• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.4
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• pp.1504-1510
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• 2010

According to a research analysis of the factors which affect the medical utilization fee after an increase of health insurance benefits for patients with serious illnesses based on 225 patients over 6 months, both before and after the increase of benefits, from January, 1st, 2005 to June 30th, and also from January, 1st, 2006 to June 30th. In terms of genders, 67.8% of males were affected, whereas only 32.2% of females were effected, a much higher rate of men than women. Men also had higher rates before and after the increase of benefits. Out of 5 categories related to medication and treatment, radiation testing was the most expensive at about 5,300,000, operation fees were 590,000, and costs of other testing approximately 200,000 with the least expensive category being 120,000 for medication. By looking at the relationship between the fees and increase of benefits, medication was a hospital charge (p<0.01), injection fees were hospital charges (p<0.01), operation fees were hospital charges (p<0.01). Medication fees (p<0.01) and injection fees (p<0.01) were found to be related.

• The Korean Journal of Emergency Medical Services
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• v.4 no.1
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• pp.35-46
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• 2000

The results of analyzing the cognition of CPR by college students who major in public health or not order to enhance the educational efficiency of first aid ability and its expansion are as follows. 1. In case of students majoring in public health, the students who have the knowledge of term 'CPR' are 95.3% of total 300 students and 62.6% of the students who don't major in public health know it. In the item test of examining the degree of theoretical knowledge of CPR, the cases who know all 12 items are 5.2% and 1.6% respectively in cases who major in public health and don't major in it and it is judged that the extension of educational opportunity for them should be urgent. 2. The students who have experienced the practice of CPR are 20.6% in case who major in public health and 7.4% in other case. Therefore it seems to desirable that indirect field experience should be obtained by strengthening practice centered education. 3. The order of practice to examine the CPR ability is asked and the students who show very good remark are just 21~22% in both cases and they conducted very ineffective CPR and it is examined that they did first aid which may a serious damage to patients. Then the cases who recovered pulse and respiration after CPR were very low as 28.8% in the students who major in public health and 35.7% in others. It is therefore considered that the exact education of conducting the maintenance of respiratory trace, artificial respiration and CPR is necessary. 4. The cases who had the education of CPR were 51% in the students who major in public health and 39.4% in others, who had little opportunities to have CPR and 92.5~93.2% in both groups fee the necessity of continuous education and it is very encouraging to extend the education of CPR. 5. The education of CPR is mainly done at school (70.3~79.4%) and from teachers (52.7~55.4%) and 71.2% of the students majoring in public health responded that it is good for them to have education of CPR at school and lecture by first-aider and 58.9% of others did it. The cases who ask for lecture by the Professors of Dept. of First-Aid are 11.8 in students majoring in public health and 13.1% in others and it is judged that lecture by them having the theoretical foundation and first-aider with practical ability will be desirable. 6. On teaching methods, 57.5% of the cases majoring in public health and 63.3% of others ask for practice and 20% of both groups need theory centered teaching. 7. On lecture fee, 83% of the cases majoring in public health and 83.3% of others consider it should be free and 8~11.8% who are to pay for 10,000 won and it is judged that it should be opened and operated as liberal arts by college in the dimension of lifelong education. 8. On the objects of education, 83% of cases majoring in public health and 66.6% of others consider it should be conducted in people of all ages and both sexes and it is known that everyone recognizes the necessity of popularizing the education of first-aid.

• The Journal of the Korea institute of electronic communication sciences
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• v.12 no.2
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• pp.401-410
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• 2017

This study aimed to identify appropriateness and efficiency in the DRG payment system by analysing the hospital length of stay and changes in fees before and after the application of DRG payment system. The subjects of the study were a total of 398 patients consisting of 204 for the fee for service system and 194 for the DRG payment system. They received surgery in the Obstetrics and Gynecology (OBGY) department of a general hospital in G metropolitan city between January and December 2013. The mean hospital length of stay was significantly decreased after application of the DRG payment system(p=0.013). Total fees, insurance charges, and deductions increased significantly(p<0.001), and non-payment charges and total deductions decreased significantly(p<0.001). Application of the DRG payment system reduced length of stay, non-payment charges and total patient's cost sharing and increased out-of-pocket, insurance charges, and total fees.

• Quality Improvement in Health Care
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• v.4 no.1
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• pp.116-124
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• 1997

Background : As parking problem caused by increasing owner-driver and patients concentrating to a general hospital is becoming one of the dissatisfactions in medical care. It is time that a general hospital should solve the parking problem in a desirable way. The purpose of this survey is to let the clients understand the basic motivation of the pay parking and develop the better parking system. Methods : Clients of a tertiary care hospital in Chon-ju were surveyed by means of a questionnaire. All in all, 193 subjects answered the questionnaire. Results : In relation to previous experiences, 39.6% of the subjects experienced inconvenience with confused parking lot and the shortage of parking space. Under the current parking system, the subjects who felt the available parking space was enough were more than those who didn't 62.7% of the subjects answered that they could find the parking lot easily. 33.2% of the subjects mentioned that it was not easy to drive in the parking area ; The reasons were pointed out the shortage of space, disordered parking, and insufficient guide. 12.8% of the subjects satisfied with the current administering system of parking lot. The outpatients were more affirmative than the admitted patients about the charging system. As for the parking fee, 64% of the subjects answered that it is expensive, and 89.5% of the subjects thought imposing of parking fee is irrational. Conclusion : To say as a whole, the basic purpose of the charging system are more or less accepted. However, the management details like parking facilities and payment method are dissatisfactory, so it is necessary to improve the management system. It is also noted that the inpatients showed more negative attitude than the outpatients with the charging system. To secure a more convenient parking, the parking system should be considered in relation to the information service, kind guidance, improve facilities, personnel cooperation, fix outpatient scheduling system, etc.

• Journal of Korean Academy of Nursing Administration
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• v.5 no.2
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• pp.253-280
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• 1999

A cost analysis for hospitalized patients was performed based on the RBRVS in order to determine an appropriate nursing fee schedule. The study was conducted through three phases as follows: 1) Nursing activities provided for the inpatients currently in Korea were identified and classified using a taxonomy which was developed by our research team through the Delphi process. 2) The resource-based relative points for every nursing activity according to nursing time, mental effort and judgement, technical skill, physical effort and stress were determined through a survey of 300 clinical RNs working at 5 tertiary hospitals from May 25 to July 25. 1998. 3) The nursing cost of every nursing activity for hospitalized patients was estimated based on the RBRVS. As a result, 136 nursing activities were identified and classified by nursing processes and nursing domains. However, our classification system of nursing activities should continue to be refined, and all nursing practices should be standardized. The nursing activities were given resource-based relative points ranging from 100 to 400 points, then each nursing activity was assigned a value for the RBRVS, which was determined by the exponential function of 2resource-based relative point/100. Thus, a value of 2 was calculated for 100 points, 4 for 200 points, 8 for 300 points, and 16 for 400 points. Meanwhile, the unit cost of nursing was calculated as 170 Won. The nursing cost of 136 nursing activities was estimated using the RBRVS as shown in