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의료기관 인증제도가 요양병원의 조직문화, 직무만족, 경영성과 및 환자안전에 미치는 영향 -부산지역을 중심으로-

The Effects of Hospital Accreditation Program to the Organizational Culture, Job Satisfaction, Financial Performances and Patient Safety at Geriatric Hospital : About Busan Metrocity

  • 신문주 (경남정보대학교 의무행정과)
  • Shin, Moon-Ju (Dept. of Health Service Administration, Kyungnam college of Information & Technology)
  • 투고 : 2014.08.22
  • 심사 : 2014.10.20
  • 발행 : 2014.10.28

초록

본 연구는 의료기관 인증평가 후 요양병원 직원들의 조직문화, 직무만족, 경영성과 및 환자안전에 대한 인식 및 태도의 변화를 알아보고 의료기관 인증평가의 효과를 확인하고 이 제도를 통한 요양병원의 질 향상을 도모하고자 시행하였다. 이를 위해 요양병원의 의료기관 인증평가를 받은 부산의 8곳의 요양병원 직원을 대상으로 2014년 4월 1일에서 2014년 7월 20일까지 설문조사를 하여 283부의 설문지를 연구에 사용하였다. 연구결과는 첫째, 인증평가 후 요양병원 직원들의 조직문화, 직무만족, 경영성과 및 환자안전에 대한 인식과 태도에 변화가 있었고, 둘째, 조직문화, 직업만족 및 경영성과 및 환자안전 등 변수들 간의 정(+)의 상관관계가 있었으며, 셋째, 조직문화, 직업만족 및 경영성과는 환자안전에 정(+)의 영향을 미쳤다. 따라서 요양병원의 의료기관 인증평가 과정에서 직원들의 직무만족을 더 높이고 완전한 환자안전을 보장하는 양질의 의료를 구현할 수 있도록 요양병원 인증제도와 같은 외부평가와 병원의 자발적인 내부평가를 유기적으로 함께 발전시켜야 하겠다.

This study has been implemented to improve the quality in geriatric hospital through the Hospital Accreditation. So research a change in the perception and attitude of the Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance of hospital staff after the Hospital Accreditation. For this, a survay was conducted from April 1 to July 20, 2014 to targeting staffs of eight geriatric hospital in the Busan city. Thus, a total of 283 questionnaires were used in the study. Firstly, It was found that change in the perception and attitude of the Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance of hospital staff after the the Hospital Accreditation. Secondly, It was found that a statistical correlation among variables such as Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance. Thirdly, Organizational Culture, Job Satisfaction, Financial Performance had a positive effect on Patient Safety. Therefore, we should develop the Hospital Accreditation program with the internal assessment to implement health care quality and patient safety to ensure a complete job satisfaction of hospital staffs in the Hospital Accreditation program further improve the evaluation process of hospital care.

키워드

참고문헌

  1. Korea Institute for Healthcare Accreditation (https://www.koiha.or.kr)
  2. Korean Statistical Information Service (https://www.kosis.kr)
  3. Kyeong Tae Kim, Research on ways to organizational performance through employee education in geriatric hospital, Pusan National Univ., Master's Thesis, p. 1-6, 2013.
  4. Sun Young Kim, A study on Job Satisfaction of Geriatric Hospital workers in Deajon, Master's Thesis, Hannam University, p. 1-10., 2013.
  5. Hong Jo Kang, Situation and Prospect of Geriatric Hospitals in Korea, Journal of Korean Association for Geriatric Psychiatry, 9(2):p 77-82.
  6. Sun Hee Lee, Identification of factors related to quality of service in Long term care hospitals using multilevel analysis, Yonsei University, Doctor dissertation, p. 35-77, 2008.
  7. Ki Soo Lee, Factors Patient Safety Activities at Geriatric Hospitals, Yonsei Univ., Master's Thesis, p. 42-43, 2011.
  8. Yong Lae Lee, A Study on Factors influencing Job Satisfaction among Geriatric Hospital Workers, Kangnam Univ., Master's Thesis, p. 14-17, 2007.
  9. Jun Jeong, Factors affecting patient safety management activities at two university hospitals, Yonsei Univ., Master's Thesis, p. 1-15, 2006.
  10. Eun Kyung Kim, Min A Kang, Ui Jung Kim, Awareness and experience of the medical practitioner to the patient safety culture, Journal of Korean Academy of Nursing Administration, 13(3): p.321-334.
  11. Young-Ran Yeun, The impact of healthcare accreditation on patient safety and quality, job satisfaction and organizational commitment : about a general hospital, Journal of the Korea Academia-Industrial cooperation Society Vol.14, no.4, p. 1820-1829, 2013. https://doi.org/10.5762/KAIS.2013.14.4.1820
  12. Jong Doo Lee, A study on the relationship between organizational culture and job satisfaction, INDUSTRY AND BUSINESS, p. 321-354.
  13. Y. R. Choi, An empirical study on the effect of international marketing on the job satisfaction, organizational commitment and turnover intention in international logistics firm: primarily on international freight forwarders, Journal of the Korea Port Economic Association, Vol. 25(4), p. 45-62, 2009.
  14. Jabes, J. and Zussman, D., Organizational culture in public bureaucracy, International review of Administrative Science, 55(1), p. 95-116, 1989. https://doi.org/10.1177/002085238905500108
  15. Yun Hyun Lee, Analysis of the Factors for Hospital Employee's Job Satisfaction, HEALTH AND SOCIAL SCIENCE Vol. 20, p. 127-156, 2007.
  16. Sathe Vijay, Implication of corporate culture : A manage's guide to action, Organizational Dynamics Autumn:12, 1983.
  17. Jung Sik Woo, The effect of accreditation program to the leadership, organizational culture, hospital management activities and performances, Journal of Korea Society of Hospital Administration, 18-2, p. 33-56.(Doctor dissertation : p. 3, 102-105), 2012.
  18. Hee Lae Kim, The impact of healthcare accreditation on patient safety and improvement of healthcare quality, organizational culture, hospital administrative activities, Yonsei Univ., Master's Thesis, 6, p. 34-69, 2012.
  19. Woo Seok Han, The Effect of the Hospital Evaluation Programme to Business Performance in Medical Service Organizations, Konyang Univ., Doctor's dissertation, p. 90-111, 2007.
  20. Jung Im Bae, A study on hospital staff's perception and attitudes toward the medical institute accreditation system, Yonsei Univ., Master's Thesis, p. 27-81, 2008.
  21. Hee Tea Lee, The effect of the hospital accreditation system on quality management system in hospitals, Society Science Research Review Kyung Sung Univ.: Vol.29, No.3, p. 307-328, 2013.
  22. Sung Duck Seo, Status of Busan regional medical center and study about job satisfaction, Pusan National Univ., Doctor dissertation, p.52-54, 2012.
  23. Jae Hun Han, A study on the effect of hospital accreditation(JCI) on the intention of improving healthcare quality, Kyung Hee University, Master's Thesis, 8, p. 76-81.2010.
  24. Yun Hee Park, Nurse practitioner's awareness on healthcare accreditation system and activities of patient safety management, Kyung Buk Univ., Master's Thesis, p. 8-20, 2013.
  25. Eun Hee .Chae & Hoi Young Lee, The study on job satisfaction of employee in the long term mental healthcare facilities, Journal of Korean Public Health Nursing, 8(1), p. 27-28, 2004.
  26. Jung Sun Kim, Jin Kyung Kim, Woo Seok Han, Moon Sook Sim, Effects of National Evaluation of Long-Term Care Hospitals on Hospital Workers" Work Environment, Job Satisfaction, and Quality of Services , Journal of Korean Public Health Nursing, 26(1), p. 137-146, 2012. https://doi.org/10.5932/JKPHN.2012.26.1.137
  27. Ki Nam In, A Study on the Relationship between Hospital Evaluation and Financial Measure in the University Hospital Ga-Chun Univ., Master's Thesis, p. 15-56., 2008.
  28. Hong Ju Joe, Hospital employee's Recognition and attitudes For healthcare accreditation, Busan Catholic Univ., Master's Thesis,, p. 21-38, 2012.
  29. Hae Sung Lee, A study on the recognition connected with Healthcare Accreditation for hospital employees, Won Kwang Univ., p. 43-44, 2012..
  30. Deal, T. E. and Kennedy A. A., Corporate Culture : The rites and rituals of corporate life. reading., Massachusetts ; Addison-Wesley, 1982.
  31. Quinn, R. E. and Mcgrath, M.R., The transformation of organizational cultures : A competing values perceptive. in p. J. Frost, etal.(eds) Organizational Culture, Beverly Hills, Cal. : Sage.

피인용 문헌

  1. Safety climate and attitude toward medication error reporting after hospital accreditation in South Korea vol.28, pp.4, 2016, https://doi.org/10.1093/intqhc/mzw058
  2. Impact of Healthcare Accreditation Using a Systematic Review: Balanced Score Card Perspective vol.23, pp.1, 2017, https://doi.org/10.14371/QIH.2017.23.1.69
  3. Factors Influencing Nurses’ Implementation of Evidence-based Restraint Use in Long-term Care Hospitals vol.18, pp.3, 2016, https://doi.org/10.17079/jkgn.2016.18.3.172
  4. Perception of Importance of Patient Safety Management, Patient Safety Culture and Safety Performance in Hospital Managerial Performance of Hospital Nurses vol.24, pp.1, 2018, https://doi.org/10.11111/jkana.2018.24.1.40