effect of the education on their mind for services compare to their mind before the education. As a result, more them 92% of participants say that they are satisfied with the education, and many more participants agreed the effect of the education to change their mind for services. Under this circumstance, after the educations participants change more positively on "their mind for innovative services" and "their service skills in practice".

• Biomedical Science Letters
• /
• v.25 no.4
• /
• pp.357-366
• /
• 2019

This study is to identify how the social support influences the impaired fasting glucose and type 2 diabetes as structural equation analysis reflects the health behavior and psychological path. It investigates participants who give consents to participate in the Korean Health Examine Cohort (KOEX), which collects surveys and biological samples at eight university hospitals nationwide. Of the 53,767 adults over 30 years of age enrolled in the 2nd to 7th KOEX study from 2004 to 2010 (1st to 7th), 18,618 participants with a history of chronic diseases related to type 2 diabetes, the main variable, were excluded. The number of participants were 34,316 with enough data on social support and diabetes, which are the main variables. The results show that social support affects health behaviors and lowers fasting blood sugar. Therefore, not only the management of risk factors of individuals, but also the practice of healthy behavior with the attention of social relations such as social support, etc., can prevent type 2 diabetes.

• Women's Health Nursing
• /
• v.10 no.1
• /
• pp.42-50
• /
• 2004

Purpose: This study was to investigate sexual behavior, pregnancy and contraception knowledge among teenage. Method: The subjects were 627 of teenaged girls from 14 to 19 years old who lived in a capital city. Data was collected by questionnaire surveys used the convenience sampling. The instrument used for this study was contraception knowledge tool. The collected data was analysed by using descriptive statics, chi-square, t-test, ANOVA, Duncan test for post hoc with SPSS program. Result: The finding of Sex experience was kiss and petting experience 196(32%), sex intercourse 44(7.2%) and pregnancy 6(1%). Average of contraception knowledge was 3.8 score(total 15). Statically significant general characteristics variable related to sex experience were age, school type, smoking and alcohol use. Statically significant general characteristics variable related to contraception knowledge were age, school type, previous sex education and contraception education. Conclusion: These results of this study provided health professional informations to develop intervention programs to reduce teenage pregnancy.