• Title/Summary/Keyword: 낮병원

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Analysis of the Efficiency of the Oriental Hospital using the DEA(Based on the Number of Patients) (DEA를 이용한 한방병원의 경영효율성 분석: 환자수를 기준으로)

  • Kim, Young Sik;Lee, Woo Cheon
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.11 no.1
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    • pp.75-84
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    • 2016
  • This study is to analyze the efficiency of oriental hospitals using DEA. The input variables are the numbers of doctors, nurses, medical technicians, and beds. The output variables are the numbers of annual inpatients and outpatients. The statistical analysis tools used are EnPas and IBM SPSS Statistics 19. The result in efficiency analysis by establishment type showed that the national and public hospitals had the most efficiency. In the case of location, the efficiency of the oriental hospitals in Seoul was the highest but those in the Metropolitan areas had a relatively low efficiency. If the number of the beds was generally less than 50 beds, the hospitals were highly efficient, but the hospitals in the medium category of 51-100 beds were low in efficiency. The Logistic regression analysis conducted to analyze the variables that have affected the efficiency of oriental hospitals resulted that the efficiency increased by 1.045 everytime the number of nurses increased by 1.

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The Knowledge and Attitude of Prehospital Care among Emergency Medical Technicians Working at 119 Fire Safety Centers for Patients with Acute Drug Intoxication (약물중독 환자의 병원 전 단계 처치에 관한 119 응급구조요원의 지식과 수행 태도)

  • Lee, Hyo-Cheol;Lee, Young-Sook
    • Journal of agricultural medicine and community health
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    • v.35 no.3
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    • pp.301-313
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    • 2010
  • Objectives: The purpose of this research is to provide foundational data for reeducation concerning prehospital emergency care in order to improve the performance of emergency medical technicians (EMTs) working at 119 fire safety centers. Methods: Data were collected using a mail-in questionnaire developed by researchers from 288 subjects, who were EMTs working at 119 fire safety centers and local units in the Gwangju Metropolitan City and South Jeolla Province, from March 1, 2009 to April 31, 2009. Results: The mean score for EMTs' knowledge on drug intoxication was7.04 out of a total of 10 points. The mean score for EMT's attitude of emergency treatment performance on drug intoxication was 2.96 out of a total of 4 points. The level of EMT's knowledge is relatively high regarding prehospital care for drug intoxication. The EMT's attitude of performances demonstrated an understanding of the patients' conditions. However EMTs did not actively explain the prognosis and medical conditions for their patients. Conclusions: This research will contribute to making plans for reeducating emergency crew working at 119 fire centers so that can they have a more active attitude towards prehospital emergency medical care.

A study on the present situation of the treatment services provided by alcohol addiction specialized hospitals (알코올중독전문병원의 서비스 제공 현황에 관한 연구)

  • Cho, Hyun;Yoo, Jin-Yeong;Lee, Ji-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.8
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    • pp.3547-3554
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    • 2011
  • The aim of this study is to take hold of the present situation as well as the perspective of the domestic alcohol specialized hospitals. The structured questionnaire was prepared to understand the type of services, manpower and systematic programs. Among eight hospitals that stand for the alcohol addiction specialized hospitals, six hospitals agreed to participate in the survey, which was made from Jun. 17 to July 15, 2010. The average number of beds of the surveyed hospitals was 208. They were mostly private ones(66.7%), located in urban area(50%), and had experiences of alcohol treatment less than five years(50%). While all of them practiced both the inpatient and outpatient services, only 33% provided the systematic outpatient program that was at least 2 or 3 hours per week. All hospitals practiced the physical and individual psychological evaluations, but only 16.1% had the daytime programs. The beds of protective ward were 72% of all beds, and the beds of night and day occupied 7.6% and 2.6% respectively. It was found that although the average number of mental health social worker and mental health nurse was larger than that required in the regulation of mental health law there are significant deviations between hospitals. However, the manpower of psychiatrists and nurses were comparatively large. The first problem indicated by clinical experts was the patient's refusal of care, which results in an inefficiency in the treatment. The next problem was the lack of local health care institutions that can attend on the discharged patients were important issues. Also the low reimbursement and indifferences to the alcohol abuse were considered as important issues.

A Study for Link of Institution in Disaster Management : Ansan District Study (재난 지원에 있어 지역사회 기관 연계에 관한 연구)

  • Yoon, Seoyoung;Yoon, Ho-kyoung;Kim, So-yeon;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.125-132
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    • 2016
  • Objectives : The management of disaster should be immediate and sustainable. Further, it is hard to predict where the disaster will occur, using pre-exists governmental and non-governmental organizations are important. In this study, we tried to investigate the associated activities of organizations performed in Ansan city, in Sewol ferry accident. Methods : A total 121 workers in 25 organizations were surveyd about organizations which they worked with, kind of works performed, frequency of meetings, satisfaction in activities and factors associated with dissatisfaction in usual state and in Sewol ferry accident state, respectively. The differences between those two situations were analyzed using paired t-test for continuous variables and Chi-square test or McNemar test for categorical variables. Results : The total number of linkage of institutions were decreased(from n=397 to n=251) and the mean scores of rating satisfaction were significantly lower in most of organizations in disaster state. The rigid policy in performance evaluation was more likely associated with dissatisfaction in disaster state than usual state(p=0.045). Conclusions : For effective linkage of institutions, preparedness, such as understanding the capability of organizations in the communities and developing the protocol for associated activities, is important. The unnecessary and effortful performance evaluation should be sublated.

Clinical Results of Subtotal Fasciectomy for Treatment of Dupuytren Contracture (아전 근막절제술을 이용한 듀피트렌 구축의 치료 결과)

  • Lee, Yoon-Min;Song, Seok-Whan;Kim, Yong-Woo;Choi, Jae-Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.4
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    • pp.353-360
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    • 2019
  • Purpose: In the treatment of Dupuytren's contracture, the aim of optical treatment is to lower the recurrence rate and reduce complications. This paper reports the results of subtotal fasciectomy in Dupuytren's contracture, extending the excision of palmar fascial structures from the diseased to normal appearing adjacent fascial structure. Materials and Methods: From 2007 to 2017, 45 patients with Dupuytren's contracture treated by subtotal fasciectomy were reviewed retrospectively. The mean follow-up period was 45.9 months. Ninety-two digits were involved (index: 2, middle: 10, ring: 44, little: 36). The predisposing factors and affected joint were reviewed and the preoperative and postoperative contracture was measured. For clinical results, quick disabilities of the arm, shoulder, and hand (quick DASH) were used. Complications, including wound or skin problems, nerve injuries, hematoma, and complex regional pain syndrome, were assessed. Results: Preoperative flexion contracture was 43.2° in the proximal interphalangeal joint and 32.9° in the metacarpophalangeal joint. In nine cases, patients had residual contracture of 9.7° (range, 5°-20°) on average and if the total number of cases were included, the mean residual contracture was 2.3° on average. The quick DASH score at the 12 months follow-up was 12.4. The overall complication rate was 26.6%. Conclusion: Subtotal fasciectomy can be a good surgical treatment option for Dupuytren's contracture with a low recurrence and low complication rate compared to other open procedures.

A Study on Health Promoting Lifestyle and its Affecting Factors of General Hospital Worker (종합병원 근로자의 건강증진생활양식 실천 및 관련요인)

  • Kim, Nam-Yi;Shim, Moon-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.4
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    • pp.728-735
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    • 2009
  • This study intends to examine general hospital workers' health promoting lifestyle practice and figure out related factors to it. To achieve that, it conducted a survey with an unsigned self-reported questionnaire to the subject of 580 workers at hospitals located in Daejeon. The degree of practice in the subjects' health promoting lifestyle, the average of the entire questions was 2.26 points and the average of sub-sections was as in the following: 2.62 for interpersonal relations, 2.58 for spiritual growth, 2.26 for nutrition, 2.16 for stress management, 2.00 for health responsibility and 1.89 for physical activity Thus, the section of interpersonal relations showed the highest practice rate, whereas the section of physical activity demonstrated the lowest one. According to the multivariate regression analysis by phase, main factors affecting their health promoting lifestyle practice were selected as stress, attendance in education on health promotion, subjective heath condition, and age. The above results imply that general hospital workers' health promoting lifestyle practice is not sufficient and various factors are involved in it. Accordingly, it is considered that in order to enhance general hospital workers' attention to health promoting lifestyle practice, it is necessary to develop health promoting strategies and programs.

Applicability Investigation of E.coli, RNA and DNA Bacteriophages for Possible Indicator Microorganisms Based on the Inactivation Effectiveness by UV (UV 불활성화 효과에 의거한 E.coli, RNA 및 DNA 박테리오파지의 대체 지표 미생물로서의 적용성 검토)

  • Kim, Il-Ho;Wahid, Marfiah AB;Tanaka, Hiroaki
    • Journal of Korean Society of Environmental Engineers
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    • v.32 no.11
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    • pp.1063-1068
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    • 2010
  • This study compared UV and UV/$H_2O_2$ inactivation of E.coli, a possible indicator microorganism for fecal contamination of water, and $Q{\ss}$ phage, an indicator for pathogenic viruses. UV inactivation of $Q{\ss}$, T4 and lambda phages in actual secondary effluent was investigated, too. As a result, similar inactivation efficiency between $Q{\ss}$ phage and E.coli was observed during UV treatment, while $Q{\ss}$ phage showed higher resistance to UV/$H_2O_2$ than E.coli. $Q{\ss}$ phage resistance to UV or UV/$H_2O_2$ does not reflect those of all pathogenic viruses. However, the result tells that the use of E.coli inactivation efficiency in evaluating microbiological safety of water could not always ensure the sufficient safety from pathogenic viruses. Meanwhile, $Q{\ss}$ phage showed less resistance to UV than T4 and lambda phages, indicating that the use of $Q{\ss}$ phage as an indicator virus may bring insufficient disinfection effectiveness by causing the introduction of lower UV dose than required. Consequently, it can be thought that T4 or lambda phages would be more desirable indicators in ensuring the sufficient disinfection effectiveness for various pathogenic viruses.

Relationship Between Job Satisfaction and Turnover Intention Among Nurses in General Hospitals (일부 종합병원 간호사들의 직무만족도와 이직의도와의 관련성)

  • Lee, Hyun-Joo;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.7
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    • pp.4404-4415
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    • 2014
  • This study was carried out to verify the relationship between the job satisfaction and turnover intention of nurses working in general hospitals The study included 312 nurses working in three general hospitals located in Gyeoungpook area. The data was collected by a survey using self-administered questionnaires structured from February 25 to March 16, 2013. The level of turnover intention was negatively correlated with job satisfaction and professional position, autonomy, administrative capacity, pay, task requirement. In logistic regression analysis, the adjusted odds ratio of the high risk turnover intention was increased significantly in the lower groups of job satisfaction, job autonomy, administrative capacity and pay than in the higher groups of these items. Hierarchical multiple regression analysis showed that the turnover intention correlated significantly with the education level, subjective sleep evaluation, job career, job position, monthly pay, satisfaction with work, fitness of the job, career choice motives, physical burden of work, and job satisfaction. In addition, there was a negative correlation between the job satisfaction and turnover intention in the studied nurses, which showed that the turnover intention increased with decreasing level of job satisfaction. The variations in the job related characteristics and job satisfaction have a significant influence on the turnover intention.

Improvement of Web Contents Accessibility in Geriatric Hospitals (노인전문요양병원의 웹 콘텐츠 접근성 개선방안)

  • Choi, Chul-Jae;Jung, Woon-Sook;Park, Jin-Seob
    • The Journal of the Korea institute of electronic communication sciences
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    • v.10 no.8
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    • pp.959-964
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    • 2015
  • 2008 Disability Discrimination Act was enacted, Web accessibility compliance has been carried out from April 11, 2013. Therefore, all of the institutions and corporations in 2015, must fulfill the compliance of Web accessibility. In this paper, research for Web accessibility of Geriatric Hospital, to raise the improvement. We have applied the K-WAH 4.4 as accessibility evaluation tool. The results were evaluated on the basis of the Web Content Accessibility Guidelines 2.0, it was very low.

The Effect of Perceived Organization Support on Hospital Employees' Attitude (종합병원 직원들의 조직지원인식이 직무태도에 미치는 영향)

  • Ahn, Sang-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.3
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    • pp.1115-1125
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    • 2010
  • This study is to examine how POS(perceived organization support) would affect trust in her/his superior and organization, organization commitment and customer orientation. The effect of demographic variables differences on independent and dependent variables was examined. Data for this study was collected by questionnaire from a sample of 277 employees of 9 hospitals in Korea. The findings show that POS is significantly influence trust in her/his superior and organization, organization commitment, and customer orientation. Variables like gender and type of employment have a significant difference. However there is no difference in the type of occupation.