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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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The Korean Journal of Health Service Management
Journal Basic Information
Journal DOI :
Korea Society of Health Service Management
Editor in Chief :
Volume & Issues
Volume 8, Issue 4 - Dec 2014
Volume 8, Issue 3 - Sep 2014
Volume 8, Issue 2 - Jun 2014
Volume 8, Issue 1 - Mar 2014
Selecting the target year
A Study on Nonpatient Revenues in University Hospitals
Yang, Jong-Hyun ; Lee, Jung-Woo ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 1~10
DOI : 10.12811/kshsm.2014.8.2.001
This study examined nonpatient revenues of university hospitals in korea. The data source for this study was 22 university hospitals over the period 2010-2012. In this study, patient revenues, patient expenses, operating profit, nonpatient revenues, total revenues, operating margin, normal profit to gross revenues, ratio of the nonpatient revenues in the total revenues were analysed by the annual and three-year average. The analysis of nonpatient revenue differences by hospital type, bed size, location, management performance was performed by T-test and oneway ANOVA. The results were as follows. First, nonpatient revenues of university hospitals were increased during the period 2010-2012. Second, nonpatient revenues according to hospital type, bed size, location in the university hospitals had significant difference. Third, hospital type was significantly associated with normal profit to gross revenues which was profitability index about nonpatient revenues. Based on these results, this study suggests implications to diversify for management performance in hospitals.
Analysis on the Regional Variation of the Rate of Inpatient Medical Costs in Local-Out: Geographically Weighted Regression Approach
Jo, Eun-Kyung ; Lee, Kwang-Soo ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 11~22
DOI : 10.12811/kshsm.2014.8.2.011
This study purposed to analyze the regional variation of the local-out rates of inpatient services. Multiple data sources collected from National Health Insurance Corporation and statistics Korea were merged to produce the analysis data set. The unit of analysis in this study was city, Gun, Gu, and all of them were included in analysis. The dependent variable measured the local-out rate of inpatient cost in study regions. Local environments were measured by variables in three dimensions: provider factors, socio-demographic factors, and health status. Along with the traditional ordinary least square (OLS) based regression model, geographically weighted regression (GWR) model were applied to test their effects. SPSS v21 and ArcMap v10.2 were applied for the statistical analysis. Results from OLS regression showed that most variables had significant relationships with the local-out rate of inpatient services. However, some variables had shown diverse directions in regression coefficients depending on regions in GWR. This implied that the study variables might not have consistent effects and they may varied depending the locations.
Determinant Factors on the Strike among Hospital Laborer in Korea
Yoon, Tae-Hyung ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 23~35
DOI : 10.12811/kshsm.2014.8.2.023
The aim of this study is to analyze determinant factor on the strike action among hospital laborer in Korea. We collected data for 10days from 12 to 22 July, 2013. This study was surveyed 405 laborer in university hospital was located in the Seoul city and Gyeonggi-do. It was found as follow. There was statistically significant difference in the strike propensity and sub-domain on the job dissatisfaction by sex, age, education, wedding, occupation, position, salary, number of years of employment, position in labor union for strike action(p<0.05). From the multiple regression analysis, it was found that determinant factor on the strike action was occupation, strike propensity(sense of duty, after vote, depend on compensation) which was statistically significant difference(p<0.05). As a result, we suggest that hospital administrator must solve the problem related welfare benefits and personnel system in university hospital for preventing strike.
Effect of Hospital Selection Factors on Patient Satisfaction and Reuse Intention
Shim, Gyu-Beom ; Kim, Min-Ho ; Kim, Weon ; Shin, Moon-Ju ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 37~48
DOI : 10.12811/kshsm.2014.8.2.037
This study was performed to identify effects of hospital selection factors on patient satisfaction and reuse intention. For this purpose, a survey was performed subject to outpatients and inpatients in 10 hospitals located in Busan district from March 7, 2013 to June 21, 2013 and total 447 copies were used as final study data. As results of this study, it was found that among the hospital selection factors of outpatients, internal conditions and medical service gave effects to patient satisfaction and internal conditions, service of medical staffs and medical service gave effects to reuse intention. It was found also that among the hospital selections factors of inpatients, internal conditions, service of medical staffs and medical service gave effects to patient satisfaction and external conditions, internal conditions, service of medical staffs and medical service gave effects to reuse intention. It was suggested that in the effect of patient satisfaction on reuse intention, both inpatients and outpatients gave the effect and thus higher patient satisfaction was related to higher reuse intention. Therefore, instead of hospital-centered medical treatments, hospitals should restructure its medical and service systems that are patient-centered. Also, it is necessary for the hospital managers to recognize that patient satisfaction is an important factor in increasing its profit.
The Mediating Effects of Motivation between the Job Rotation of Hospital Employees and Organizational Commitment on the Mediating Effects of Motivation
Jung, Ju-Hyeun ; Ji, Jae-Hoon ; Kim, Won-Joong ; Yi, Sun-Chan ; Kim, Kwang ; Choi, Hyun-Ju ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 49~59
DOI : 10.12811/kshsm.2014.8.2.049
This study attempted to provide some implications for human resource management of health services organizations by investigating the influence of job rotation on motivation and organizational commitment. For empirical analysis, a study model based on literature review of previous researches was developed, and a survey was conducted for the employees of 8 hospitals located in Busan area. In processing the data, frequency analysis, correlation analysis and path analysis were performed using SPSS 18.0 and AMOS 18.0. Main results of empirical analysis can be summarized as follows: First, procedure of job rotation, did not significantly affect tissue immersion and stimulation, but effect of job rotation, has been found to provide a significant effect. Second, motivation was shown to have a significant influence on emotional and normative commitments, sub-factors of organizational commitment variable. In conclusion, suggest that intentions and opinions of the organizational members need to be actively reflected in job rotations of which the effect can be maximized when they are regularly and reasonably implemented.
The Effect Nursing Organizational Culture and Happiness Index on Turnover Intention among Nurses
Kim, Kyoung-Nam ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 61~72
DOI : 10.12811/kshsm.2014.8.2.061
The purpose of this study was to identify the effect nursing organizational culture and happiness index on turnover intention among nurses. The subjects of this study were 377 nurses who were working at 3 general hospitals in B city. The data were collected by structured questionnaire from July 1 to August 28 of 2013. The data collected were analyzed with SPSS Win 20.0 using descriptive methods, t-test, ANOVA, Pearson correlation coefficient and Stepwise multiple regression. Turnover intention were significant negative correlation for affiliative oriented organizational culture(r=-.137, p=.008), happiness index(r=-.290, p<.001). There were significant positive correlation for innovative oriented organizational culture(r=.123, p=.017), rank oriented organizational culture(r=.126, p=.015), task oriented organizational culture(r=.218, p<.001). Factors affecting for turnover intention were happiness index(
=-.297, p<.001), rank oriented organizational culture(
=.266, p<.001), nursing experience(
=.199, p=.009), affiliative oriented organizational culture(
=-.142, p=.034). The explained variances for were turnover intention among nurses 17.2%. Based on the study consider to development and education program of happiness index and affiliative oriented organizational culture for nurses in the hospital setting.
The Effects of Action Learning on Nurses' Problem Solving, Communication, Emotional Creativity and Innovation Behavior
Lee, Sook-Ja ; Jang, Keum-Seong ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 73~87
DOI : 10.12811/kshsm.2014.8.2.073
The purpose of this study was to investigate the effects of a Action Learning(AL) program in terms of problem solving, communication skills, emotional creativity and innovation behaviors. Design for this was a nonequivalent control group quasi-experimental study. The participants were C-hospital staff nurses in G city (Experimental group=29, Control group=30). The AL program was composed of fourteen sessions in eight weeks. Data were collected and the program was conducted from May. 26 to July. 18, 2008. Data were analyzed with
-test, Fisher's exact test, t-test and ANCOVA, and utilized the SPSS win 20.0 program. There were significant increases in problem solving skills, communication skills and emotional creativity in the experimental group compared to the control group. Considering the above results, AL program has proven to be an effective educational program for improving the problem solving, communication skills and emotional creativity of nurses.
The Association between Medical Service Quality, Consumer Satisfaction, Service Value and Customer Loyalty of Dental Patients
Lee, Byung-Ho ; Choi, Yu-Jin ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 89~100
DOI : 10.12811/kshsm.2014.8.2.089
The purpose of this study was to reveal association between medical service quality, consumer satisfaction, service value and customer loyalty. Medical service quality was composed of physical quality, personal quality, technical quality, procedural quality. We thought these factors affect to the consumer satisfaction, service value and customer loyalty. For this study, 221 dental patients in Busan and Ulsan are participated in this study. The data were analyzed with descriptive statistics, t-test, ANOVA, pearson's correlation coefficients, and stepwise multiple regression analysis with SPSS 18.0 program. In conclusion, we obtained the next results. First, the influencing factor in consumer satisfaction were physical quality(
=.519), personal quality(
=.262), procedural quality(
=.537. Second, the influencing factor in service value were physical quality(
=.253), personal quality(
=.251), technical quality(
=.210), procedural quality(
=.401. Third, the influencing factor in customer loyalty were personal quality(
=.343), physical quality(
=.302), procedural quality(
=.398. As dental patients' desire to medical service quality becomes diversified, the analysis result is considered to help the future dental service management.
The Effect of Private Health Insurance on Health Care Utilization: Evidence from Korea Health Panel (2008~2010)
You, Chang-Hoon ; Kang, Sung-Wook ; Choi, Ji-Heon ; Oh, Eun-Hwan ; Kwon, Young-Dae ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 101~113
DOI : 10.12811/kshsm.2014.8.2.101
This paper examined the effects of private health insurance(PHI) on the health care utilization among the Korean. The used data was the three waves of Korea Health Panel (2008, 2009, 2010), and the number of subjects was 13,951 persons. Authors employed two-stage least square panel model where the instrument variables for controlling for endogeneity of PHI were number of insurance planner per 100,000 in resident area and whether subject worked on financial profession. The results showed that healthcare expenditure of outpatients who purchasing PHI was higher than that of outpatients without PHI, and there was no difference in admission between the two groups. This article recommended the Korean government to monitor the effects of PHI on the health care utilization in order to improve the efficiency of health care finance.
Characteristics of Supplementary Private Health Insurance Insured and Medical Utilization Behavior
Oh, Hyang-Suk ; Kim, Chang-Yoon ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 115~125
DOI : 10.12811/kshsm.2014.8.2.115
This study tries to investigate inequity in supplementary private health insurance insured in terms of the analysis of insurance insured general characteristics and to analyze the influence of supplementary private health insurance on their admission and their outpatient medical utilization behavior. As a result of the analysis of the general characteristics of supplementary private health insurances insured, it has turned out that men, persons at low ages, people with a spouse and chronic diseases, and persons with a high income have applied such insurances more. We can also tell that low-income classes have difficulty in applying private health insurances as people in the fifth income quintile have applied such insurances about 9 times as much as those in the first income quintile. The analysis of supplementary private health insurance insured health care utilization behavior has revealed that both male and female insured aged less than 55 and without chronic diseases have increases the number of their use of health care, their patient charge, and their medical cost per visit.
The Study on DISC with Direct and Indirect Social Support of Dental Hygienists
Kim, Ji-Hee ; Kim, Hye-Jin ; Yum, Jong-Hwa ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 127~137
DOI : 10.12811/kshsm.2014.8.2.127
The purpose of this study is to investigate the relationship between behavior patterns(DISC) and direct indirect of social support from dental hygienists. The data used in this study were obtained from 171 dental hygienists who have been working on dental hospital or clinic in Pusan and Gyeongsangnam-do from 1st July to 30th August in 2011. In the level of direct indirect of social support according to subjects' general characteristics, higher educational level and non-religion was related with higher in direct of social support(p<0.05), and hygienists who worked in general hospital was related with higher indirect of social support(p<0.01). According to between behavior patterns(DISC) and indirect social support, these score were that I-type 3.55, D-type 3.53, C-type 3.41, and S-type 3.36. All behavior patterns(DISC) were similar with the indirect support. In direct support these score were that S-type 2.98 I-type 2.95, D-type and C-type 2.91. In frequency of behavior patterns(DISC), these were that I-type 56.7%, S-type 16.4%, C-type 14%, and D-type 12.9%. In correlation between factors, direction social support was correlated with I-type(p<.01) and C-type(p<.01) of behavior patterns(DISC). On based on these results, if the change of working environment, working condition will improve social support of dental hygienists. And education program have to developed for dental hygienists.
A Study on the Factors Affecting the Unmet Dental Needs of Koreans - Analysis of the Data from the 5th Public Health Nutrition Survey (2010-2012)-
Choi, Mi-Sook ; Yun, Hyun-Kyung ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 139~148
DOI : 10.12811/kshsm.2014.8.2.139
The purpose of this study was to analyze the factors affecting the unmet dental needs of Koreans. In relation to the subjects and methodology for this study, the data from the 5th national health nutrition survey which had been conducted between 2010 and 2012 were analyzed by using the PASW statistics 18.0 (SPSS Inc., Chicago, IL, USA), a statistical program, through the frequency analysis of complex samples, cross analysis of complex samples, and logistics regression analysis of complex samples. The results of analysis showed that the rate of unmet dental needs stood at 35.3% of all subjects. Moreover, to determine the factors related to the unmet dental needs, the logistics regression analysis of complex samples was conducted. The results of analysis showed that the demographic and socio-economic factors and oral health condition factors had relationship with unmet dental needs. It is necessary to consider all the objective dental treatments that reflect specific dental diagnosis from a comprehensive standpoint.
A Study on Factors Affecting the Elderly Suicidal Ideation in Korea
Sohn, Shin-Young ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 149~160
DOI : 10.12811/kshsm.2014.8.2.149
The suicide rate in the elderly is continually increasing. Effective suicide prevention requires that factors affecting suicidal ideation are specifically identified and personalized intervention programs are developed. This study aimed to identify the influencing factors of suicidal ideation in Korean elderly. The data of the 2012 Korean National Health & Nutrition Examination Survey was analyzed by using the SPSS program. Frequency, percentile, Chi-square test, multiple logistic regression were used. The influencing factors of suicidal ideation were education, income, exercise, perceived stress and depression. The Odds Ratio of the depression was 5.68 and the Odds Ratio of the perceived stress was 3.45. This study suggested that elderly suicidal prevention programs should be developed in preventing and reducing stress and depression.
Readability and Suitability Evaluation of Educational Materials on Diabetes Mellitus
Chin, Young-Ran ; Choi, Kyung-Won ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 161~174
DOI : 10.12811/kshsm.2014.8.2.161
The aim of this study was to evaluate the readability and suitability of patients' education materials on DM. A total of 34 materials on DM from public health centers, general hospitals, and internet web sites were evaluated for readability by 'graded system of vocabulary', and suitability by 'The Korean version of SAM(Suitability Assessment of Materials)'. On the average, 28.3% of 1st grade reading level words, 27.1% of 5th grade level and over were included in educational materials. For suitability, 6(17.6%) were judged superior, 20(58.8%) adequate, 8(23.6%) inadequate. The reading level of the materials was higher than the recommended reading level(6th grade reading level). For suitability, most of materials were inadequate in some of items such as 'summary or review included', 'context given', 'interaction used'. It is proposed that in the development of patients' educational materials, health literacy of target population should be considered.
The Study on the Relationship between Local Residents' Perception of a Health-Cities and Personal Happiness
Nam, Hee-Eun ; Lee, Mi-Ran ; Kim, Hye-Sook ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 175~185
DOI : 10.12811/kshsm.2014.8.2.175
This study analyzed individual happiness exponent according to local residents' perception degree of Health-Cities. The data, which is accumulated by the survey on relationship between happiness and perception degree of Health-Cities targeting 662 of local residents living in Y-gu in Busan, were analyzed using PASW 18.0. The results are as follows. To begin with, the results of Correlation Analysis on the relation between happiness index and cognition degree of Health-Cites indicate that the higher perception of Health-Cities'facilities, administrations, services, education, health environment and transportation the local residents have, the lower individual happiness index they acquired. The cognition degree of transportation has effects on local society and daily life; the cognition degree of facilities and businesses has impact on financial stability. The cognition degree of administrations has influence on psychological relaxation, services have meaningful effects on psychological stability, work and residence, education have statistically meaningful effects on psychological stability, families and marriage, individual human relationships in respect.
Effects of Toothbrush Education on the Simplified Oral Hygiene Index (S-OHI) and Toothbrushing-related Knowledge
Yum, Jong-Hwa ; Ko, Hyo-Jin ; Lee, Su-Jin ; Kim, Hye-Jin ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 187~195
DOI : 10.12811/kshsm.2014.8.2.187
To improve oral hygiene management, the effects of toothbrush training on general oral hygiene based on the simplified oral hygiene index(S-OHI) and degree of knowledge about toothbrushing were examined. Pre-and post-training changes in the S-OHI (lower score = better oral health status) showed a significant decrease in score in all variables (gender, age, marital status, occupation, and level of education).Pre- and post-training changes in the degree of knowledge about toothbrushing showed a significant increase. Negative correlations between the S-OHI, oral health status, and degree of knowledge about toothbrushing and the S-OHI and the Decayed, Missing, Filled (DMF) index (the better the oral cavity environment, the lower the DMF index) were observed. Positive effects of repeated toothbrush training on the maintenance of healthy oral cavity environment and continuous oral health management were observed, as reflected by the correct toothbrushing-related knowledge and skills.
Effects of Social Support on Depression Among Middle and Old-Aged People
Han, Sam-Sung ; Jeong, Seong-Hwa ; Kang, Sung-Wook ; Yoo, Wang-Keun ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 197~208
DOI : 10.12811/kshsm.2014.8.2.197
This study examined the relationship between social support and depressive symptom among the middle and old-aged people, using dataset of the Korean Longitudinal Study of Ageing(KLoSA 3rd). The subjects were 7,874 persons aged 45 and over. Using this data, social support variables and its relation to depressions was observed based on social network model. A multiple regression model was used to study an association between social support and depressive symptom, controlling for socio-economic characteristics, health status and behavior. Also, this paper run two subgroup regression models based on gender of subjects (male, female), controlling for confounding variables. Authors found that there was lower the number of meetings with friends (1~3 times in a week: b=0.597, p<0.0001; 1~2 times in a month: b=0.609, p<0.0001; 1~6 times in a year or under: b=1.598, p<0.0001) and negative relationship between spouse satisfaction (b=-0.007, p=0.0237), children satisfaction (b=-0.019, p<0.0001) and depressive symptom. Also quantitative effect differences were compared according to gender and its effect on depression. Compared to the male group, female group showed significant difference in quantitative effect with number of meetings with friends and spouse satisfaction, but children satisfaction didn't show clear differences according to gender. This study suggested the importance of social support for promoting mental health among the middle and old-aged people.
Factors Influencing Suicidal Ideation in People with Mental Disorder
Lee, Mi-Young ; Kim, Young-Sun ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 209~220
DOI : 10.12811/kshsm.2014.8.2.209
The purpose of this study was to identify the effects of depression, self-efficacy and social support on suicidal ideation in people with mental disorder. The participants for this study were 165 patients from psychiatric hospital, day hospital, community mental health center and nursing home, located in Busan. A self-report survey was used for data collection, which was carried out from May 1 to 30, 2011. The collected data were analyzed using SPSS21.0 program. According to results, Suicidal ideation was influenced by age, number of admission, psychiatric diagnosis and history of suicidal attempts. This study showed that suicide ideation had positive correlation with depression, negative with social support. History of suicidal attempt, depression, self-esteem and social support accounted for 52.8% regarding suicidal ideation. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes decreasing depression and suicidal attempt and increasing the self-esteem and social support in order to decrease suicidal ideation.
The Effect of Subjective Oral Health Knowledge and Oral Health Behavior on Personal Oral Hygiene Management Ability
Choi, Jung-Mi ; Lee, Eun-Ju ; Kwon, Su-Jin ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 221~232
DOI : 10.12811/kshsm.2014.8.2.221
This research aims to improve oral health knowledge through oral health education by investigating and analyzing the effect of subjective oral health knowledge and oral health behavior on personal oral hygiene management ability targeted for adults who visited a dental hygiene laboratory at B University in Busan for comprehensive dental hygiene management and procedure from September 23, 2013 to December 12, 2013, and provide basic data to improve adults' personal oral hygiene management ability by inducing behavior on oral health. Results derived from the research are as follows. Oral health education is a prerequisite to improve personal oral hygiene management ability through improvement in oral health knowledge and oral health behavior, which leads to improved personal oral health and furthermore promotion of national oral health through not just simply transmitting oral health knowledge, but desirable change in oral health behavior based on oral health knowledge.
The Effects of Adolescent's Academic Stress and School Bullying Victim on Suicidal Ideation: Focusing on the Mediating Effect of Self-Esteem
Cho, Ouk-Sun ; Paik, Jin-A ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 233~244
DOI : 10.12811/kshsm.2014.8.2.233
This study aims to investigate the effects of adolescent's academic stress and their experience of school bulling victim on suicidal ideation, and the meditating effect of self-esteem among variables by utilizing the path analysis. Quantitative survey research was conducted with 1735 students attending primary, middle and high school to identify the following the key results. First, adolescent's academic stress directly influenced their suicidal ideation and its' effect was indirectly mediated by the subjects's self-esteem. Second, the relationship between the experience of school bullying victim and suicidal ideation was partly mediated by self-esteem. In other words, the severer academic stress in youth and the experience of bullying victim were, the higher suicidal ideation were; however, the adolescent's high self-esteem played a mediating role in lowering their suicidal ideation by increasing the ability of overcoming difficulties and risks.
Relationship of Dietary Habits, Health Habits and Dental Caries Subjective Symptoms of Teachers at Childcare Centers
Park, Chung-Soon ; Won, Young-Soon ; Park, So-Young ;
The Korean Journal of Health Service Management, volume 8, issue 2, 2014, Pages 245~254
DOI : 10.12811/kshsm.2014.8.2.245
The objective of this study is to identify the relationship of dietary habits and health habits with dental caries subjective symptoms and to present data on nutritional education related to oral health. The subjects of this study are 334 teachers at pre-schools. The subjects of the study were selected using the convenience sampling method. Surveys were taken with the self-entry questionnaire method. It was found that dental caries subjective symptoms were higher among study subjects who ate appetizers frequently through the day, consumed more milk and other dairies and sugars, drank alcohol more, did less exercise, smoked, and had less sleep time. Systematic diet control and nutritional education must be strengthened to form proper dietary habits and health habits for preventing dental caries.