• Title/Summary/Keyword: hospital economics

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Determinant Factors' Impact on Managerial Performance through Management Accounting Systems in Indonesia

  • FUADAH, Luk Luk;SAFITRI, Rika Henda;YULIANI, Yuliani;ARISMAN, Anton
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.10
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    • pp.109-117
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    • 2020
  • This study aims to examine the effects of factors related to management accounting systems and managerial performance. The factors include budgetary participation, decentralization, and management style. Furthermore, this research investigates the consequences of the management accounting systems on managerial performance and the direct effect between management style and budgetary participation on managerial performance. Survey questionnaires were distributed to both public and private hospitals in Palembang, the South Sumatera region, Indonesia. The sample consisted of 62 respondents from 15 hospitals Target respondents were all managers in hospitals, including financial managers, service managers, human resource managers, quality managers, and other managers. The questionnaire was distributed online to each hospital, and approximately five or more questionnaires were hardcopies. This research was conducted over less than six months. The data obtained were processed via excel files, then checked for conformity, and analyzed by partial least square (PLS) software with descriptive statistics. This study uses path analysis, which that is structural equation modeling (SEM). The findings show that management style, decentralization, and budgetary participation significantly affect management accounting systems. However, management style and budgetary participation did not influence managerial performance. Finally, the findings indicate that management accounting systems are positively affected by managerial performance.

The Relationship between Hospital Service Quality and Customer Satisfaction: An Empirical Study from Vietnam

  • NGUYEN, Ngoc Mai;DUONG, Thi Thu Ly
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.12
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    • pp.553-561
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    • 2021
  • Health services in developing countries are increasingly focused on satisfying the needs of customers. During the COVID-19 pandemic, many patients have anxiety when going to hospitals for medical treatment. The pressures brought by the pandemic have overwhelmed the hospital system in Vietnam. This has caused the quality of service at these hospitals to decrease because they have focused on the goal of preventing the spread of the virus. Therefore, hospitals, especially private hospitals, need many solutions to improve the quality of their services. This study evaluated the impact of these factors on hospital service quality, as well as the influence of customer service quality on patient satisfaction. The survey was conducted from January 2021 to September 2021 and data was collected directly from 539 patients at Van Phuc Hospital 1. The results show that 4 factors affect the service quality of the hospital, as well as the service quality affecting patient satisfaction, in which, the strongest impact on the service quality of the hospital is the service attitude and professional capacity of the medical team. In the context of the COVID-19 epidemic, this study implies that if the hospital service is good, the customers' peace of mind and satisfaction will be enhanced.

Static and Dynamic Analysis of Efficiency of Korean Regional Public Hospitals (지방의료원의 효율성에 대한 정태적 및 동태적 분석)

  • Kim, Jong-Ki;Jeon, Jinh-Wan
    • Korea Journal of Hospital Management
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    • v.15 no.1
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    • pp.27-48
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    • 2010
  • The purpose of this paper is to analyze the efficiency change and its determinants of the regional public hospitals. We utilize 34 regional public hospital's panel data for 6 years from 2003 to 2008. We use DEA(Data Envelopment Analysis)-CCR, BCC model, DEA/Window model, and DEA Profiling. The empirical results show the following findings. First, technical efficiency shows that approximately 3.6% of inefficiency exists on the regional public hospitals and it reveals that the cause for technical inefficiency is due to scale inefficiency. Second, DEA/Window results show that the stable dissimilarity by standard deviation, LDP of CCR. Third, the results of partial efficiency by DEA Profiling show that increase efficiency depends on the number of beds, doctors, and nurses.

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An Analysis on the Effect of the Increase in the Fee of Magnetic Resonance Imaging Deciphering of the External Hospital: Focusing on the Brain Magnetic Resonance Imaging (MRI 외부병원 판독 수가 인상의 효과 분석: 뇌 관련 자기공명영상을 중심으로)

  • Kim, Logyoung;Sakong, Jin;Jo, Minho;Wee, Seah;Lee, Jinyong;Kim, Yongkyu
    • Health Policy and Management
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    • v.31 no.3
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    • pp.261-271
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    • 2021
  • Background: In 2018, the government increased the fee for the magnetic resonance imaging (MRI) image deciphering services of the external hospital to discourage the redundant MRI scan and to induce appropriate use of the MRI services. It is important to evaluate the effect of the policy to provide the basis for establishing other MRI-related policies. Methods: The healthcare data of the patients who had brain MRI scans were organized by episode and analyzed using the panel study in order to find out the effect of the MRI-related policy on the substitution effect and the medical expenses. Results: As a result of the increase in the fee of deciphering the MRI image, there has been an uplift in deciphering the MRI scan of the external hospital. It implies that more hospitals chose to use the MRI scan taken by other clinics or hospitals, rather than the MRI scan taken at their own facilities. Conclusion: The research results imply that a policy that facilitates the exchange of the medical image data between the hospitals is needed in order to establish an efficient management system of the healthcare resources. Such improvement is expected to reduce the social cost and contribute to the stability in the finance of national health insurance.

A Comparative study on the Maternal Behavior between Mothers of Tic-disordeed Children and Mothers of Normal (Tic 장애아동과 정상아동의 어머니 양육태도의 비교연구)

  • 이주리
    • Journal of the Korean Home Economics Association
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    • v.33 no.5
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    • pp.177-186
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    • 1995
  • The purpose of this study was to investigate the differences in the maternal behavior between mothers of tic-disordered children and mothers of normal. The subjects of this study were 30 mothers of tic-disordered children from Seoul National University Hospital, Seoul National Mental Hospital and two personal mental practice offices, also, there were another 30 mothers of normal. Statistical methods selected for data analyses were freqences, t-test. The main results of this study were summerized as follows; 1. The maternal behavior of normal children was warmer than that of tic-disordered at the level of p<.001. 2. The maternal behavior of normal children was more acceptable than that of tic-disordered. But, no statistical significance. 3. Mothers of normal children were more extrovert than mothers of tic-disordered at the level of p<.01. 4. The maternal behavior of tic-disordered provoked more dependency than that of normal at the level of p<.001. 5. Mothers of tic-disordered controlled children more than those of normal. But, no statistical significance. 6. Mothers of tic-disordered evaluated children and themselves more negative than those of normal at the level of p<.001. 7. Mothers of tic-disordered have more dependent tendencies than those of normal. But, no statistical significant.

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Generational Differences in Korean Baby-Delivery Culture between Young Mother and Grandmother Generations (출산 풍속에서 모-조모의 세대간 차이 연구)

  • 유안진;민하영
    • Journal of the Korean Home Economics Association
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    • v.38 no.8
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    • pp.99-110
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    • 2000
  • The purpose of this study was to investigate the differences in traditional baby-delivery practices between young mother and grandmother generations. The subjects were 118 young mothers and 118 their own mothers or mothers-in-law in Tae Gu district. Young mothers had the first baby aged from 2-to 2.5-year-old. The subjects answered the questionnaires on Korean traditional baby-delivery practices developed by the researchers based on literature reviews. The data were analyzed using Frequencies, Percentages, Crosstabs, and t-test. The results of this study were as follows: 1. More grandmothers believed in supernatural being who influenced pregnancy and used to be called as 'grandma Sam Shin', expected to have son, and had charms then young mothers. But less grandmothers had sexual intercourse at the time of ovulation, took physical care, and practiced fetal education than young mothers 2. On the other hand, no generation differences were found in dreaming of foretelling conception(Te Mong), eating a restroative and food to get pregnancy, and washing own's hair or body and avoiding attending a funeral near the time of baby-delivery. 3. Most of young mothers gave birth in hospital with the doctor's heap, whereas most of grandmothers did at their home with the help of the experienced old women. Most of young mothers'husbands were at the waiting room in the hospital, but about half of grandmothers'husbands were at work when their wives grove birth.

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Cross-Cultural Study on the Pregnant and Childbirth Practices in Mother-Grandmother Generations of Korea, Hong-Kong, and the United States (임신 및 출산 풍습에 관한 비교문화연구: 한국, 홍콩 및 미국의 어머니-할머니 세대를 중심으로)

  • 민하영;유안진
    • Journal of the Korean Home Economics Association
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    • v.41 no.4
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    • pp.157-168
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    • 2003
  • This study was to investigate differences or similarities in pregnant and childbirth practices of Korea, Hong Kong and the United States and of mother-grandmother generations in each culture. The subjects were young mothers(YM) have baby from 2 to 2.5 years and their mothers or mothers-in-law(GM) in Korea(YM=118, GM=118), Hong Kong(YM=126, GM=78) and the United States(YM=105, GM=105). The subjects answered the questionnaires on pregnant and childbirth practices were constructed by specialists of child study in Korea, Hong Kong and the United States. Statistical analyses were by Frequencies, Percentages, Crosstabs, One-wav ANOVA, Scheffe' test, t-test. The results of this study were as follows. 1. Mother and grandmothers of Korea more tended to believe in supernatal being of pregnancy, to expect son, to eat a resortive and a food to help conceive, to inhibit attending a funeral at the time of childbearing, to practice fetal education than of Hong Kong and the United States did. 2. Relating sexual intercourse at the time of ovulation, maternal health care during the pregnancy, childbirth in hospital, husband's being in the hospital waiting room when their wife gave birth were much more prevailant in mothers than grandmothers did in Korea and Hong Kong.

Artificial neural fuzzy system and monitoring the process via IoT for optimization synthesis of nano-size polymeric chains

  • Hou, Shihao;Qiao, Luyu;Xing, Lumin
    • Advances in nano research
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    • v.12 no.4
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    • pp.375-386
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    • 2022
  • Synthesis of acrylate-based dispersion resins involves many parameters including temperature, ingredients concentrations, and rate of adding ingredients. Proper controlling of these parameters results in a uniform nano-size chain of polymer on one side and elimination of hazardous residual monomer on the other side. In this study, we aim to screen the process parameters via Internet of Things (IoT) to ensure that, first, the nano-size polymeric chains are in an acceptable range to acquire high adhesion property and second, the remaining hazardous substance concentration is under the minimum value for safety of public and personnel health. In this regard, a set of experiments is conducted to observe the influences of the process parameters on the size and dispersity of polymer chain and residual monomer concentration. The obtained dataset is further used to train an Adaptive Neural network Fuzzy Inference System (ANFIS) to achieve a model that predicts these two output parameters based on the input parameters. Finally, the ANFIS will return values to the automation system for further decisions on parameter adjustment or halting the process to preserve the health of the personnel and final product consumers as well.

Analysis of Determinants of Hospital Closures: Focusing on Cox Proportional Hazard Model (병원은 왜 폐업하는가?: Cox 비례위험모형을 중심으로)

  • Ok, Hyun Min;Kim, Sung Hyun;Ji, Seok Min
    • Health Policy and Management
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    • v.32 no.3
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    • pp.317-322
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    • 2022
  • Background: Limited access to medical services causes problems in patients' health and life. Also, hospital closures cause concentration towards general hospitals, which leads to worsening National Health Insurance finance. Therefore, hospital closure is an important topic to be analyzed. Methods: This paper analyzed the factors that affect hospital closures using survival analysis with the data of 970 hospitals opened between 2010 and 2019 in Korea. The number of medical personnel, hospital rooms, sickbeds, and medical departments were used as explanatory variables. Results: The number of medical personnel and hospital rooms increased the survival probability while the number of sickbeds and medical departments decrease the survival probability. Conclusion: The results suggest that hospitals have economies of scale and diseconomies of scope in management.