• Title/Summary/Keyword: Healthcare Services

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Typologies of Healthcare Service Failures and Recovery Strategies (의료 서비스 실패와 회복 유형에 관한 연구)

  • Kim, Sung-Ho;Shin, Hyun-Hee;Choi, Sung-Ho
    • Korea Journal of Hospital Management
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    • v.14 no.1
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    • pp.99-122
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    • 2009
  • In this study, the authors developed typologies of failures and recovery strategies in healthcare services, adopting the research framework of Kelley et al.(1993), Hoffman, et al.(1995), and Forbes et al.(2005). Data were collected form a sample of 559 respondents recruited in several regions of Korea through self-administered questionnaires. Data collection was done at hospitals and clinics respondents were visiting. The study has identified typologies of 21 failures and 10 recovery strategies in health care services. Results shows that "insufficient explanation by doctors" was the most frequent service failure followed by "insincere attitude of administrative employees" and "insincere attitude of nurses. "The type of recovery (compensation) that most of the respondents have received was apology from the healthcare service providers while the recovery that most respondents wanted to receive was sufficient explanation, suggesting that there is a significant gap between what is wanted and what is offered. Implications for healthcare service providers as well as limitations of the current study were discussed. Directions for further research were also suggested.

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The Relationships Between Patient's Perceived Quality of Healthcare Service and Intention to Re-visit (대상자가 인지한 의료서비스 질과 재이용 의도와의 관계)

  • Rho, Eun-Kyung;Oh, Suk-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.176-181
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    • 2008
  • Purpose: This study was performed to identify the relationship between patient's perceived quality of healthcare services and intention to re-visit. Method: The study subjects were 242 patients from three local clinics. The data were analyzed using SPSS PC+ 12.0 program for descriptive, Pearson's correlation coefficient, and multiple regression analysis. Result: Patients' perceived quality of healthcare services was measured 5.73$\pm$0.71 using the 7-point scale. The patients' perceived quality was moderately correlated with patient satisfaction (r=0.647, p<0.001) and intention to re-visit (r=0.604, p<0.001). Also, patient satisfaction was highly correlated with intention to re-visit (r=0.788, p<0.001). 3) the reliability factor of patients' perceived quality of healthcare services and patient satisfaction were found significant predictors of intention to re-visit. Conclusion: In conclusion, service quality evaluated by patients influenced on their intention of re-visit and especially, reliability was the most significantly influential variable.

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The usual source of healthcare and frequent visits to emergency departments (만성질환자의 상용치료원 보유 및 형태와 다빈도 응급실 이용)

  • Han, Jin-Ok;Kang, Kyung-Hee;Yim, Jun
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.3
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    • pp.97-107
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    • 2017
  • Purpose: The purpose of the study was to investigate and compare the usual source of healthcare and frequent visits to emergency departments. Methods: The study subjects were 7,252 individuals with chronic diseases who filled out the questionnaire of the 2013 Korea Health Panel Survey. Data were analyzed using chi-square test and logistic regression. Results: Compared to having a public health center or clinic as a usual source of healthcare, it is 1.341 times more likely for a chronic disease patient to visit an emergency department if the hospital is her/his usual source of healthcare, while it is 1.656 times more likely for the patient to visit a general/tertiary hospital. Conclusion: It is important to investigate visits at the emergency department requiring primary care for diseases.

Healthcare System Needs to be Reinforced toward the Environmental Changes (변화에 부응하는 보건의료정책 전환이 필요하다)

  • Lee, Sun-Hee
    • Health Policy and Management
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    • v.32 no.4
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    • pp.345-346
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    • 2022
  • 2022 was a time when the global healthcare system was challenged and has grown in response to the coronavirus disease 2019 pandemic. In addition, various issues accumulated in the process of quantitative growth have emerged in the Korean healthcare system. For instance, problems of sustainability in health insurance finances and removing bubbles from excessive medical utilization should be urgently resolved as tasks that occurred in the process of expanding the coverage of the health insurance system. The deficit of applicants for the pediatrician residency program suggests that expanding health insurance coverage alone has limitations in providing essential medical services. There is a need to incentivize doctors who provide essential medical care services. In 2023, we hope that efforts to enhance and internally reinforce the healthcare system will be concentrated.

Creation of a central public healthcare human resources management department to coordinate existing agencies (범부처 공공보건의료인력 관리조직의 필요성과 과제)

  • Yoon, Seok-Jun;Seo, Hye-Young;Park, Yoon Hyung
    • 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.

Unmet healthcare Needs Status and Trend of Korea in 2019 (2019 미충족의료율과 추이)

  • Jang, Bich Na;Joo, Jae Hong;Kim, Hwi Jun;Park, Eun-Cheol;Jang, Sung In
    • Health Policy and Management
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    • v.31 no.2
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    • pp.225-231
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    • 2021
  • Unmet healthcare is an important indicator to measure accessibility of healthcare services. To examine the latest status of unmet healthcare needs in South Korea, the four different data which is composed of nationally representative sample of South Korean population were used; the Korea Health and Nutrition Examination Survey (KNAHANES, 2007-2019), the Community Health Survey (CHS, 2008-2019), the Korea Health Panel Survey (KHP, 2011-2017), and the Korean Welfare Panel Study (KOWEPS, 2006-2019). The proportion of individuals reporting unmet healthcare needs were 5.8% (KNHANES), 5.3% (CHS), and 11.6% (KHP). Annual percentage change (APC) which identifies trend for the follow-up period was -9.5%, -8.0%, and -6.5%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.1% (KNAHANES), 0.7% (CHS), 2.4% (KHP), and 0.4% (KOWEPS). The APC was -10.5%, -14.2%, -12.2%, and -19.6%, respectively. Compared to last year, the rate of unmet healthcare needs has declined in general. However, the low-income and the elderly population were reporting the highest rate of unmet health care needs, and the disparity between lowest and highest groups were remained. These results suggest that adequate benefit coverage is needed for low-income and elderly population.

Unmet Healthcare Needs Status and Trend of South Korea in 2020 (2020년 미충족의료율과 추이)

  • Joo, Hye Jin;Jang, Bich Na;Joo, Jae Hong;Park, Eun-Cheol;Jang, Sung-In
    • Health Policy and Management
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    • v.32 no.2
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    • pp.237-243
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    • 2022
  • Unmet healthcare is an important indicator to measure accessibility of healthcare services. To examine the latest status of unmet healthcare needs in South Korea, four different data which is composed of nationally representative sample of South Korean population were used; the Korea National Health and Nutrition Examination Survey (KNHANES, 2007-2020), the Community Health Survey (CHS, 2008-2020), the Korea Health Panel Survey (KHP, 2011-2018), and the Korean Welfare Panel Study (KOWEPS, 2006-2020). The proportion of individuals reporting unmet healthcare needs were 6.4% (KNHANES), 5.4% (CHS), and 12.2% (KHP). Annual percentage change (APC) which identifies trend for the follow-up period was -9.9%, -9.1%, and -5.5%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.0% (KNHANES), 0.4% (CHS), 2.2% (KHP), and 0.4% (KOWEPS). The APC was -11.3%, -17.0%, -12.2%, and -21.2%, respectively. Overall, the low-income and the elderly population reported a higher rate of unmet health care needs. Although the overall experience rate of unmet medical care due to cost decreased over the past decade, the disparity between the lowest and highest income groups still remained in 2020. Disparity between income levels and age groups is a challenge to address in healthcare system, and these results suggest the need for adequate health coverage for the low-income and the elderly populations.

Improved u-Healthcare Service Authentication Protocol based on RFID Technology (개선된 RFID 기술을 이용한 u-헬스케어 서비스 인증 프로토콜)

  • Ahn, Hae-Soon;Yoon, Eun-Jun;Bu, Ki-Dong
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.10
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    • pp.107-115
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    • 2013
  • Recently, the RFID technology is combined with a u-healthcare services is an emerging trend in the field of medical services. u-healthcare service, as covering the field of personal health information beyond the level of simple health screening and treatment of life are closely related. Considering security, invasion of privacy, as well as life may be threatened even if your personal health information to be exposed or exploited illegally u-Healthcare services certification is essential. In 2012, Jeong proposed J-L patient authentication protocol that Initialization process, and patients using RFID technology separates the certification process. Jeong, such as the claim that the proposed protocol for reuse attacks, spoofing attacks, prevent information disclosure and traceability fire safety, but raises issues of security and operations efficiency. Therefore, in this paper, Jeong, such as the security of the proposed protocol and to prove the computational efficiency issues, and to enhance the safety and efficiency of RFID technology based on practical u-Healthcare services authentication protocol is proposed.

U-healthcare Service Management Scheme for Big Data of Patient Infomation (환자 정보를 빅 데이터화 하기 위한 유헬스케어 서비스 관리기법)

  • Jeong, Yoon-Su
    • Journal of Convergence Society for SMB
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    • v.5 no.1
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    • pp.1-6
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    • 2015
  • Recently the disease by eating of the modern prevention, management, and trends in the u-healthcare service that provides healthcare services including health promotion is changing rapidly. However, u-healthcare service is a healthcare information that provides users of the disease can not be analyzed even if the service is stored or not stored in the management server status is giving the inconvenience caused to users of the health services. In this paper, we propose a management method of health care services and a big data formation information that provides users of the disease to facilitate the users of health care services through the use magazine big data information regardless of time and place. The proposed method has the user's bio-information and the measured health information and transmits data through a wired or wireless communication to the medical institution and the user's health information data formation by the big user of the analysis of the health information and the disease of the user feedback to the user.

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A Study on the Consumer Disputes and Protection Measures of the Digital Healthcare Market and O2O Service (디지털헬스케어 시장과 O2O서비스 소비자분쟁 및 보호방안)

  • Byeon, Seung Hyeok
    • Journal of Arbitration Studies
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    • v.30 no.4
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    • pp.121-138
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    • 2020
  • The O2O services in the healthcare sector have only been in full swing for about three years, and unlike existing O2O consumer goods, the scale and scope of the dispute are more complicated due to restrictions on medical treatment. In this study, O2O service platform operators and medical institutions' roles and responsibilities were redefined as a countermeasure for resolving disputes in healthcare O2O services and the laws for changing the transaction environment. A change in institutional mechanisms was proposed. This study looked at the types of consumer disputes related to healthcare O2O services as insufficient information problems, problems in the course of medical service implementation, problems with immunity provisions for platform operators, cancellations, and non-compliance with refunds. All the information generated during transactions in the healthcare sector was extensive in scale and included the most sensitive information among personal information, stressing the importance of ensuring security. The area that started in the O2O range before the medical institution visit also proposed a plan to establish a system for the delivery of proven information as a pre-medical person. The scale and growth will grow faster, given that consumers can experience the information they want anytime, anywhere they want. However, the platform broker's role, a link player, will become more important because consumers who use the service will have their first meeting with non-face-to-face product providers. On the other hand, service providers may have side effects of misleading consumers by providing false information or misleading consumers through exaggerated advertisements. The O2O service market is expected to expand beyond distribution and dining out to the entire industry. However, since it is challenging to check accurate statistics on the detailed market, various disputes and consumer protection measures will be required for each detailed market, and comprehensive leading solutions will be essential in the future.