The purpose of this study is to take a look at the characteristic of a long-term care market from competition, regulation and user's choice perspectives, and verify the influence of interaction effects among marketization characteristic, competition, ... The purpose of this study is to take a look at the characteristic of a long-term care market from competition, regulation and user's choice perspectives, and verify the influence of interaction effects among marketization characteristic, competition, regulation and user's choice on service quality centered on a home care service. Considering the hierarchical characteristic of data, I divided analysis units into competition and regulation(systematic level) and user's choice(individual level), applied a multi-level model as an analysis method and analyzed using a STATA 12.0 statistical program. For the data to verify a study model, I surveyed 447 service users scored over 24 out of 30 at the Mini-Mental State Examination-Korea(MMSE-K) who received the home care service from 20 home care service providers. Main findings are as follows; Firstly, based on the result of a basic model analysis to calculate the Intra-class Correlation Coefficient(ICC) for the multi-level model analysis, I checked distribution quantity at the level of user's choice(individual level) and competition and regulation(systematic level) describing service quality. As a result, it was verified that the difference of service quality has been affected by 38.5% from competition and regulation(systematic level). According to this, an empirical analysis on the study model was conducted after developing the multi-level model. Following is the summary of verified results on a study hypothesis. First, user's choice(individual level), the characteristic of maketization, had a significant influence on service quality. As to the influence on service quality by sub-category items which are able to selected by users, the more users selected a personal assistant and a service type by themselves, the higher service quality was ensured. But self-choice in the provider, contents and hours of service had not influence on service quality. As this result shows that user's choice that is the main factor of marketization could improve service quality or not, efforts to provide information considering the characteristic of users exercising the right to choice at the long-term care market should be more required than a general market. Second, competition(systematic level), the characteristic of maketization, was analyzed by divided into an objective competition(market share) and a subjective competition(competition among providers to secure users, competition of service level and competition to secure a personal assistant). According to the analysis result, objective and subjective competitions came out different level of influence on service quality. A market share which is an objective competition had not influence on service quality. Among subjective competition items, the competition of service level showed negative(-) effect significantly on service quality, while competitions to secure users and a personal assistant had not effect on the quality. This means that excessive competition may cause adverse effect to degrade service quality. Third, regulation(systematic level), the characteristic of maketization, showed different level of influences on service quality by area such as regulations over personal assistant mechanism, price, input and output, respectively. Specifically, the number of full-time workers which is personal assistant mechanism regulation and price regulation had positive(/) effect significantly on service quality. Also among sub-factors of input regulation, the levels of care worker's job training and treatment had positive(/) effect significantly on service quality, while a care worker training course had not effect on service quality. And evaluation of a service provider considering output regulation also had not influence on service quality. According to the result of analysis, regulation means the investigation and monitoring functions of the government to prevent side effects from marketization and to improve service quality. But as general service quality may be enhanced or not according to the extent and scope of regulation, regulation focusing on the quality of service should be necessary. Fourth, when I verified interaction effects among competition, regulation and user's choice which are the characteristic of maketization, it was found that interaction effects between competition and user's choice and between regulation and user's choice had significant influence on service quality. In other words, the higher interaction effects between competition and user's choice and between regulation and user's choice, the better service quality. This result means that service quality can be improved from desirable user's choice through interactions between competition and user's choice and between regulation and user's choice. This study may have some implications. First, excessive competition must be avoided at this point when the quantitative expansion of the long-term care market is almost done. Second, more careful attention on user's self-choice is required to upgrade the quality of the long-term care service. In other words, systematic tools and measures must be sought to ensure user's choice based on service quality through providing enough information. Third, regulation should be applied to the direction of preventing market failure and of enhancing service quality. This study views the characteristic of the long-term care market in Korea from the comprehensive perspective by verifying market characteristics (competitions, user's choice and regulation) using a scaling method. In this respect, this study has some meanings such as enhancing more comprehensive understanding on the characteristic of the long-term care market, discussing the relations among competition, user's choice, regulation and service quality in an empirical way and considering the factor of market characteristic influenced on service quality by reflecting the hierarchical characteristic of data. ，免费韩语论文，韩语论文题目 |
