• Title/Summary/Keyword: public health administration

Search Result 1,185, Processing Time 0.023 seconds

The Determinants of Profitability Performance in Regional Public Hospitals (지방의료원 수익성과에 대한 결정요인 분석)

  • Hong, Mi-Yeong;Lee, Hae-Jong;Joo, Hyun-Sil;Lee, Dong-Won
    • Korea Journal of Hospital Management
    • /
    • v.14 no.2
    • /
    • pp.1-20
    • /
    • 2009
  • The purpose of this study is to find the determinant variables to make profitability in regional public hospitals. The data come from financial statements and annual reports of 34 regional public hospitals for five years (from year 2003 to year 2007). The T or F-test and hierarchical multiple regression analysis are used. The dependant variables are the profitability indicators, ordinary income to total asset and operating margin to gross revenue, and the independent variables are general characteristics, diagnosis and treatment patterns, financial and public benefits. The findings of this study are summarized as follows. First, Variables affecting the profitability indexes revealed from DEA results is the bed occupancy rate, number of hospitalized patients to outpatients, ratio of first medical examination for outpatients, number of daily patients per medical specialist, labor cost per patient and managerial expenses per patient. Second, the ordinary income to total asset representing the asset usage performance is affected by the average hospitalized days, bed occupancy rate, labor cost per patient and ratio of patients with medical insurance coverage. Third, the operating martin to gross revenue obtained from the actual operations of hospitals has its significance with the bed occupancy rate, number of hospitalized patients to outpatients, managerial expenses per patient and public benefit indicator. This study has some restriction not to use pannel data analysis, although it used data for five years. Accordingly, various additional studies should be done to supplement such problems.

  • PDF

Restructuring the Decision Making Process for the Korea National Health Insurance System (건강보험제도 정책수립과정의 재설계에 대한 모색)

  • Kang, Min Ah;Kim, Tae-Il;Huh, Soon-Im
    • Health Policy and Management
    • /
    • v.18 no.2
    • /
    • pp.107-129
    • /
    • 2008
  • The purpose of this paper is to critically examine Korean government's efforts in policy making and implementation regarding the Korea National Health Insurance System in the past and suggest a new paradigm for future policy changes. The structural and political characteristics of the Korea National Health Insurance, where health care services are provided almost exclusively by the private providers and funding for health comes equally from public and private sources, imply persistent difficulties in the operation of the system This may partially explain why the Korean system has continually experienced conflicts among stakeholders whenever there was an attempt to change policy. In this paper, we discuss four cases to illustrate such difficulties and barriers. We propose that in order to address these challenges and reduce policy errors as well as unintended results, it is necessary to restructure policy making process from being oriented toward 'quantitative expansion' to 'qualitative maturity', from a 'linear thinking' to a 'system thinking', from taking a 'top-down' to a 'governance and participatory' decision making process.

An Efficiency Evaluation of Gyeongnam Public Health Center by Data Envelopment Analysis (경남지역 보건소의 효율성 평가)

  • Chang, Dong-Min;Yang, Jong-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.12 no.8
    • /
    • pp.3563-3571
    • /
    • 2011
  • In this research, we analyzed the efficiency of 20 public health centers of Gyeongnam Province during 2007-2009, so weakness of input and output factor were found. We used the CCR, BCC model of Data Envelopment Analysis as a method of evaluation, made a choice human resource as the input variable, made a selection the performance of public health care center, ward as the output variable. The results of this study show that the efficiency of 20 public health centers have got better because Government and Gyeongnam have provided administrative, financial support. It is expected that this research can give good information for effective management of public health centers.

Evaluation of Organizational Effectiveness as to Types of Maternal-Child Health Management Program in Public Health Centers (보건소 모성과 어린이 건강관리사업의 조직유형별 효과성 평가)

  • Hwang, Na-Mi;Park, Hyun-Tae
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.10 no.1
    • /
    • pp.109-120
    • /
    • 2004
  • Purpose: The purposes of this study are; to classify executive organizations engaged in MCH programs at 23 advanced public health centers according to each characteristic; evaluate the effectiveness of organizations engaged in MCH programs. Method: This study analyzes me data on the present conditions and evaluates the organizational effectiveness of MCH workers at 23 advanced public health centers. The organizational effectiveness of MCH organization is assessed by both MCH workers and clients who have received MCH services at the three health centers selected from me 23 advanced public health centers. Finally, this study seeks to obtain consensus among experts in the field of MCH. Results: The results are as follows. The executive organizational systems for MCH services are classified into three types: Type I (provides MCH and HP services by MCH org.); Type II(provides MCH and HP Services by HP org); and Type III(provides MCH Services by MCH org. and HP services by HP org.) at leading MCH Health Centers. The evaluation of the organizational effectiveness of MCH org. shows that Type II is the most effective in terms of teamwork, autonomy, service quality, and resource utilization. According to clients' evaluation of organizational system in the field of MCH, Type II is also me most effective. Conclusion: This study suggests that the executive organization for the MCH and HP services for maternity and children should be established in accordance with lifetime health programs in order to efficiently utilize the limited MCH and HP resources at public health centers.

  • PDF

A Study on the Job Satisfaction of Physical Therapist's at Public Health Center (보건소 물리치료사의 직무만족도에 관한 조사연구)

  • Park, Seoung-Ha;Jeong, Han-Shin
    • Journal of Korean Physical Therapy Science
    • /
    • v.9 no.4
    • /
    • pp.73-81
    • /
    • 2002
  • The purpose of this study was to investigate factors affecting physical therapist's job satisfaction at public health center. The data were collected from May 10 to 12, 2002 and 117 valid questionnaires were obtained and analyzed. They were analyzed by the percent, frequency, t-test, one-way ANOVA and Pearson correlation coefficiency. The results of the study were as follows: 1. The average marks by their job satisfaction factors indicated 3.56 for identity guarantee, 3.20 for administration, 2.78 for duty volume, 2.53 for relation with colleague. 2. There was statistically a difference of the education degree in relation with colleague. 3. There were statistically a difference of the age, total career, grade in rank, the number of colleague in identity guarantee. 4. No statistical significance were observed with the factors of incumbent satisfaction, duty volume, flexibility at work, administration.

  • PDF

Analysis of Factors Affecting the Smoking Rates Gap between Regions and Evaluation of Relative Efficiency of Smoking Cessation Projects (지역 간 흡연율 격차 영향요인 분석 및 금연사업 상대적 효율성 평가: Clustering Analysis와 Data Envelopment Analysis를 활용하여)

  • Kim, Heenyun;Lee, Da Ho;Jeong, Ji Yun;Gu, Yeo Jeong;Jeong, Hyoung Sun
    • Health Policy and Management
    • /
    • v.30 no.2
    • /
    • pp.199-210
    • /
    • 2020
  • Background: Based on the importance of ceasing smoking programs to control the regional disparity of smoking behavior in Korea, this study aims to reveal the variation of smoke rate and determinants of it for 229 provinces. An evaluation of the relative efficiency of the cease smoking program under the consideration of regional characteristics was followed. Methods: The main sources of data are the Korean Statistical Information Service and a national survey on the expenditure of public health centers. Multivariate regression is performed to figure the determinants of regional variation of smoking rate. Based on the result of the regression model, clustering analysis was conducted to group 229 regions by their characteristics. Three clusters were generated. Using data envelopment analysis (DEA), relative efficiency scores are calculated. Results from the pooled model which put 229 provinces in one model to score relative efficiency were compared with the cluster-separated model of each cluster. Results: First, the maximum variation of the smoking rate was 16.9%p. Second, sex ration, the proportion of the elder, and high risk drinking alcohol behavior have a significant role in the regional variation of smoking. Third, the population and proportion of the elder are the main variables for clustering. Fourth, dissimilarity on the results of relative efficiency was found between the pooled model and cluster-separated model, especially for cluster 2. Conclusion: This study figured regional variation of smoking rate and its determinants on the regional level. Unconformity of the DEA results between different models implies the issues on regional features when the regional evaluation performed especially on the programs of public health centers.

Potential Increasing Trend in Schizophrenia Relapse Prevention in the Past 40 Years: A Bibliometric Analysis

  • Isymiarni Syarif;Hasnawati Amqam;Saidah Syamsuddin;Veni Hadju;Syamsiar Russeng;Yusran Amir
    • Journal of Preventive Medicine and Public Health
    • /
    • v.57 no.5
    • /
    • pp.421-434
    • /
    • 2024
  • Objectives: Schizophrenia is an organic disease and a severe mental disorder with a relatively high risk of relapse. The rising rate of schizophrenia relapse has motivated researchers and academics to innovate and develop interventions aimed at relapse prevention. This bibliometric study sought to examine the publication trends in schizophrenia relapse prevention from 1973 to 2023, assess the contribution of international collaborations across various journals, identify the most influential authors and articles, and forecast future developments in this field. Methods: The study included 683 articles obtained from the Scopus database, analyzed using VOSviewer software, and visualized with Tableau. Results: Reports of schizophrenia relapse prevention strategies have increased significantly over the last 3 decades. However, fluctuations persist, as evidenced by the annual number of publications ranging from 25 to 40 within the past 5 years. Nevertheless, this increasing trend underscores the sustained interest in this area of research. Regarding contribution size, the United States produced the largest volume of publications on this subject. John M. Kane authored the most articles, while Stefan Leucht exhibited the highest h-index. Frequently used keywords in this field include "relapse AND schizophrenia" AND "prevention." Conclusions: These results represent an important reference for determining the current state of research on schizophrenia relapse prevention and future research directions.