• 제목/요약/키워드: Health facility closure

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Analysis of Determinants of Hospital Closures: Focusing on Cox Proportional Hazard Model (병원은 왜 폐업하는가?: Cox 비례위험모형을 중심으로)

  • Ok, Hyun Min;Kim, Sung Hyun;Ji, Seok Min
    • Health Policy and Management
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    • v.32 no.3
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    • pp.317-322
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    • 2022
  • Background: Limited access to medical services causes problems in patients' health and life. Also, hospital closures cause concentration towards general hospitals, which leads to worsening National Health Insurance finance. Therefore, hospital closure is an important topic to be analyzed. Methods: This paper analyzed the factors that affect hospital closures using survival analysis with the data of 970 hospitals opened between 2010 and 2019 in Korea. The number of medical personnel, hospital rooms, sickbeds, and medical departments were used as explanatory variables. Results: The number of medical personnel and hospital rooms increased the survival probability while the number of sickbeds and medical departments decrease the survival probability. Conclusion: The results suggest that hospitals have economies of scale and diseconomies of scope in management.

Experiences of Single Pregnant Mothers (독신모의 임신 경험: 벼랑 끝으로 내몰림)

  • Yang, Soon-Ok;Kim, Shin-Jeong;Jeong, Geum-Hee
    • Women's Health Nursing
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    • v.14 no.1
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    • pp.44-55
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    • 2008
  • Purpose: This study was done to assess the personal experiences of the coping process during pregnancy for single mothers. Methods: The participants were 17 single mothers who had stayed in a social welfare facility. Data was collected with an in-depth unstructured interview. Data analysis was done by the grounded theory method. Results: One-hundred twelve concepts and 49 sub-categories were confirmed in the analysis. The sub-categories were grouped into 19 categories; escape from a miserable family, wrong meeting, openness of sex, defenseless state of pregnancy, inevitable result of pregnancy, heartbreak by herself, closure, isolation, difficult situation of being alone, stigma, supporting & protecting, helplessness, seeking, empowering, feeling of loss, conflict, facing issues, assuring a fresh start and becoming-mature. "Being driven over the edge of a cliff" was the key phenomenon which the single mothers experienced during the process of pregnancy. Conclusion: The above results will help nurses assessing single pregnancy mothers' needs and developing a nursing intervention program for supporting them. Therefore, nurses will be able to stop them from "being driven over the edge of cliff". A more vigorous nursing intervention is suggested for the research of the vulnerable classes of medical health care including single pregnant mothers.

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The Effects of Rapport Building Behaviors on Relationship Quality and Behavioral Intentions (라포형성행동이 관계품질과 행동의도에 미치는 영향에 관한 연구 )

  • Lee, Yong-ji;Cheon, Hong-sik
    • Journal of Venture Innovation
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    • v.7 no.2
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    • pp.101-123
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    • 2024
  • Since COVID-19 crisis, health concerns and the need for interpersonal activities have driven many people to engage in leisure activities, which has naturally led to a steady increase in the participation rate of life sports. However, the start-up rate of sports facilities is decreasing and the closure rate is steadily increasing, and to survive in the over-competitive situation, sports facility operators need to develop and provide services with competitive advantages and come up with differentiated marketing plans. The purposes of this study were to (a) identify rapport-building behaviors for bring about relationship quality, customer satisfaction and customer trust, to a service provider in the sports leisure service environment (b) examine the ways in which customer satisfaction and customer trust induces positive behavior intentions in the sports leisure service environment, and (c) empirically verify the path of rapport- building behaviors through customer quality to continuance intention and WTPP(willing to pay premium price). The proposed conceptual model was empirically tested via structural equation modeling analysis using data collected from 350 adults who enjoy sports leisure services nationwide. Based on data analysis, firstly, attentive behavior, connecting behavior, courteous behavior, and information sharing behavior, were found to have a positive effect on relationship quality ,customer satisfaction and customer trust. Second, customer satisfaction was found to have a positive effect on both continuance intention and WTPP. Third, customer trust, a subcomponent of relationship quality, was found to have a positive effect on continuance intention, but not on WTPP. The findings of this study show that, first, rapport building with customers is important for sustainable growth management in the increasingly competitive sports and leisure service environment.