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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Health Policy and Management
Journal Basic Information
Journal DOI :
The Korean Society of Health Policy and Administration
Editor in Chief :
Volume & Issues
Volume 13, Issue 4 - Dec 2003
Volume 13, Issue 3 - Sep 2003
Volume 13, Issue 2 - Jun 2003
Volume 13, Issue 1 - Mar 2003
Selecting the target year
A Qualitative Analysis on Familial Caregivers` Burden in Utilizing a Nursing Home for the Elderly
Health Policy and Management, volume 13, issue 1, 2003, Pages 1~22
DOI : 10.4332/KJHPA.2003.13.1.001
The principal objective of this study was to analyze and conceptualize the socio-psychological burden in utilizing a nursing home for elderly. The subjects were five elderly from a private nursing home located in Seoul and their familial caregivers. An old male and three females were currently staying at the facility, and a female had been discharged already from there. Data were collected through depth interviews, observations and review of records at the facility For analysis, the data were classified by similar contents among significant expressions and factors in common. The subjects` motives to consider admission to the nursing home might be attributed to familial caregivers` burden, a shortage of support, environmental improvement and feeling of helplessness for the case elderly. The concept of burden is including family members` being badly off in living, their weariness, complications among family members, feeling psychological uneasiness, and hospital expenses. The identified image of nursing homes for the elderly in Korea was generally negative at the point of high cost, unreasonable requisites and limitations for admission to the facilities, inferior situations, and especially in that there were few long-term care facilities within the community boundary. From their experience of nursing homes, the interviewees have felt the sentiments of sorry for their old parents, with the thought of being an undutiful, bitterness, and empathy. Additionally, they expressed a sense of anxiety of relative deprivation against the fact that there were no long-term care facilities available for the middle class. On the basis of these, multi-dimensional needs could be identified for the elderly with chronic illnesses.
Cost Benefit Analysis on the Economic Effect of the Water Fluoridation Program in Some Area of Cheong-Ju City
Health Policy and Management, volume 13, issue 1, 2003, Pages 23~45
DOI : 10.4332/KJHPA.2003.13.1.023
This study was performed to evaluate economic effect of the water fluoridation program in Cheong-Ju City from 1982 to 2010. To study this economic effect, this study used cost-benefit analysis methodology from eight years old to fourteen years old in Cheong-Ju City. Major findings were as follows; First, total cost of fluoridation program in Cheong-Ju City was 1,384,164,734 korean won and total benefit was 15,057,426,621 Korean won from 1982 to 2010. Second, total cost which was converted by present value 2000 year was 1,687,412,718 won and total benefit which was converted by present value 2000 year was 14,582,548,519 Korean won. Cost-benefit ratio was 8.64. Net present value which happened from 1982 to 2000 was 7,990,710,155 Korean won and cost benefit ratio was 7.47. In conclusion, by the above result, economic impact of the water fluoridation program was very effective for children in some area of Cheong-Ju city.
Psychological Empowerment, Organizational Supports, and Innovative Work Behavior of General Hospital Employees
Health Policy and Management, volume 13, issue 1, 2003, Pages 46~68
DOI : 10.4332/KJHPA.2003.13.1.046
In the model tested here, individual innovative work behavior is considered as the outcome of two antecedent factors-empowerment and organizational supports. The relationships between those variables and innovative work behavior are analyzed form the data collected through a questionnaire survey of 389 employees in five general hospitals. Results of multiple regression analyses show that three dimensions of empowerment-meaning, competence, and impact, and supports from organizational culture have significant effects on innovative work behavior whereas the effects of choice dimension of empowerment and managerial supports are not significant. These results emphasize the importance of empowerment and innovation oriented organizational culture for individual members` innovative work behavior. Theoretical and practical Implications and suggestions for future research are discussed.
Determinants of the Community Health Service Utilization
Health Policy and Management, volume 13, issue 1, 2003, Pages 69~97
DOI : 10.4332/KJHPA.2003.13.1.069
This study focuses on the determinants of the community health service utilization. Theories suggest seven models for community health service utilization, which are divided largely into two groups such as Health Service Supply Model and Health Service Demand Model: Supply Model includes Medical Implements Model, Personnel and Budget Model, Management System Model, Staffs` Behavior Model, Service Quality Model; Demand Model includes Area Model and Clients` Characteristics Model. This paper tests how the above models influence on the community health service utilization. After interviewing some administrative staffs of the Community Health Service Center at Pusan, questionnaires were made and mailed to the staffs of 198 Korean Community Health Service Center as a universe, among which from 98 centers we got response. Analyzing the data from the questionnaires, we found "the number of personnels in the health service center" and "demands for medical service" as important variables to affect the utilization of the community health service center. These two variables are typical factors representing Supply Model and Demand Model each. However, the variables selected from Management System Model, Administrative Behavior Model, Service Quality Model and Area model are not significant in a statistical sense. The paper suggests that to recruit the personnels, especially nurses, and to make out the demands of the clients for health service be the precedent conditions to increase the utilization of the Community Health Service Centers in Korea.ce Centers in Korea.
On Feasibility of Ambulatory KDRGs for the Classification of Health Insurance Claims
Health Policy and Management, volume 13, issue 1, 2003, Pages 98~115
DOI : 10.4332/KJHPA.2003.13.1.098
Concerns about growing health insurance expenditures became a national Issue in 2001 when the National Health Insurance went into a deficit. Increases in spending for ambulatory care shared the largest portion of the problem. Methods and systems to control the spending should be developed and a system to measure case mix of providers is one of core components of the control system. The objectives of this article is to examine the feasibility of applying Korean Diagnosis Related Groups (KDRGs) to classify health insurance claims for ambulatory care and to identify problem areas of the classification. A database of 11,586,270 claims for ambulatory care delivered during January 2002 was obtained for the study, and the final number of claims analyzed was 8,319,494 after KDRG numbers were assigned to the data and records with an error KDRG were excluded from the study. The unit of analysis was a claim and resource use was measured by the sum of charges incurred during a month at a department of a hospital of at a clinic. Within group variance was assessed by th coefficient of variation (CV), and the classification accuracy was evaluated by the variance reduction achieved by the KDRG classification. The analyses were performed on both all and non-outlier data, and on a subset of the database to examine the validity of study results. Data were assigned to 787 KDRGs among 1,244 KDRGs defined in the classification system. For non-outlier data, 77.4％ of KDRGs had a CV of charges from tertiary care hospitals less than 100％ and 95.43％ of KDRGs for data from clinics. The variance reduction achieved by the KDRG classification was 40.80％ for non-outlier claims from tertiary care hospitals, 51.98％ for general hospitals, 40.89% for hospitals, and 54.99% for clinics. Similar results were obtained from the analyses performed on a subset of the study database. The study results indicated that KDRGs developed for a classification of inpatient care could be used for ambulatory care, although there were areas where the classification should be refined. Its power to predict tile resource utilization showed a potential for its application to measure case mix of providers for monitoring and managing delivery of ambulatory care. The issue concerning the quality of diagnostic information contained in insurance claims remains to be improved, and significance of future studies for other classification systems based on visits or episodes is guaranteed.
Sources of Price Estimating Bias in the Medical Care Service Market
Chun, Sung-Hwan ;
Health Policy and Management, volume 13, issue 1, 2003, Pages 116~132
DOI : 10.4332/KJHPA.2003.13.1.116