- Comparison of Consensus on Life-sustaining Treatment of the Elderly in Care Facilities and Family Member Dyad
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Sunmi Lim, Seong Ae Hong, Hyun Sook Lee
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Osong Public Health Res Perspect. 2015;6(2):126-132. Published online April 30, 2015
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DOI: https://doi.org/10.1016/j.phrp.2015.02.003
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1,355
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15
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4
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 Abstract
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- Objectives
The purpose of this study is to compare the agreement in opinion between the elderly in care facilities and their family members regarding the life-sustaining treatment at the deathbed and to find out if the intentions of the elderly are being properly reflected in their deathbed treatment.
Methods
Data were collected from 85 elderly individuals at five care facilities in Chunkcheongnam-do and 85 family members. The data were collected with a self-administered questionnaire from July 22, 2013 to August 15, 2014. A total of 170 cases were analyzed using SPSS version 21.
Results
First, the family members' preference for life-sustaining treatment was higher than the patients' preference. The preference between the elderly and their family members regarding life-sustaining treatment was statistically significant with regards to oral nutrition, pain control through oral and anal administration, pain control through intravenous administration, transfusion, and admission to an intensive care unit. Second, looking at the agreement between elderly and guardians regarding life-sustaining treatment, there was significant concordance about general testing, oral nutrition, intravenous hydration, intravenous nutrition, antibiotic treatment for severe infection with low resiliency, admission to an intensive care unit, blood pressure increase medication use, cardiopulmonary resuscitation, and tracheotomy.
Conclusion
It is essential for the medical staff to confirm agreement between the elderly and their family members regarding life-sustaining treatment, and if such a prior agreement is not feasible, the patient's intention should be considered more actionable than their family members.
- Factors Affecting Hospital Employees' Knowledge Sharing Intention and Behavior, and Innovation Behavior
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Hyun Sook Lee, Seong Ae Hong
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Osong Public Health Res Perspect. 2014;5(3):148-155. Published online June 30, 2014
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DOI: https://doi.org/10.1016/j.phrp.2014.04.006
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1,736
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17
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22
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Abstract
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- Objectives
To investigate the factors affecting employees' knowledge sharing intention, knowledge sharing behavior, and innovation behavior of the four top-ranked university hospitals in South Korea.
Methods
Data were collected from employees at three university hospitals in Seoul, Korea and one university hospital in Gyeonggi-Do, Korea through self-administered questionnaires. The survey was conducted from May 29, 2013 to July 17, 2013. A total of 779 questionnaires were analyzed by SPSS version 18.0 and AMOS version 18.0.
Results
Factors affecting hospital employees' knowledge sharing intention, knowledge sharing behavior, and innovation behavior are reciprocity, behavioral control, and trust.
Conclusion
It is important to select employees who have a propensity for innovation and continuously educate them about knowledge management based on trust.
- A Study on the Public-Private Partnership to Global Health Issues in Korea
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Hyun Sook Lee
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Osong Public Health Res Perspect. 2013;4(6):308-315. Published online December 31, 2013
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DOI: https://doi.org/10.1016/j.phrp.2013.10.003
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1,318
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19
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1
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Abstract
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- Objectives
To find the fit that is most apt for the current situation in Korea and to find new ways of identifying potential partners for the purpose of public–private partnership (PPP). The research was conducted using domestic and international literature where the concept and definition of PPP was stated, and cases of PPP reported by the World Health Organization and cases in developed countries were investigated.
Materials and methods
Data were collected from 237 PPP potential partner organization, government agencies, and the government under a special law, local governments, businesses, hospitals, and private organizations through their internet webpage. The Delphi questionnaire was given to relevant institutions and questionnaire was surveyed general hospitals.
Results
Groups that were likely to realize most of the partnership were nonprofit or nongovernmental organizations, the central government, the private sector, public healthcare services, and products.
Conclusion
In order to secure the position of exceptional comparative advantage of international expertise in the field of healthcare, we must implement PPP strategy that is in ordinance of domestic situation.
- The Impact of Emergency Room Utilization by Depression Patients on Medical Treatment Expense in Korea
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Hyun Sook Lee
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Osong Public Health Res Perspect. 2013;4(5):240-245. Published online October 31, 2013
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DOI: https://doi.org/10.1016/j.phrp.2013.09.007
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1,337
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13
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2
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Abstract
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- Objectives
To investigate the determinants of total medical expense for depression patients admitted through the emergency room (ER).
Methods
Data were selected from the Korean National Health Insurance sample data for 2009. SPSS version 18 was used for the statistical analysis such as descriptive analysis, correlation analysis, and multiple regression analysis. Data included 1203 cases admitted through the ER with ICD-10 codes (F31–F39).
Results
In the multiple regression analysis, significant variables affecting total payment were gender (p < 0.001), age (p < 0.001), main illness (p < 0.001), course of admission to the ER (p < 0.05), and length of stay (p < 0.001).
Conclusion
It is necessary to build a long-term program and system for high-risk depression groups.
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