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Influence of Characteristics of Hospital Foodservice Operation and Dietitian on Performance of HACCP Prerequisite Program

병원 급식소와 영양사의 특성이 HACCP 선행요건 수행도에 미치는 영향

  • Song, Yoon-Ji (Department of Food and Nutrition, Daegu University) ;
  • Bae, Hyun-Joo (Department of Food and Nutrition, Daegu University)
  • 송윤지 (대구대학교 식품영양학과) ;
  • 배현주 (대구대학교 식품영양학과)
  • Received : 2016.02.13
  • Accepted : 2016.02.19
  • Published : 2016.02.29

Abstract

The purpose of this study was to analyze factors that influence prerequisite program (PRP) performance of hospital foodservice operation. Data was collected through surveys given to 65 dietitians working in general hospital with ${\geq}100beds$. Importance score of sanitary management for the self-operated establishments was significantly higher than that of contract-managed in the areas of working environment management (p<0.01), waste management (p<0.05), clean disinfection management (p<0.05). Performance score of hospitals with ${\leq}300beds$ was significantly lower than that of hospitals with ${\geq}300beds$ in personal hygiene management (p<0.05). Moreover, importance score of dietitians spending ${\geq}3hours$ on inspection time was significantly higher than that of dieticians spending ${\leq}3hr$ in waste management area. According to the results of Pearson correlation analysis, PRP performance score was positively related with dietitian's career (p<0.05), number of submitted beds (p<0.05), cooking process inspection time (p<0.05), dietitian's job satisfaction (p<0.01), and holding rate of utensil and equipment (p<0.05). In addition, the results of multiple regression analysis showed that dietitian's job satisfaction (p<0.001) and holding rate of utensil and equipment (p<0.05) had a significant positive effect on prerequisite program performance. In conclusion, improvement of working condition to increase dietitian's job satisfaction and securing of utensils and equipments are high priorities for improvement of PRP performance.

병원 급식소 선행요건 관리 수행도에 영향을 주는 요인을 분석하고자 서울 경인, 대구 경북지역에 위치한 종합병원 규모 100병상 이상 병원 급식소 총 65곳을 대상으로 설문조사를 실시한 후 통계처리 한 결과는 다음과 같다. 직영으로 운영하는 경우가 위탁으로 운영하는 경우에 비해 작업환경관리(p<0.01), 폐기물관리(p<0.05), 세척 소독관리(p<0.05)에 대한 중요도 평가점수가 유의적으로 높았다. 개인위생관리 영역의 중요도 평가점수는 300병상 미만인 경우가 300병상 이상인 경우에 비해 중요도 점수가 유의적으로 낮았다(p<0.05). 또한 영양사의 조리과정 감독시간이 3시간 이상인 경우가 3시간 미만인 경우에 비해 폐기물관리에 대한 중요도 점수가 유의적으로 높았다(p<0.05). 선행요건 수행도 총점을 종속변수로 하고 선행요건 수행도 총점과 유의미한 상관관계가 있다고 분석된 영양사의 경력과 조리과정 감독시간, 직무만족도와 병원 급식소의 허가 병상 수와 위생기기 보유율 등을 독립변수로 하여 다중회귀분석을 실시한 결과 회귀모형의 설명력은 45.9%였고, 회귀식은 통계적으로 유의한 것으로 분석되었다(F=10.172, p<0.001). 회귀분석 결과 선행요건 수행도에는 '영양사의 직무만족도(p<0.001)'와 '위생기기 보유율(p<0.05)'이 유의한 양(+)의 영향을 주는 것으로 분석되었다. 따라서 병원 급식소 선행요건 관리 수행도 향상을 위해서는 영양사의 직무 만족도 향상을 위한 근무조건 개선과 함께 위생관리에 필요한 기기의 적정 확보가 우선적으로 필요하다고 판단된다.

Keywords

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