Korean Journal of Health Policy and Administration最新文献

{"title":"Changing Trends in Daegu and Gyeongbuk-based Patients' Use of Health Facilities in Seoul","authors":"Sang Ju Lee, Jae-Yong Park","doi":"10.4332/KJHPA.2010.20.4.019","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.4.019","url":null,"abstract":"This study was conducted to investigate the changes in patterns of Daegu- and Gyeongbuk-based patients` use of medical care facilities located in Seoul. The `Patient Survey` data issued by the Ministry of Health and Welfare for 2002, 2005, and 2008 were used. Among all discharged patients residing in Daegu and Gyeongbuk, 133,456 who used medical facilities in Daegu, Gyeongbuk, and Seoul were selected. Among patients residing in Daegu, 2.2% used medical facilities in Seoul in 2002, 3.7% in 2005, and 3.5% in 2008. The corresponding rates among patients living in Gyeongbuk were 5.6%(2002), 7.1%(2005), and 7.3%(2008). Regarding the ICD-10 disease groups, the use of medical facilities in Seoul by patients residing in either Daegu or Gyeongbuk increased in 2005 right after the introduction of the KTX high-speed train service, covering various disease groups, but decreased again in 2008. `Neoplasm` cases, however, showed a progressive rising trend during the years studied. Multivariate data analysis for the three years showed that sex, age, payment type, hospital type, residence, year, and disease groups were all significantly associated with the utilization of medical facilities in Seoul. The major results are : First, use of medical facilities in Seoul by Gyeongbuk patients was 2.4-fold higher than that by Daegu patients, but with respect to 2005 and 2008 vs. 2002, use of medical facilities in Seoul by Daegu resident patients` showed a larger increase than that by Gyeongbuk`s patients. Second, for patients residing in the two regions, use of medical facilities in Seoul was highest for `congenital malformations, deformations and chromosomal abnormalities`, followed by `neoplasms`. Third, for patients residing in the two regions, general hospitals comprise the primary factor in the use of medical facilities in Seoul. The study shows that local medical facilities should individually exert more efforts to improve the quality of their medical services. Relevant authorities should likewise help these facilities develop their own unique services and respective specialization.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126057213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Omission of Pharmacy Cost Affect Cost-Efficiency Rankings in Medical Clinics?","authors":"Hee-Chung Kang, Jae-Seok Hong","doi":"10.4332/KJHPA.2010.20.4.045","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.4.045","url":null,"abstract":"Background : If different cost efficiency indexes were informed to the same clinic depending on the inclusion or exclusion of pharmacy cost, it may impair the reliability of provider-profiling system. This study aimed to investigate whether the omission of pharmacy cost affects cost-efficiency rankings in medical clinics. Methods : Data for ambulatory care cost at 23,112 medical clinics were collected from the claims database, which was constructed after review by the Health Insurance Review and Assessment Service (HIRA) of Korea in April 2007. We calculated two types of cost efficiency indexes by inclusion or exclusion of pharmacy cost for a medical clinic. The agreement between the decile rankings of the two indexes was also assessed using the weighted kappa statistic of Landis and Koch. Results : When the cost efficiency index for total cost including pharmacy cost was compared with the index for total cost excluding it, the agreement between the two indexes was only 55%. The agreements between the two indexes were relatively low within specialties which have larger pharmacy volume of total cost and lower correlation between total cost with or without pharmacy cost included than the average level of all the specialties. Conclusion : These results suggest that the omission of pharmacy cost may result in contradictory outcomes that may be confusing to a medical institution and may impair the reliability of provider-profiling systems. It is very important to standardize profiling criteria for the reliability of provider profiling system.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116203355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of assistive products in Korean long-term care insurance system for the beneficiary older adults","authors":"이태범, 장현숙","doi":"10.4332/KJHPA.2010.20.4.126","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.4.126","url":null,"abstract":"Objectives : The purpose of this study is to evaluate the effects of assistive products usage on activity of daily living for the beneficiary older adults people in Korean long-term care insurance system. The study subjects were divided to assistive products users and non-users among the beneficiary older adults based on Korean long-term care insurance system to compare function improvement of the activity of daily living. Methodes : In national wide 12 community elderly care center enrolled the National Health Insurance Corporation, The numbers of 281 beneficiary older adults(long-term care Grade I : 66, Grade II : 58, Grade III : 157) participated in this study. This survey assessment tool for activity of daily living was used the long-term care assessment instrument of the physical functions in the law of Korean long-term care insurance. The function items of Activity of daily living were included in clothing, washing, tooth brushing, bathing, eating, posture converting, stand sitting, move sitting, out of room, using toilet, controlling of stool, controlling of urine, washing hair. According to independence to complete dependence functioning level, remarks pointed 1 to 3 points. The data were analyzed by chi-square, two-way anova using SPSS V. 12.0. Results : The results appeared that the mean score of the functions in activity of daily living of assistive products users was a 27.60, and that of non-users was a 30.66. Assistive products were not effected in Grade I and II recipients, but that effected in Grade III recipients. Conculsion : Preparing for activation of assistive products based Korean long-term care insurance system, the result application as follows is possible. The usage of assistive products could improve the function of daily living activity in older adults. Related to Grade III beneficiary elderly people were improved function in activity of daily living by using assistive products, it is necessary to extend coverage the non-eligible elderly people in Korean long-term care insurance system.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"260 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124263384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study on the Relationship Between the Locational Characteristics of Oriental Medicine Hospitals and the Number of Patients","authors":"Kwang-soo Lee, Sang-Jin Hong","doi":"10.4332/KJHPA.2010.20.4.097","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.4.097","url":null,"abstract":"The purpose of this study was to analyze the relationship between the locational characteristics of areas surrounding oriental medicine hospitals and the number of patients who visited study hospitals. Administrative data collected from the annual report of 5 ward offices in Daejeon used to assess the geographical attributes. Two oriental medicine hospitals operated in Daejeon provided data for the number of inpatient and outpatient. Number of patients who visited study hospitals was calculated in each Dong which is the smallest administrative district. The geographical attributes of Daejeon were evaluated by the demographic and economic factors which were assumed to influence the health care demand. Each criterion was measured from each Dong. Weights of factors was calculated by Analytic Hierarchy Process (AHP) method. Evaluation scores which representing the geographical attributes of Dong was computed by multiplying the eight factors and weights. Results showed positive correlation coefficients between the evaluation scores of Dong and the number of patients. One hospital which was more closely located to areas with high evaluation scores had higher number of patients than that of the other hospital. Buffering analysis with varying size support the analysis results. This finding proposed the importance of location for the management of oriental medicine hospitals in a metropolitan city. Applying study model to other cities will enhance the validity of study results.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132743329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Efficiency of the Regional Public Hospitals using DEA-AR/AHP Combined Model","authors":"Dong-Hyun Yang","doi":"10.4332/KJHPA.2010.20.4.074","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.4.074","url":null,"abstract":"The purpose of this empirical study is to evaluate efficiency of the regional public hospitals, using DEA(Data Envelopment Analysis). to do this, we design a DEA-AR/AHP Hybrid model to evaluate efficiency of 34 Regional Public Hospitals. the proposed model is developed by adding Acceptance Region(AR). using analytical hierarchy process(AHP). this model is compared with those of typical DEA models. Financial data used in this study were obtained from Database of the Korea Association Regional Public Hospital and analyzed using DEA model. As a result of analysis, This study found that the DEA-AR/AHP Hybrid model was superior to those typical DEA models in determining the priority among efficient hospitals. the result of this study can provide helpful information to evaluate the efficiency of public hospitals for efficient operational management, to develop more precise measurement for the priority of the efficient hospitals.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133268094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Contingent Workers' Ratio in Public Health Centers","authors":"Su Jin Lee","doi":"10.4332/KJHPA.2010.20.4.114","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.4.114","url":null,"abstract":"Department of Nursing, Shingyeong UniversityObjectives : This study investigates the determinants of contingent workers’ ratio in public health centers. Since the economic crisis in 1 997, there have been many studies on contingent workers in Korea. Bu t, previous studies have been not conducted focusing on public health center. Methods : This study used 253 public health centers, installed and operated since December 31, 2008. in Korea as units of analysis . To examine the determinants of contingent workers’ ratio, this study uses Pearson correlation and multiple regression analysis. Results : The following appeared as significant variable affecting contingent workers’ ratio in public health centers; degree of the local government’s financial independence(p<0.001), rate of increase/decrease in ages 65 and over(p<0.001), rate of increase/decrease in basic livelihood security recipients(p<0.01) and rate of increase/decrease in re gistered disabled persons(p<0.01). In contrast, internal organizational environment","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130664409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Education of Chronic Diseases Management for the Elderly Group in Parts of Seoul","authors":"Hyun-Sook Chang, Saerom Lee","doi":"10.4332/KJHPA.2010.20.3.157","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.3.157","url":null,"abstract":"Namseoul UniversityThis study was conducted to evaluate the effects of health-beha vioral change for the elderly group after community based education of chronic diseases management. We measured self recognition of health sta tus, medication administration of hypertension and diabetes, regular check for blood pressure and blood sugar level, recognition of body indic ators (weight, hight, blood pressure, blood sugar etc), knowledge level for ch ronic diseases management and smoking and alcohol habitation before and after education of chronic diseases management for participants. The subjects o f this study consist of 432 people with community-dwelling Seoul citizen bei ng active churches. Education programs designed essential parts of fundam ental chronic diseases management, physical exercises for health prom otion, diet and nutrition etc. All data collection completed for 5 months f rom Aug. 2008 to Dec. 2008 by trained surveyors via interview survey. The dat a obtained were analyzed using descriptive statistics, Wilcoxon Singed Ran k test,","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114800012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Trend of the Specialization of Hospitals in 2003 to 2005 in Metropolitan Cities","authors":"Kwang-soo Lee, K. Chun","doi":"10.4332/KJHPA.2010.20.3.021","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.3.021","url":null,"abstract":"This study examined the changes in the service mix of Korean hospitals in 6 metropolitan cities between 2003 and 2005, and assessed whether the sample hospitals exhibit consistent trend or chance variation in multiple years. Three measures of hospital service mix, focusing on the specialization of services, were applied: information theory index, internal Herfindahl index, and number of distinct diagnosis-related groups (DRGs) treated. National Health Insurance claims were used to calculate the indexes. Specialization indexes were calculated in each year, and then examined to identify the pattern over time. Kappa analysis was applied to assess the agreements of specialization score between two years after hospitals were categorized into 4 groups with quartiles. Kappa score showed that the service mix of hospitals were changed during the study years. Specialization scores were increased given the market structure for three years. Hospitals which showed higher or lower specialization scores than the average of the scores consistently classified into the same group. Specialization indexes showed relatively consistent pattern over 3 years, and such consistencies were evident for hospitals regardless of the specialization status. Policy makers can identify the degree of specialization with the indexes, and it could provide a picture of how hospital services were mixed and changed over time.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129163116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of the Intent to Use a Wireless Technology of a University Hospital Nurses","authors":"Eun Ju Lee, Y. Seo, Yeon-Hee Kim, Ji-Young Oh","doi":"10.4332/KJHPA.2010.20.3.058","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.3.058","url":null,"abstract":"The purpose of this study is to investigate determinants of intent to use a wireless information technology(WIT) of University Hospital Nurses. The independent variables used in the study are usefulness, compatibility, social environment, perceived readiness, technical readiness, organizational readiness and socio-demographic characteristics. The dependent variable is the intent to use a wireless information technology(WIT). The sample used in this study consisted of 297 nurses selected from a university hospital located in Wonju, Gangwon-do, Korea Data were collected with self-administered questionnaires and analyzed using multiple regression analysis. The results of the study revealed that 5 independent variables of usefulness, compatibility, perceived readiness, technical readiness, and organizational readiness were found to have significant effects on the nurses` intent to use a WIT. As a conclusion, it is important to make organizational, clinical, and technical environment WIT-friendly prior to applying WIT to hospital nurses. In addition, it is also important to provide an education and training for nurses to improve their skill of using WIT and to make the new WIT compatible with the existing nursing information system.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124154835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Health Care Expenditure on Income Inequality","authors":"Eun-Cheol Song, Chang-yup Kim, Y. Shin","doi":"10.4332/KJHPA.2010.20.3.057","DOIUrl":"https://doi.org/10.4332/KJHPA.2010.20.3.057","url":null,"abstract":"The degree of income inequality deepened by health care expenditure was useful in assessing the health security level. This exploratory study was conducted to provide a basic evidence to prove the necessity of reinforcement the benefit coverage of South Korea`s health security systems. Data from the Household Income and Expenditure Survey of Korea and Luxembourg Income Study were used. Income inequality indices before and after deduction of health care expenditure were computed, and the degree of the increase in the indices was compared among 13 countries. The degree of decrease against the effect of income inequality reduction policies by health care expenditure was determined. The relationships between the national characteristics and the increase in income inequality were examined. In South Korea, all income inequality indices increased after deducting health care expenditure, but the difference was not high compared to the mean of 13 countries. However, the degree of decrease against the effect of income inequality reduction policies by health care expenditure was high, compared to the mean of 13 countries. The proportion of public sector spending on health care proved to be statistically significant with the increase of income inequality indices (p","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134629737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}