• Asian Oncology Nursing
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• v.7 no.1
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• pp.14-25
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• 2007

Purpose: The purpose of this study was to identify the relationship of fatigue and depression in patients with hemato-malignancy receiving chemotherapy. Methods: The data were collected from December 2005 to November 2006. Study objects were recruited from 4 university hospital in B and U city. Fatigue and depression were measured using the Cancer Fatigue Scale and the Revised Zung's Self-rating Depression Scale, respectively. Results: 1) The mean score of fatigue was $64.64{\pm}21.58$. The mean score of depression was $41.28{\pm}7.62$. 2) The fatigue score was significantly different with age, employment status, and present pain. 3) The depression score was signigicant different by the payment, diet, and present pain. 4) There was a moderate positive correlation between depression and fatigue. Conclusions: Patients with hemato-malignancy receiving chemotherapy experience in fatigue. Decrease in fatigue are associated with decreases in depression. Therefore, nurses must provide planned nursing intervention to reduce fatigue and depression in patients with hemato-malignancy.

• Journal of Society of Preventive Korean Medicine
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• v.21 no.3
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• pp.65-73
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• 2017

Objectives : The purpose of this study is to investigate on the Korean and Western medicine clinic quality to use IPA matrix and to establish a Korean medicine service management strategy. Methods : In order to achieve the research purpose, medical consumers who visited 3 Korean and Western medicine clinics were surveyed. frequency analysis, paired t-test were used for the statistical analysis, and the mean of each variable was used for IPA analysis. Results : The major results of analysis are as follows: It was confirmed that the skill and the kindness of the human resources were important in both the Korean medicine clinic and the Western medicine clinic. And it was confirmed the difference of the satisfaction rate and IPA between the Korean medicine clinic and the Western medicine clinic. Especially Medical devices and equipment, Easy booking, reception, payment procedure were different in IPA analysis. Conclusions : We confirmed the similarities and differences between Korean medicine clinics and Western medicine clinics in terms of importance, satisfaction, and IPA. On the basis of these results, Korean Medicine clinic could arrange a management strategy in consideration of consumers' choice attribute.

• Health Policy and Management
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• v.23 no.3
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• pp.210-223
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• 2013

Backgrounds: Escalating pharmaceutical expenditure has threatened the sustainability of National Health Insurance system in Korea. Generic medicines allow patients to access safe, effective, high-quality medicines at low cost, thus insurers could achieve significant financial savings by promotion of generics, if they are priced much lower than the originator. The purpose of this study was to review generic pricing as well as promotion policies in other countries and assess the implication of those policies. Methods: We reviewed the main measures adopted by the developed countries such as Austria, Belgium, Denmark, Finland, France, Germany, Italy, Japan, Netherlands, Norway, Sweden, United Kingdom, especially in countries where governments are the largest third-party payers or insurance finance resource is the national health insurance. Results: The foreign countries's experience with generic medicine policy shows that demand-side policies such as physician budgets, international nonproprietary name prescribing, generics substitution, patients co-payment as well as supply-side policies relating to pricing and reimbursement seems to play a critical role in developing the generic medicines market. Conclusion: Various strategy should be implemented to promote generic drug use.

• Proceedings of the SAREK Conference
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• 2008.06a
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• pp.42-47
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• 2008

This paper reports the system performance of a hybrid plant, which combines a renewable energy plant of GSHP(Ground Source Heat Pump) with a conventional plant (screw water chiller). To find out operational cost and operating characteristics, the performance of the hybrid system was measured in a building located in Jeju island. Based on the measured data, the operating characteristics were analyzed and the operational cost was estimated by using payment table, which was provided by the Korea Electric Power Cooperation. Operating methods to save energy were recommended.

• Safety and Health at Work
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• v.5 no.2
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• pp.66-72
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• 2014

Background: The purpose of this study was to enumerate the annual morbidity and mortality incidence and estimate the direct and indirect costs associated with occupational injuries and illnesses in Bangkok in 2008. In this study, data on workmen compensation claims and costs from the Thai Workmen Compensation Fund, Social Security Office of Ministry of Labor, were aggregated and analyzed. Methods: To assess costs, this study focuses on direct costs associated with the payment of workmen compensation claims for medical care and health services. Results: A total of 52,074 nonfatal cases of occupational injury were reported, with an overall incidence rate of 16.9 per 1,000. The incidence rate for male workers was four times higher than that for female workers. Out of a total direct cost of $13.87 million, $9.88 million were for medical services and related expenses and $3.98 million for compensable reimbursement. The estimated amount of noncompensated lost earnings was an additional $2.66 million. Conclusion: Occupational injuries and illnesses contributed to the total cost; it has been estimated that workers' compensation covers less than one-half to one-tenth of this cost.

• Korean Journal of Clinical Pharmacy
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• v.28 no.2
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• pp.124-130
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• 2018

Objective: This study examined the Risk Sharing Agreement (RSA) on pharmaceutical pricing system in Korean national health insurance. Through RSA, the insurer was able to maintain the principles in the price listing process while managing the budget effectively and improving patient access to new drugs. Despite these positive effects, there are still issues raised by some stakeholders, such as lack of transparency in the listing process and doubts about its effectiveness. Therefore, we investigated the impacts of RSA on national health insurance financing and patient access to analyze the effects of RSA. Methods: The impact of RSA was investigated by analyzing the health insurance claims data for 2014~2016. The degree of improvement in patient access was determined by the decreased amount of patients' payment. Results: Results showed that the financial impact of RSA was not significant and patients' access to the new drug greatly improved. Conclusion: These results show that RSA is a good system for improving patient access to new drugs without additional expense on insurance.

• Korean Journal of Occupational Health Nursing
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• v.16 no.2
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• pp.222-231
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• 2007

Purpose: This study aims to suggest political alternatives for nursing care costs for PCAs to provide qualitative medical benefit for patients with occupational disease by investigating present situation and problems of the nursing care cost system of Korea's Industrial Accident Compensation Insurance. Methods: Data was collected from 6 workers' accident medical corporation and 275 nurses affiliated with Korea labor welfare corporation using self reported questionnaire. Result: Research results were as follows; Character of nursing care cost of the Korea's Industrial accident Compensation Insurance changed as if it aims to support for living expenses for the family; As possible problems which could be caused under current system, administrative problems, decrease of service quality were made as objects of criticism. Some patients did not make every effort in rehabilitation to be beneficiaries continuously. Some patients were supplied with whole one PCA or all-night PCA even though they did not need as much caring as such. Conclusion: The research suggested that PCAs payment system improvement is necessary, and the presented nurses' opinion for the improvement method could be applied for policy making.

• Journal of Families and Better Life
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• v.14 no.2
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• pp.111-126
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• 1996

Debt was defined as all kinds of borrowings made by families in including credit card debt. The purpose of the study was to investigate the effects of family debt management on financial satisfaction. A model of debt management and financial satisfaction was developed based on the Deacon-Firebaugh's systems approach to family resource management and the variables comprising input throughput and output were based on the theoretical background asnd previous researches. Data were collected from 763 households' money managers residing in Seoul during Summer of 1995 and the statistical methods utilized included correlation coefficient multiple regression and path analyses. It was responded about 82% of the households had been indebted indicating the use of debt being a general way of living in this society. The results showed that financial satisfaction lowered with larger amount of monthly debt payment and with their uncertiainty regarding their capability to repay debt. The input which exerted direct effects on financial satisfaction were income asset financial expectations and family life cycle. And consumption demand on debt and easiness in extending credit had strong indirect effects on financial satisfaction via the throughput variables. The most powerful predictor of financial satisfaction via the throughput variables. The most powerful predictor of financial satisfaction was perceived difficulty in managing debt which was the instrumental output.

• Journal of East-West Nursing Research
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• v.12 no.1
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• pp.14-24
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• 2006

Purpose: This study was conducted to describe and analyze about the degree of job satisfaction of nurses in a university hospital for basic data to develop the professionals and improve productivities, effectiveness in nursing practice. Methods: Design was the descriptive survey study. Sample were 97 nurses in K university hospital, and convenient sampling was used. Measures were job satisfaction of nurse for job satisfaction tool modified by Kim, S.N.(1998) and developed by Slavitt(1978). Data were collected from April 2005 to June 2005, and analyzed using SPSS PC+12 program. Descriptive statistics was used for general characteristics and characteristics related to job. F-test, t-test, and $X^2$ test were used for verification of differences. Results: 1. Scores in categories of job satisfaction were ranked for professional position(3.25), interpersonal relationship(3.19), autonomy(3.08), necessary job(2.88), payment and promotion(2.79), and administration(2.50) in order. 2. There were significant differences in age(F=3.343, p=.040) and satisfaction for current job(F=10.331, p=.000) in differences of job satisfaction by general characteristics and characteristics related to job. Conclusions: On the findings, authors suggest that more opportunities for direct nursing practice, appropriate time for the practice, and the intervention improving satisfaction for current job are needed to improve job satisfaction.

• Korean Journal of Childcare and Education
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• v.14 no.5
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• pp.1-17
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• 2018

Objective: This study examined the relationship between child care teachers'job satisfaction, teacher-parent partnership, and teacher- child interaction in order to improve the quality of child care. Methods: Self-report questionnaires were used on 321 child care teachers and data were analyzed using descriptive statistics, Pearson correlation and Structural Equation Modeling Analysis. Results: First, significant correlations existed among variables except the relationship between payment/promotion and other variables. The results showed that child care teachers'job satisfaction had a significant and direct influence on teacher-child interaction, and teachers' job satisfaction was partially mediated by teacher-parent partnership on teacher-child interaction. Conclusion/Implications: The findings confirm that teachers' job satisfaction and teacher-parent partnership are preceding factors for positive teacher-child interaction. Significant attention should be paid to child care teachers'psychological satisfaction and teacher-parent relationships to promote the quality of child care and the positive interaction between teachers and children.