• Health Policy and Management
• /
• v.34 no.2
• /
• pp.211-221
• /
• 2024

Background: The public health crisis caused by coronavirus disease 2019 emphasizes the need to expand and strengthen public hospitals. However, the overall perception of public hospitals remains negative. This negative perception can hinder the roles and functions of public hospitals, so this study aims to analyze the factors affecting negative perceptions of public hospitals. Methods: We used data from a survey on the public healthcare of Chungcheongbuk-do residents conducted by the Chungcheongbuk-do Public Health Policy Institute, and 1,916 adults aged 19 or older who responded to the survey were included in the study. Logistic regression analysis was used to analyze the impact of experiences with public hospitals use and evaluations of public healthcare and public hospital policies on the negative perception of public hospitals. Results: The experience of not using public hospitals (adjusted odds ratio [aOR], 1.69; 95% confidence interval [CI], 1.04-2.74) and negative evaluations of public healthcare and public hospital policies were found to significantly impact negative perceptions of public hospitals. In public healthcare policies, negative evaluations of the provision of essential medical care (aOR, 4.14; 95% CI, 2.59-6.62), regional disparities (aOR, 1.59; 95% CI, 1.02-2.49), coverage (aOR, 1.99; 95% CI, 1.25-3.16), and quality of care (aOR, 2.39; 95% CI, 1.50-3.80) were significantly associated with negative perceptions of public hospitals. In public hospital policies, negative evaluations of facilities and equipment (aOR, 3.74, 95% CI, 2.36-5.94), medical specialties and services (aOR, 1.91; 95% CI, 1.21-3.01), and quality of medical service (aOR, 2.71; 95% CI, 1.72-4.25) were also significantly associated with negative perceptions of public hospitals. Conclusion: This study emphasizes the need to improve perceptions of public hospitals by considering the experience with public hospitals use and evaluation of public healthcare and public hospital policies.

• Journal of Digital Convergence
• /
• v.11 no.10
• /
• pp.203-215
• /
• 2013

This study calculated meta Malmquist indices and their bootstraped estimates and then decomposed them into technical efficiency change(TEC), technology change(TC), pure technology catch up(PTCU), frontoer catch up(FCU), using annual data set of general hospitals from year 2007 to 2011 collected by Korean Hospital Association and then analyzed productivity change and technology gap of Korean general hospitals. The results and implications were as follows below. First, public general hospitals showed higher meta technical efficiencies than private general hospitals while exhibited lower technology gap ratio which meant a few large private general hospitals led the whole general hospitals. Second, group productivity of private general hospitals increased larger than public general hospitals due to the differences of PTCU rather than FCU. But, there was no statistically significant differences for technical efficiency, productivity change, technology gap. Thus, public general hospitals played the same role as the private general hospitals in terms of the number of patients treated. But, considering financial hardships of public general hospitals, public hospitals needed to share and learn medical and managerial skills of the best practice of private general hospitals.

• The Journal of the Korea Contents Association
• /
• v.17 no.10
• /
• pp.19-29
• /
• 2017

Purpose : To describe and understand the experience of QI (quality improvement) nurses related to the hospital QI activities in public general hospitals. Methods : Purposive sampling was conducted 10 QI nurses and who have QI work experience for more than 1 year. Data were collected through focus group interviews. Interviews were recorded, transcribed and analyzed with qualitative content analysis using Strauss and Corbin's methodology. Results : The core categories of experience with QI activities were 'the success and failure of the medical care and overall health service sector', 'the degree of activation of current QI activities', 'characteristics of public hospital QI activities', 'what is needed to activate future QI activities'. The key themes were derived as follows. 'Success of quality enhancement activities according to the characteristic of public hospitals', 'activation of public hospital QI activities through leadership and QI education', 'reorganizing the role of regional hospitals in public hospitals'. Conclusion : Physician participation is important in the success of QI activities in public hospital practice. To lead these physician participation, Sharing doctor's QI experience and providing the necessary knowledge in QI activities and helping their leadership in QI activities are needed. QI nurses at public hospitals should lead QI activities to improve national hospitals' care quality through cooperating with local hospitals.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.11
• /
• pp.7885-7892
• /
• 2015

This study public hospital productivity and private hospitals, comparative analysis was divided into capital productivity, labor productivity, value-added productivity, based on the findings public hospitals are able to ensure the public interest to provide stable and profitable health services of good quality. It proposes measures to improve productivity. Investigation period were based on the fiscal year 2013, the target of 39 public hospitals are private hospitals surveyed were selected for a total of 147 hospitals with 108. ANOVA analysis was performed the analysis, hierarchical regression analysis. In the conclusions showed as the most important factor in the profitability of labor productivity, the productivity of public hospitals variables, because exert a significant impact on the productivity and efficiency of future public hospitals are required to establish an effective personnel management system. It should also Productivity and specific assessment of the effective management be analyzed by the association between the margins would have to be.

• The Journal of the Convergence on Culture Technology
• /
• v.8 no.5
• /
• pp.619-629
• /
• 2022

This study aims to investigate the relationship among public service motivation, hospital organizational culture type, job-esteem, and turnover intention of public hospital nurses. A cross-sectional study was conducted on 124 nurses at four public hospitals in the Gyeonggi Province (Icheon, Anseong, Suwon, Paju). Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson correlation coefficient. Mann-Whitney U test and the Kruskal-Wallis test were used with the Bonferroni test for post hoc comparison when the data were not normally distributed. The turnover intention of the subjects was public service motivation (r=-.30, p<.001), affiliative culture (r=-.28, p=.002), innovative culture (r=-.34, p< .001) and task culture (r=-.30, p=.001) were negatively correlated. Study findings suggest that public service motivation must be increased to reduce the turnover intention of nurses in public hospitals.

• Journal of the Korean hospital association
• /
• v.32 no.3 s.283
• /
• pp.27-33
• /
• 2003

• Journal of the Korean hospital association
• /
• v.32 no.4 s.284
• /
• pp.4-9
• /
• 2003

• Journal of the Korean hospital association
• /
• v.25 no.3 s.232
• /
• pp.26-37
• /
• 1996

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.9
• /
• pp.6089-6098
• /
• 2015

This study purposes to identify the effects of performance of public health services (PHS) and personal characteristics on community image to public hospitals. The subjects of this study were 33 public hospitals and 1,789 community residents. The data of '2011 Public hospital evaluation programme' were utilized in this study. The personal characteristics consisted of nine items which were gender, age, education, occupation, monthly incomes, medical security, use experience, health state, and location type. The PHS performance consisted of five items which were number of doctors, number of nurses, total number of staff, budget per 1,000 community residents, and amount of activities per 1,000 community residents. The cronbach's alpha of community image instrument was 0.916. As the results of logistic regression, the significant variables of community image, were age (OR=0.34, 95% CI=0.19-0.60), education (OR=3.03, 95% CI=1.60-5.76), use experience (OR=0.57, 95% CI=0.40-0.81), health state (OR=0.69 95% CI=0.49-0.96), location type (OR=2.10, 95% CI=1.11-3.99), and amount of activities per 1,000 community residents (OR=0.58, 95% CI=0.35-0.96). Community image is very important to public hospitals. The workforce and budget related PHS were significantly demanded to improve community image. The Central and Local government should support to public hospitals to perform PHS effectively.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.5
• /
• pp.3257-3267
• /
• 2015

The purpose of this study was to investigate the effect of Workplace Bullying and Ego-resilience on the Turnover Intention of Nurses in the Public Hospital and presents basic data for helping positive working environment to nurses. A survey was held to Nurses of a Public Hospital in Seoul from November 20 to December 3, 2014. of 236 copies of the questionnaire distributed, a total of 216 copies were in the final analysis. For data analysis, SPSS 21.0 for Window was used. As a result, there were correlations between variables, the Turnover intention of Nurses of the Public Hospital were affected by the Workplace Bullying and Ego-resilience. and the largest effect was the Work-related problem. In conclusion, It is need to development program for preventing Workplace Bullying and Intervention for decreasing Turnover intention of nurses in the Public Hospital.