Background: This study aims to contribute to the adjustment of the appropriate doctor manpower by analyzing the distribution, supply and demand, and estimation of the doctor manpower. Methods: This study utilized the medical personnel data of the Ministry of Health and Welfare, population trend data of the National Statistical Office, and health insurance benefit performance data of the National Health Insurance Service. Based on 2021, we compared the number of doctors in actual supply and the number of doctors in demand according to the amount of medical use by gender and age for 250 regions. Logistic regression analysis and scenario analysis were performed to estimate the future medical workforce by considering the demand for doctors according to the future demographic structure, the size of the quota in medical schools, and the retirement rate. Results: There were 186 regions in which the supply of doctors was below average, and the average ratio of the number of doctors in supply to demand in the region was 62.1%. Conclusion: In order to increase the number of active doctors nationwide to at least 80%, 7,756 people must be allocated. The number of doctors in demand is estimated to decrease after increasing to 1.492 times in 2059. The future projected number of doctors is expected to increase to 1.349 times in 2050 and then decrease taking into account the doctor quota and the retirement rate.
Journal of Information Technology Applications and Management
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제17권4호
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pp.83-105
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2010
Smartphone services seem to be appealing to people worldwide and show rapid growth in mobile service market. Based on the theoretical framework like attachment theory and self-congruity theory, we developed the research model and proposed six hypotheses. An analysis of 113 smartphone service users found that continued use intention in smartphone services is affected by uses' attachment to the service. We also found that the attachment is significantly increased by self-congruity, customization, and perceived usefulness. Our aim was to gain insight into ways of creating an environment that facilitating continued use intention of smartphone services. This study has important implications for academic researchers and practitioners who seek to understand why smartphone service users continuously use their smart phone services. Other practical implications of these findings and future research implications are also discussed.
Recently, spread of Smartphones caused activation of mobile services, because of that Big Data such as clouding service able to proceed with large amount of data which are hard to collect, save, search and analyze. Many companies collected variety of private and personal information without users' agreement for their business strategy and marketing. This situation raised social issues. As companies use Big Data, numbers of damage cases are growing. In this Thesis, when Big Data process, methods of analyze and research of data are very important. This thesis will suggest that choices of security levels and algorithms are important for security of private informations. To use Big Data, it has to encrypt the personal data to emphasize the importance of security level and selection of algorithm. Thesis will also suggest that research of utilization of Big Data and protection of private informations and making guidelines for users are require for security of private information and activation of Big Data industries.
Delivery of microfinance services to operators of small and medium enterprises (SMEs) is increasingly being viewed as a strategic means of assisting growth and development. The purpose of this study was to assess the contribution of microfinance to entrepreneurship development in Mogadishu. Survey research design was adopted and Primary data was collected by using questionnaires. This research study used purposive sampling method to select 120 respondents; but 108 were found usable and analyzed. The data was analyzed using descriptive statistics. This study found the access of microfinance services to the SMEs is poor. This study also found due to the collateral, short term repayment challenges, small and medium businesses are difficult to access loan from microfinance institutions which hinder their entrepreneurship development. In addition to these, this study found that the Microfinance institutions play significance role to the growth and sustainable development of SMEs and also increases the productivity and profitability of small and medium enterprises. This study recommends the guidelines of microfinance institutions to finance SMEs needs to be flexible and microfinance institutions should give technical assistant to the SME to ensure success in the SME sector. The study also suggests access of microfinance services to the SMEs should be facilitated and awareness to microfinance purposes and activities should be created.
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.
Objectives : KIOM(Korean Institute of Oriental Medicine) built up korean medical paper database and services it through information portal OASIS. The database are updated about 1,600 papers and 48,000 references annually. Because lots of manpower and time are needed to update database, it is very important to raise up efficiency and quality of it. Methods : In this paper, we implemented web based database building system utilizing pre-built OASIS' database to improve the working process, data quality and ease of management. Results : First we designed and implemented web based system to input bibliography of the paper efficiently. It raised efficiency using OASIS' paper and reference database. Second we improved the refining process using web based system to raise up data quality. And third we developed the manager functions of web based system to control and check the working process. Conclusions : If we add korean medical dictionary and link outside paper database in the future, we hope that work efficiency and data quality will be raised more. And because the database schema of OASIS system and developed system are different, we are implementing the data transformation system.
With the development of information technology, social network services (SNS) such as Facebook and Twitter became popular and many users disclose their personal and sensitive information like private story, photographs and location information through posting and sharing. Despite the privacy concerns in SNSs, individuals continue to disclose their identity online. This phenomenon is called 'privacy paradox'. The purpose of this study is to examine the role of collective efficacy on self-disclosure in SNS context and to explain privacy paradox phenomenon. Drawing upon the communication privacy management theory, research model was developed and empirically tested with cross-sectional data from 306 individuals. Results revealed that collective efficacy has a direct positive effect on self-disclosure while privacy risk is negatively related to self-disclosure. However, privacy concern is not directly related to self-disclosure. The relationship between privacy concern and self-disclosure was moderated by collective efficacy.
To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.
Occupational health services in Korea have been operated as dual types: one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative. health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area: 154 places (39.4%) managed by designated. health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation due to the characterstics of each variable and analyzed for impacting factors with relation to the using multiple regression analysis using SPSS PC program, especially using t -test method in order to compare each type of health care management. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. The common sickness management is the most accomplished item in health care area of occupational health care services, while the preventive care and control for the workers who have serious health problems are insufficient in workers health care area. 3. An insufficient accomplishment of overall health education has been shown because it is difficult to perform health education due to almost no chance of the direct introduction at workplaces. Therefore a strong support system for making and supplying the media is necessary in order to activate indirect health education by means of media. 4. Because health care managers and the agencies managers where take the workplaces for this study are almost nurses who have been comparatively high work site rounding rate about an environmental management at the workplaces, that non-profession can also do it, the activities about the professional area not enough. Therefore, an appropriate referral system should be established in order to complement professional area. 5. Two factors which have an effect on the coverage rate of occupational health care services are : one is those from the workplaces such as type of services, the number of workers, the number of harzadous factors and safety & health committee, the other from health care organization about whether there is its own manager or not.
Barouni, Mohsen;Larizadeh, Mohammad Hassan;Sabermahani, Asma;Ghaderi, Hossien
Asian Pacific Journal of Cancer Prevention
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제13권10호
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pp.5125-5129
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2012
Economic decision models are being increasingly used to assess medical interventions. Advances in this field are mainly due to enhanced processing capacity of computers, availability of specific software to perform the necessary tasks, and refined mathematical techniques. We here estimated the incremental cost-effectiveness of ten strategies for colon cancer screening, as well as no screening, incorporating quality of life, noncompliance and data on the costs and profit of chemotherapy in Iran. We used a Markov model to measure the costs and quality-adjusted life expectancy of a 50-year-old average-risk Iranian without screening and with screening by each test. In this paper, we tested the model with data from the Ministry of Health and published literature. We considered costs from the perspective of a health insurance organization, with inflation to 2011, the Iranian Rial being converted into US dollars. We focused on three tests for the 10 strategies considered currently being used for population screening in some Iranians provinces (Kerman, Golestan Mazandaran, Ardabil, and Tehran): low-sensitivity guaiac fecal occult blood test, performed annually; fecal immunochemical test, performed annually; and colonoscopy, performed every 10 years. These strategies reduced the incidence of colorectal cancer by 39%, 60% and 76%, and mortality by 50%, 69% and 78%, respectively, compared with no screening. These approaches generated ICER (incremental cost-effectiveness ratios) of $9067, $654 and $8700 per QALY (quality-adjusted life year), respectively. Sensitivity analyses were conducted to assess the influence of various scales on the economic evaluation of screening. The results were sensitive to probabilistic sensitivity analysis. Colonoscopy every ten years yielded the greatest net health value. Screening for colon cancer is economical and cost-effective over conventional levels of WTP8.
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