• Title/Summary/Keyword: health information service

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A study using spatial regression models on the determinants of the welfare expenditure in the local governments in Korea (공간회귀분석을 통한 지방자치단체 복지지출의 영향요인에 관한 연구)

  • Park, Gyu-Beom;Ham, Young-Jin
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.89-99
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    • 2018
  • The purpose of this study is to analyse the determinants of the change in the welfare expenditure of local governments in 2015. This study analyzed the spatial correlation of welfare expenditure among neighboring local governments and determined the factors affecting the welfare expenditures. According to the results of the study, spatial correlation of welfare expenditure among local governments appears. Determinants, such as socio-economic factors, administrative factors, public financial factors are affecting the amount of the welfare expenditures, but local political factors, and local tax, last year's budgets are not correlated with the amount of local welfare expenditures. In this study, it is significant to found out that the spatial correlation of welfare expenditure among the local governments and to examine the determinants. If possible, it is necessary to analyze the time-series analysis using the multi-year welfare expenditure data, expecially self-welfare expenditures.

The Development of Social Inclusion.Exclusion Indicators - Focused on the Permanent Rental Apartment Dwellers - (사회적 통합.배제 지표 개발을 위한 연구 - 영구임대아파트 거주자를 중심으로 -)

  • Kim, Mi-Hee;Lee, Min-A;Noh, Se-Hee
    • Journal of the Korean housing association
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    • v.19 no.6
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    • pp.95-104
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    • 2008
  • This study was to develop the indicators for understanding social inclusion exclusion of the dwellers living in permanent rental apartment, and to present a important base about priority order of national housing policy for social inclusion. The ultimate purpose of this study was to provide basic information for the development of permanent rental apartment renewal techniques. The first phase of the study was to review of the social inclusion exclusion indicators mentioned in the literature. The indicators of EU (2001, 2006), KIHASA (2005), and Jehoel-Gijsbers & Brooman (2007), which were applied in many studies about social inclusion, or included various items about dwellers' subjective attitudes, were selected to construct the framework for the study. On the basis of 3 kinds of indicators at the above, the dimensions of social inclusion exclusion were categorized as material deprivation and access to social rights in an economicstructural exclusion view, and social participation and cultural normative accommodations in a socio-cultural exclusion view. And then, the domains of social inclusion exclusion were decided as follows: income, employment, education service, housing, health, family networks and social networks. The detail contents of indicators were adopted from the prior studies as many as possible, and the dwellers' subjective attitudes and housing domains were intensified with reference to UN housing rights and the study of "residents' satisfaction of housing facilities living in permanent rental housing". The developed indicators were modified through the advisory committee that consist of the specialists from the various fields of studies. The final indicators that were overlapped or not able to be measured were eliminated, and added, in a housing domain, the standards of convenient facilities, the management condition, safety, location, crime and etc. in the apartment complex, which were required to complement in the advisory committee.

Factors Affecting Successful Aging in Rural Elderly People (농촌 노인의 성공적 노화 영향요인 분석)

  • Ahn, Okhee;Cha, Hye Gyeong;Chang, Soo Jung;Kim, Hee Sun;Jang, Eun Hee
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.499-508
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    • 2013
  • This study was done to examine the affecting factors of successful aging to provide basic information for developing intervention program for the rural elderly. Methods: A cross-sectional descriptive design was used. Data was collected through questionnaire from 208 people with age over 65 residing in an rural community. They were recruited by convenience sampling. Collected data were analyzed by independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression through SPSS/WIN 21.0 program. Results: Explanatory factors affecting the rural elderly's successful aging were social support, depression, cognitive function, productive activity and Activities of daily living, respectively, and these five factors accounted for 42.1% of the variance in successful aging. Conclusion: The rural elderly's successful aging requires establishment of social support system such as health medical service supply and social activities by being connected with social communities, and for this, this study suggests that there be a necessity of developing customized nursing intervention program.

A Study of the Employee's Attitude Toward Operation of the Hospital Material Requirements Planning System(HMRPS) in University Hospitals (병원 종합 물류시스템 운영에 대한 관련직원들의 인식)

  • Lee, Kwang-Yong;Yu, Seung-Hum;Sohn, Tae-Yong
    • Korea Journal of Hospital Management
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    • v.4 no.2
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    • pp.266-285
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    • 1999
  • The purpose of this study is to identify influencing factors for successful introduction, implementation and management of HMRPS through assessment of the employees attitude toward HMRPS in technical, administrative, and organization behavioral areas. Data were collected from 157 HMRPS employee members' self-reporting questionnaire in three university hospitals in the city of Seoul and Kyonggi Province from November 5 to November 10, 1997. Relevant literature on industry company MPR system theory was reviewed to develop the theoretical framework. The results were as follows: The employee's recognition of tangible benefit were more significantly influenced success than intangible benefit for successful operation relating the HMRPS. Concerning the employee's recognition of the successful HMRPS and the factor of influenced success was significantly positive correlation between tangible and intangible benefits and success factor in technical, administrative, and organizational behavior area. This study showed that major factor affecting the employee's recognition of tangible and intangible benefit for successful HMRPS. For tangible benefits; Success factors in the technical areas were quality of the data and information, efficiency of inventory management and rescheduling of operation plan. Success factors in the administrative areas were: role of top management. Success factors in the organization behavioral areas were; simplicity of the HMRPS, human resistance to change. For intangible benefits; Success factors in the organization behavioral areas were; user involvement, simplicity of HMRPS, human resistance to change. Futhermore as the exact evaluation of successful factors of HMRPS implement is needed, research for the development of systemic variables of physical distribution system control, methods, capacity of system, duration and other environment in many of 30 hospitals or more, and for the empirical study for HMRPS.

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Effects of different anesthetic techniques on the incidence of phantom limb pain after limb amputation: a population-based retrospective cohort study

  • Cho, Hyun-Seok;Kim, Sooyoung;Kim, Chan Sik;Kim, Ye-Jee;Lee, Jong-Hyuk;Leem, Jeong-Gill
    • The Korean Journal of Pain
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    • v.33 no.3
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    • pp.267-274
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    • 2020
  • Background: General anesthesia (GA) has been considered the anesthetic technique which most frequent leads to phantom limb pain (PLP) after a limb amputation. However, these prior reports were limited by small sample sizes. The aims of this study were to evaluate the incidence of PLP according to the various anesthetic techniques used for limb amputation and also to compare the occurrence of PLP according to amputation etiology using the Korean Health Insurance Review and Assessment Service for large-scale demographic information. Methods: The claims of patients who underwent limb amputation were reviewed by analyzing the codes used to classify standardized medical behaviors. The patients were categorized into three groups-GA, neuraxial anesthesia (NA), and peripheral nerve block (PNB)-in accordance with the anesthetic technique. The recorded diagnosis was confirmed using the diagnostic codes for PLP registered within one year after the limb amputation. Results: Finally, 7,613 individuals were analyzed. According to the recorded diagnoses, 362 patients (4.8%) developed PLP after amputation. Among the 2,992 patients exposed to GA, 191 (6.4%) were diagnosed with PLP, whereas 121 (4.3%) of the 2,840 patients anesthetized with NA, and 50 (2.8%) of the 1,781 patients anesthetized under PNB developed PLP. The relative risks were 0.67 (95% confidence interval [CI], 0.53-0.84; P < 0.001) for NA and 0.43 (95% CI, 0.32-0.59; P < 0.001) for PNB. Conclusions: In this retrospective cohort study, using large-scale population-based databases, the incidence rates of PLP after limb amputations were, in the order of frequency, GA, NA, and PNB.

Human Sparganosis in Korea

  • Kim, Jeong-Geun;Ahn, Chun-Seob;Sohn, Woon-Mok;Nawa, Yukifumi;Kong, Yoon
    • Journal of Korean Medical Science
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    • v.33 no.44
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    • pp.273.1-273.15
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    • 2018
  • Background: Sparganosis is a larval cestodiasis caused by the plerocercoid of Spirometra spp. Since the first description of human sparganosis in 1924, several hundred cases have been reported in Korea. However, systematic approaches for literature surveys of Korean sparganosis have seldom appeared. Methods: We searched publicly available databases such as PubMed, Research Information Sharing Service, and Korea Medical Citation Index with relevant Medical Subject Headings. Results: At least 438 Korean sparganosis cases have been described from 1924 to 2015. Preoperative diagnosis has been significantly increased since the 1980s due to popularization of serological and imaging diagnostics. Cases were largely detected from fifth decades in general, but cerebral sparganosis was detected in relatively young age groups (third and fourth decades). Sparganosis was prevalent in men (75.9%). Consumption of frog/snake and drinking unfiltered water were found in 63.4% and 16.9% of patients, respectively. Most frequently affected sites were subcutaneous tissues (49.9%), followed by the central nervous system (36.2%). Involvements of visceral organs (7.6%), ocular regions (3.6%), and muscles (2.7%) were noticed. In women, breast sparganosis constituted a large proportion (34.2%). Sparganosis associated with immunocompromised patients has recently been reported. Conclusion: Sparganosis has been continuously reported in Korea during the past 90 years, although its incidence has decreased during the last 20 years. The disease is mostly characterized by subcutaneous nodule, but infection of the worm in vital organs often results in serious illness. Continuous awareness is warranted to monitor sparganosis occurrence and associated clinical consequences.

A Comparative Study on Welfare Level for the Persons with Disabilities using Multidimensional Scaling and Cluster Analysis (다차원척도법과 군집분석을 활용한 시도별 장애인복지수준 비교연구)

  • Seo, Dong-myung
    • Korean Journal of Social Welfare Studies
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    • no.36
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    • pp.81-101
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    • 2008
  • The purpose of this study is to analyze characteristics of welfare level for the persons with disabilities in Korean local governments. The study adopted multidimensional scaling and cluster analysis. Based on prior studies and comparative importance research, three indicators were extracted from the welfare circumstance index for the disabled. They are the ratio of the registered disabled population, the ratio of the disabled household in poor households, the ratio of dependence on public finance. Also, nine dimensions and twenty seven indicators were extracted from the welfare level index. The dimensions are as follows : Education, income & economic activities support, welfare services infra-structure, health & welfare service support, movement convenience & safety, rights protection, culture, leisure & information accessibility, welfare administration & budget for the disabled. The findings from the welfare circumstance index show that local governments are divided into three groups and all indicators are statistically significant. On the other hand, the findings from the welfare level index, show that local governments are divided into four groups and five indicators are statistically significant. Based on these findings, the study proposes improvement in the disabled welfare level, and balanced development of local governments.

The Convergence Research on Waiting Time, Hospital Image, and Patient satisfaction in Dental Care Consumers (치과 의료소비자의 대기시간과 병원이미지 및 환자만족도간의 융합적 연구)

  • Ji, Min-Gyeong;Lee, Mi-Ra
    • Journal of Convergence for Information Technology
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    • v.8 no.4
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    • pp.27-35
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    • 2018
  • This study aimed to analyze the association among dental care consumers' responses to waiting time, hospital image, and patient satisfaction and provide basic data that could help qualitative waiting conditions management related to health care service. A survey was conducted from May 18 to June 20, 2016 in adults who had spent waiting time at dental hospitals or clinics, and the following conclusion was drawn: Hospital image was associated with the changes in reliance on dental care centers in case of long wait, the changes in reuse intentions, and the reservation system, and patient satisfaction was associated with gender, explanation of expected waiting time, the changes in reliance on dental care centers in case of long wait, the changes in reuse intentions, and the reservation system. The positive responses to waiting time was positively correlated with hospital image and patient satisfaction; the negative reaction to waiting time was negatively correlated with hospital image and patient satisfaction; and hospital image was positively correlated with patient satisfaction.

A Methodology for Improving fitness of the Latent Growth Modeling using Association Rule Mining (연관규칙을 이용한 잠재성장모형의 개선방법론)

  • Cho, Yeong Bin;Jun, Jae-Hoon;Choi, Byungwoo
    • Journal of the Korea Convergence Society
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    • v.10 no.2
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    • pp.217-225
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    • 2019
  • The Latent Growth Modeling(LGM) is known as the typical analysis method of longitudinal data and it could be classified into unconditional model and conditional model. It is common to assume that the growth trajectory of unconditional model of LGM is linear. In the case of quasi-linear, the methodology for improving the model fitness using Sequential Pattern of Association Rule Mining is suggested. To do this, we divide longitudinal data into quintiles and extract periodic changes of the longitudinal data in each quintiles and make sequential pattern based on this periodic changes. To evaluate the effectiveness, the LGM module in SPSS AMOS was used and the dataset of the Youth Panel from 2001 to 2006 of Korea Employment Information Service. Our methodology was able to increase the fitness of the model compared to the simple linear growth trajectory.

Effectiveness of Patient and Family-Centered Care interventions: A Systematic Review (환자-가족중심 의료서비스의 융합적 성과: 체계적 문헌고찰)

  • Yoo, Ji-Yeon;Ahn, Sung-Hee
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.365-379
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    • 2019
  • This review aimed to analyze characteristics and performances of patient and family-centered care interventions and evaluate the convergence effectiveness. Randomized controlled trials were searched, selected, data extracted and quality-assessed using the Risk of Bias in 15 databases. Characteristics suggested from 21 studies were provision of information, education, communication and family and friend participation. There were 89 measurement variables of performances. Patient outcome was measured by mortality, length of hospitalization, etc., indicated as significantly improved in 18 studies. This review has provided evidence that patient and family-centered care improved experience and performance of diverse patients, families and health-care providers. There is need to convergence adopt patient and family-centered care and conduct evidence-based studies for improvement of quality of healthcare and patient safety in the future.