• 보건행정학회지
• /
• 제33권3호
• /
• pp.295-310
• /
• 2023

Background: The long-term care (LTC) group has higher rates of chronic disease and disability registration compared to the general older people population. There is a need to provide integrated medical services and care for LTC group. Consequently, this study aimed to identify medical usage patterns based on the ratings of LTC and the characteristics of benefits usage in the LTC group. Methods: This study employed the National Health Insurance Service Database to analyze the effects of demographic and LTC-related characteristics on medical usage from 2015 to 2019 using a repeated measures analysis. A longitudinal logit model was applied to binary data, while a linear mixed model was utilized for continuous data. Results: In the case of LTC ratings, a positive correlation was observed with overall medical usage. In terms of LTC benefit usage characteristics, a higher overall level of medical usage was found in the group using home care benefits. Detailed analysis by medical institution classification revealed a maintained correlation between care ratings and the volume of medical usage. However, medical usage by classification varied based on the characteristics of LTC benefit usage. Conclusion: This study identified a complex interaction between LTC characteristics and medical usage. Predicting the requisite medical services based on the LTC rating presented a challenge. Consequently, it becomes essential for the LTC group to continuously monitor medical and care needs, even after admission into the LTC system. To facilitate this, it is crucial to devise an LTC rating system that accurately reflects medical needs and to broaden the implementation of integrated medical-care policies.

• 한국콘텐츠학회논문지
• /
• 제22권5호
• /
• pp.788-797
• /
• 2022

본 연구는 의료서비스에 대한 필요가 가장 높은 장애노인의 의료서비스 만족도를 파악하고자 한다. 이를 위해 장애노인의 건강 특성과 의료서비스 특성이 의료서비스 만족도에 미치는 영향을 검증하였다. 분석자료는 2017년도 장애인실태조사 자료를 활용하였다. 분석대상은 만 65세 이상의 장애노인 3,323명이며, SPSS 26.0 프로그램을 이용하여 기술분석, 상관관계분석, 회귀분석을 실시하였다. 분석결과 통제변수인 인구사회학적 특성 중에서는 성별(β= -.045, p<.05), 거주형태(β= -.048, p<.05)가, 건강 특성 중에서는 IADL(β=-.044, p<.05)이, 의료서비스 특성의 경우는 의료시설 및 장비 만족도(β= .290, p<.001), 의료진의 장애이해 정도(β= .404, p<.001), 건강관련 서비스 이용여부(β= .182, p<.05)가 의료서비스 만족도 수준에 통계적으로 유의미한 영향을 미쳤다. 즉 여성일수록, 1인 가구가 아닌 동거인이 있는 경우에, 일상생활을 수행하는 데 타인의 지원이 불필요할수록, 의료시설 및 장비에 관한 만족도가 높을수록, 의료진의 장애이해 정도가 높을수록, 건강관련 서비스를 많이 이용할수록 의료서비스 만족도가 높은 것으로 나타났다. 이 결과를 바탕으로, 장애노인의 건강관리 및 자기결정 역량을 증진시키기 위하여 지역사회 의료체계에서 건강 형평성을 보장할 수 있는 실질적인 대안을 논의에서 제안하였다.

• 보건의료산업학회지
• /
• 제10권4호
• /
• pp.51-59
• /
• 2016

Objectives : The purpose of this study was to examine the health service utilization of elderly patients who visited an emergency medical center in the Gyeongbuk region and to provide basic information for the effective management of emergency medical centers. Methods : This study analyzed the characteristics of the hospital visits and the actual situation for the use of emergency medical care of 10,264 elderly patients that visited an emergency medical center in the Gyeongbuk region from January, 2014 to December, 2014. Frequency analysis and chi-square test were done in this study. Results : This study showed that there is a difference in the characteristics of health service utilization which included hospital visits, duration of hospital visits and mode of arrival to the emergency medical center according to age, gender and other characteristics. Conclusions : Providing efficient emergency services is necessary as well as establishing an emergency medical center management plan that takes into consideration the difference in health service utilization of elderly patients.

• 한국병원경영학회지
• /
• 제17권3호
• /
• pp.57-82
• /
• 2012

The primary purpose of this study is to examine consumers'probing actions to see what information sources consumers search for medical information when there are diverse medical service information channels, and classify consumers by information source. Its secondary purpose is to understand trust of information and attitude toward information by consumer type, value of medical service, satisfaction with medical service, and word-of-mouth intention. This study will concretely identify information utilization patterns of medical consumers, and explain the unique characteristics and behavior of segmented types of medical consumers. The significance of this study lies in the search for ways to establish information channels trusted by consumers for building an efficient medical service market in the future. The results of this study show that consumers were classified by the latent class analysis(LCA) into 5 types: low-level information seekers, word-of-mouth information seekers, mass media information seekers, digital information seekers and diverse information seekers. The reliability of information sources by type of medical consumer was statistically significant, and in the analysis of differences in consumer attitude, there was a statistically significant difference in cognitive responses. The value of medical service was statistically significant in health recovery and medical service word-of-mouth intention.

• 산업공학
• /
• 제17권3호
• /
• pp.314-329
• /
• 2004

The rapid growth of investments in mobile service to reach a large and growing body of customers, coupled with low communication costs, has made user acceptance an increasingly critical management issue. The study draws upon the task-technology fit (TTF) model as its theoretical basis and its empirical findings to pragmatically explain the key factors that affect the performance and user acceptance of mobile service in medical field. A total of 110 usable responses were obtained. The findings indicate that the task, technology, and individual user characteristics positively affect task-technology fit and mobile service usage. The task-technology fit and mobile service usage are the dominant factors that affect mobile service performance. The result points out the importance of the fit between technologies and users' tasks in achieving individual performance impact from mobile service in medical arena.

• 동서간호학연구지
• /
• 제12권1호
• /
• pp.68-77
• /
• 2006

Purpose: This study was conducted to describe and analyze about the satisfaction of medical service of patients and family in an Oriental hospital. Methods: Design was the descriptive survey study. Sample was 50 patients and guardians in K Oriental hospital, and convenient sampling was used. Measure was the satisfaction tool of medical service developed by Kang(2004). Data were collected from March 2005 to July 2005, and analyzed using SPSS PC+12 program. Findings: Thirty-two(64.0%) of all subjects were female and 18(36.9%) subjects were male. Score of medical service in Oriental hospital was mean 3.70. Scores in categories of the satisfaction were ranked for medical treatment(4.12), administration service (3.58), and environment and facilities service(3.41) in order. Expectancy for quality, quality after use, general satisfaction, and sufficiency after use in Oriental hospital were 7.34, 7.56, and 7.20, and they were above the average. There were significant differences in education and "I will recommend this oriental hospital to other patients" in differences of medical service by general characteristics and characteristics related to job. Conclusions: On the findings, we suggest that the team for oriental medical service should endeavor for development of professionals and techniques in oriental medical treatment. Simultaneously, institutional administrative resources are persistently needed for supporting of oriental medical team.

• 간호행정학회지
• /
• 제9권3호
• /
• pp.403-414
• /
• 2003

Purpose: This study is performed to measure the level of nursing and medical service satisfaction according to consumer's demographic and hospital using behavior characteristics, and investigate the relationship among the nursing service satisfaction and the medical service satisfaction and the hospital revisiting intent. Method: The questionnaire is distributed to 300 patients at the six general hospitals in provincial city, Korea. For data analysis, SPSS/PC program is used. Result: The characteristics of consumer's demographics and hospitals using behavior that make difference in nursing and medical service satisfaction are education, the average number of the visiting(by month) and hospitals. Nursing service satisfaction correlated with medical service satisfaction(r=.677) and hospital revisiting intent(r=.570), and medical service satisfaction correlated with hospital revisiting intent(r=.680). Nursing service satisfaction explained medical service satisfaction(45.9%) and hospital revisiting intent(32.5%), and medical service satisfaction explained hospital revisiting intent(54%). Conclusion: It is concluded that education, the average number of the visiting(by month) and hospitals make difference in nursing and medical service satisfaction, and there are very close relationship among nursing service satisfaction and medical service satisfaction and hospital revisiting intent. Nursing service is a very important factor to improve medical service satisfaction and hospital revisiting intent.

• 대한가정학회지
• /
• 제44권11호
• /
• pp.133-148
• /
• 2006

This study takes an effort to suggest solutions for medical service consumers' sovereignty. Specifically, consumer evaluation, information seeking level, and affecting factors on information seeking level were explored in terms of medical service. In present study, medical information included medical institution and doctors, prescription, diseases, medical treatment and medical expense. Medical service consumers' information seeking is identified as consumers' own efforts to acquire medical information through various sources. The analysis results suggested that consumers' information seeking level is even lower, while their evaluation level is somewhat low. Moreover, the result for information seeking level by consumer characteristics implied that people who have high education, high economic status, medical knowledge, and high attitudes for consumer right are active information seekers. Finally, consumer attitudes for right appeared most influential factor on information seeking level, implying direction for medical service consumer education.

• 무역학회지
• /
• 제45권1호
• /
• pp.279-300
• /
• 2020

The cosmetic medical information mobile platform is evolving into a new channel for searching and obtaining relevant information before using cosmetic medical service. In addition, the medical institutions can facilitate the medical contracts, and take advantage of systemic customer management through the cosmetic medical information mobile platform. Therefore, the paradigm of the cosmetic medical mobile service industry is facing a flow of change through the use diffusion of cosmetic medical information mobile platform. In this study, in order to explore the factors affecting the use diffusion of the cosmetic medical information mobile platform, this study used the research model of the influence of the characteristics of the cosmetic medical information mobile platform on perceived convenience and usefulness, and use diffusion by applying TAM(Technology Acceptance Model). As a result, immediateness, interactivity, and customization in the characteristics of cosmetic medical information mobile platform had positive effects on the perceived convenience. Also, interactivity, customization, and economics had positive impacts on perceived usefulness. In addition, perceived convenience and usefulness had positive effects on the use diffusion. Through this study, the factors influencing the use diffusion of cosmetic medical information mobile platform were actually explored, and the service value of the cosmetic medical information mobile platform were categorized. Future research is expected to contribute to the continuous improvement of quality and expansion of the cosmetic medical service market based on various research.

• 한국응급구조학회지
• /
• 제25권2호
• /
• pp.113-128
• /
• 2021

Purpose: This study sought to analyze perceptions and attitudes regarding patient personal information protection according to the general characteristics of paramedic students and their clinical practice experience. Methods: A total of 215 paramedic students from G university in I metropolitan city and D university in G do were surveyed. Frequency analysis, percentage analysis, and one-way distribution analysis were conducted using the software SPSS version 23.0. Results: First, recognition regarding the operation of laws and systems related to medical law and personal information protection was high among students who had no clinical practice experience, and there were no differences with regard to students' general characteristics. Second, the level of recognition regarding patient personal information protection and exposure did not differ depending on students' general characteristics and clinical practice experience. Conclusion: Based on the results of this study, students' recognition and attitude should be improved by carrying out continuous education on patient personal information protection. Furthermore, more specialized and systematic training related to patient personal information protection should be conducted to nurture appropriately trained paramedic students.