• Title/Summary/Keyword: 낮병원

Search Result 938, Processing Time 0.032 seconds

A Study on Influence of Human Resource Efficiency of University Hospitals on Revenue and Expense (대학병원 인적 효율성이 수익과 비용에 미치는 영향)

  • Yang, Jong-Hyun;Suh, Chang-Jin;Chang, Dong-Min
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.11 no.1
    • /
    • pp.383-391
    • /
    • 2010
  • The purpose of this study is to analyze influence of human resource efficiency of 32 university hospitals on revenue and expense. This study applies DEA(Data Envelopment Analysis) to evaluate human resource efficiency of the university hospitals. The results are as follows. First, university hospitals' average human resource efficiency are over 0.9 for the period 2005-2007. Second, in the relationship between revenue and efficiency, the revenue had any significant relation to human resource efficiency. Third, There is close correlation between revenue and human resource efficiency. The hospitals that are high on human resource efficiency were found to be high on revenue and expense. There is a dynamic relationship that connects revenue, expense and human resource efficiency. The higher the investment expense, the greater is the number of in-patients and out-patients which leads to higher growth and profits.

Factors associated with the choice of tertiary hospitals in patients with diabetes or hypertension (당뇨 또는 고혈압 환자의 상급종합병원 이용에 미치는 요인)

  • Choi, Jae Woo;Park, So Hee;Choi, Yun Su;Kim, Tae Kyung;Yun, Hyo Jung;Kim, Tae Hyun
    • Korea Journal of Hospital Management
    • /
    • v.21 no.4
    • /
    • pp.13-22
    • /
    • 2016
  • 목적: 이 연구는 당뇨와 고혈압 환자의 상급종합병원 이용에 미치는 요인을 관찰하였다. 방법: 이 연구는 한국보건사회연구원과 국민건강보험공단이 공동으로 조사하는 한국의료패널 자료를 사용하였다(2008년, 2010년, 2012년). 연구대상은 20세 이상 성인이었으며 각 2008년에 2409명, 2010년에 2424명, 2012년에 2429명을 관찰하였다. 당뇨와 고혈압에 대한 외래방문 건수는 총 64,438건이었으며 당뇨 또는 고혈압 환자의 3차 의료기관 선택에 영향을 주는 요인을 관찰하기 위해 다수준 로지스틱 회귀분석을 활용하였다. 결과: 교육수준이 높은 환자가 낮은 환자에 비해 상급종합병원을 이용할 확률이 각각 2008년에 2.04배, 2010년에 1.83배, 그리고 2012년에 1.65배 더 높았다. 또한 고소득 환자가 저소득 환자에 비해 3차 의료기관을 이용할 확률이 2008년에 1.77배, 2010년 1.91배 그리고 2012년 1.94배 더 높았다. 결론: 정책입안자들은 의료전달 시스템과 관련하여 정책을 실행할 때 이러한 환자의 특징을 고려할 필요가 있다.

Hepatic Pseudolymphoma Mimicking a Hypervascular Tumor: A Case Report (과혈관성 종양으로 오인된 간의 가성림프종: 증례보고)

  • Im, Bora;Jang, Suk Ki;Yeon, Jae Woo;Paik, So Ya;Park, Sang Jong;Kim, Hyuk Jung
    • Journal of the Korean Society of Radiology
    • /
    • v.79 no.6
    • /
    • pp.348-353
    • /
    • 2018
  • Hepatic pseudolymphoma is a rare benign liver mass that is characterized by proliferation of non-neoplastic lymphocytes extranodally. To the best of our knowledge, only 46 cases have been reported in the English literature. We described the case of a 75-year-old woman with hepatic pseudolymphoma mimicking a hypervascular tumor. After the histological confirmation of the rectal neuroendocrine tumor, CT scan revealed a 1.0 cm-sized, poorly-defined and low-density nodule in the liver. On MRI, the hepatic nodule showed an arterial enhancement and a low-signal intensity on the hepatobiliary phase. On diffusion-weighted imaging, the hepatic nodule showed a high signal intensity on a high b-value. On fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT, it revealed a high standardized uptake value nodule. The US showed the hypoechoic nodule and the US-guided biopsy confirmed the hepatic pseudolymphoma.

Improving Textile Management Process in the Hospital Using Service Blueprint Analysis (서비스 청사진 기법을 이용한 병원 내 직물 관리 프로세스 개선방안)

  • Lee, Si Wook;Kim, Soo Jeong;Chung, Byung Do;Kim, Heejung
    • Journal of the Korea Convergence Society
    • /
    • v.13 no.4
    • /
    • pp.613-623
    • /
    • 2022
  • Hospital textile is a necessary which the patient used everyday, that required constant management between supply and consumption. This study applied the service blue print technique to analyze how to provide and supply hospital textile from the stock to the patients in a tertiary hospital, Seoul, South Korea. There are actual or potential process problems identified such as nurses' increasing workload, patient dissatisfaction, and infection risk. After applying blueprint analysis, we suggest the modified processes to overcome theses identified problems using automatization to provide textile. Expected outcomes may include decreases in patient's waiting time, nurse's textile workload, and lower infection risk as well as increasing process efficiency via systematic supply-demand management.

Change in patient safety, quality of medical care, organization culture and hospital management performance after healthcare accreditation system for convalescent hospital (요양병원 의료기관인증제 시행 후 환자안전, 의료의 질, 조직문화 및 병원경영성과의 변화)

  • Seo, Young-Ho;Kim, Keon-Yeop;Kim, Myeong-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.9
    • /
    • pp.391-401
    • /
    • 2018
  • This study was conducted to investigate the effects of implementation of the healthcare accreditation system on patient safety, quality of medical care, organization culture and management performance of convalescent hospitals. Ten hospitals were selected at random from among 36 convalescent hospitals in Daegu that had obtained accreditation until September 2015. To accomplish this, hospital staff were surveyed from 15 February to 25 March, 2016 using a questionnaire with 253 objects. We investigated how the healthcare accreditation system has influenced patient safety, service quality, organization culture and performance of hospital management. The change in the treatment support system showed the highest score of 3.93 among quality change and medical service items, while that of personnel source culture showed the highest score of 3.78 points among organization culture items, and that of internal process view, study and growth view showed the highest score of 3.71 among management performance items. Multiple regression analysis revealed that factors positively changing hospital management performance were nurses, employees and managers, basic value systems, organization culture, personnel source culture, open system culture, hierarchical culture, and production oriented culture. The quality of patient safety and medical care was positively influenced by changes in the quality of convalescent hospitals after implementation of the healthcare accreditation system. However, among the four types of organizational culture, the financial perspective was relatively low compared to other perspectives.

Pathogenicity of Korean Entomopathogenic Nematodes (Steinermematidae and Heterorhabditidae) against Local Agricultural and Forest Insect Pests (한국산 곤충병원성 선충 (Steinernematidae와 Heterorhabditidae)의 지역농림해충에 대한 병원성)

  • 추호렬;이상명;정부근;박영도;김형환
    • Korean journal of applied entomology
    • /
    • v.34 no.4
    • /
    • pp.314-320
    • /
    • 1995
  • Pathogenicity of Korean entomopathogenic nematodes against local insect pests was different depending on strains or target-insect pests. Mortalities of diamondback moth, Plutella xylostella larvae were 51.8%, 77.8%, 96.3% or 100% in Hanrim Steinernema sp. and 50.0%, 74.1%, 96.3% or 98.1% in Hamyang Heterorhabditis sp. on filter paper when larvae were exposed to 3, 6, 12, or 24 nematodes per larva. Mortalities of them on kale leaves at the same concentration were 44.4%, 63.0%, 76.1%, or 94.5% in Hanrim Steinernema sp. and 79.7%, 81.6%, 94.4%, or 100% in Hamyang Heterorhabditis sp., respectively. In field test, control value of Hanrim Steinernema sp. was 72.0% and that of Hamyang Heterorhabditis sp. was 84.1% in 14 days when 300,000 nematodes were sprayed to each plot ($13.27\m^2$). Although mortalities of rice stem borer, Chilo suppressalis larvae showed no difference at high concentration, Hamyang Heterorhabditis sp. (47.3~100%) was more effective than Hanrim Steinernema sp. (34.3~83.3%) at low concentration, 50~200 nematodes/ml. When chestnut curculio, Curculio sikkimensis larvae were treated with Sancheong Steinernema sp. and Hamyang Heterorhabditis sp., respectively. When pellucid zygaenid, Pryeria sinica larvae were exposed to nematodes, Pocheon Steinernema sp. was effective ranging from 96.7% to 100% but mortalities of them were 63.3~76.7% in Dongrae Steinernema sp..

  • PDF

Immunosuppressive Activity of Cultured Broth of Entompathogenic Bacteria on the Beet Armyworm, Spodoptera exigua, and Their Mixture Effects with Bt Biopesticide on Insecticidal Pathogencity (파밤나방(Spodoptera exigua)에 대한 곤충병원세균류 배양액의 곤충면역억제활성 및 비티 생물농약과 혼합효과)

  • Kim, Jea-Min;Nalini, Madanagopal;Kim, Yong-Gyun
    • The Korean Journal of Pesticide Science
    • /
    • v.12 no.2
    • /
    • pp.184-191
    • /
    • 2008
  • Entomopathogenic bacteria (Xenorhabdus nematophila, X. sp. and Photorhabdus temperata subsp. temperata) isolated from entomopathogenic nematodes express potent insecticidal activity in insect hemocoel. They are also known to suppress insect immune mediation by inhibiting phospholipase $A_2$, leading to host immunosuppression. This study analyzed effects of their cultured broths on inhibiting insect immunosuppression. For this, we removed all bacterial cells using $0.2\;{\mu}m$ pore sized membrane from the bacteria-cultured broth. All three sterilized cultured media, in dose-dependent manners, significantly inhibited hemocyte-spreading behavior of 5th instar larvae of Spodoptera exigua. However, they showed differential inhibitory activities among different bacterial species, in which X. nematophila showed the most potent inhibitory activity. This immunosuppressive effect was applied to increase the pathogenicity of Bacillus thuringiensis (Bt). All three bacterial cultured broths including bacterial cells significantly potentiated Bt pathogenicity against young S. exigua larvae when each of them was orally administered in a mixture of low dose of Bt. Finally, we tested the effect of oral administration of the cultured media containing the immunosuppressive compound(s) secreted by the bacteria. The membrane-sterilized cultured broths were mixed with the low dose of Bt and then orally administered to the young S. exigua. Only the cultured medium of X. nematophila showed increase of Bt pathogenicity. These results indicated that the; cultured media of the three bacteria possessed immunosuppressive factor(s), which may act to potentiate Bt toxicity to young S. exigua larvae.

A Subjective Symptom Level and Satisfaction Factor by Indoor Air Quality According to Ventilation System in Dental Clinic (치과병·의원 환기방법에 따른 실내공기질 자각증상 수준 및 근무환경 만족요인)

  • Choi, Mi-Suk;Ji, Dong-Ha;Choi, Jae-Ho
    • Journal of dental hygiene science
    • /
    • v.11 no.4
    • /
    • pp.353-359
    • /
    • 2011
  • This study was designed to identify a subjective symptom level by Indoor air according to ventilation system in Dental Clinic. The number of respondents was 582 who work in dental clinic and period of investigation was October 2010 through January 2011. A structured questionnaire was employed to evaluate the level of participants' sociodemographics, job-related factors, work place condition, a subjective symptom. Most of respondents were answered that time for symptom to begin was at around 2 P.M. and time for symptom to feel serve pain was at around 3 P.M. and ventilation frequency per a day was often in case of individual cooling and heating system. More often natural ventilation and in case of individual cooling and heating system, the level of subject symptom was low and multiple regression analysis has found that indoor air quality related elements were main factors that influence to the feeling of satisfaction in work place. The results of this study suggest that more often natural ventilation was very important to reduce the level of subjective symptom. Thus, a management program for indoor air quality is strongly recommended by natural ventilation, maintenance man for promotion of quality of life in dental hygienist and to improve dental service and competitiveness.

The Relationships in Emotional Intelligence, Job Satisfaction, and Quality of Nursing Service in Hospital Nurses (병원 간호사의 감성지능, 직무만족, 간호서비스 질의 관계)

  • Jang, Ra-jin;Kang, Young-Sil;Kim, Yu-mi
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.17 no.6
    • /
    • pp.326-337
    • /
    • 2016
  • This study was conducted to identify the relationships between emotional intelligence, job satisfaction, and quality of nursing service for hospital nurses, and to serve as a basis for improvement of nursing service and nursing resources management. All data were collected and conducted with the cooperation of the nursing service department in a tertiary general hospital and two general hospitals located in G province. Questionnaires were completed by 195 nurses who consented to participation in the study from 7 to 28 April 2014. Data were analyzed using SPSS 18.0. A highly positive relationship (r=0.624, p<0.001, r=0.612, p<0.001) was observed between emotional intelligence and quality of nursing service in the superior general hospitals and the general hospitals. Based on this study, quality of nursing service could be improved by a positive relationship between emotional intelligence and job satisfaction in the superior general hospitals and general hospitals (r=0.430, p<0.001). Therefore, it is important to provide a good occupational environment and develop educational programs to enhance the emotional intelligence of nurses, and a positive measure focused on less experienced and young nurses to improve emotional intelligence.

The Effect of the Transmission of Coronavirus Disease-2019 on the Mentality of Parents and Children After the First Wave of Infections (1차 확산기 이후 코로나바이러스감염증-2019의 전파가 부모와 아동의 심리에 미치는 영향)

  • Kim, Jeongyeon;Lee, Koeun;Nam, Okhyung;Lee, Hyo-seol;Choi, Sungchul;Kim, Kwangchul;Kim, Misun
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.48 no.3
    • /
    • pp.269-279
    • /
    • 2021
  • The purpose of this study is to evaluate the effect of the spread of a new type of coronavirus infection (COVID-19) on the mental state in school-age children and parents focusing on the aspects of sleep disorders and depression. A questionnaire survey was conducted for 123 parents and 108 school-age children who visited Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong from April 2, 2020 through April 25, 2020, via the direct writing method. Participants were assessed with Pittsburgh Sleep Quality Index, Generalized Anxiety Disorder (GAD)-7, Center for Epidemiology Scale for Depression. Logistic regressions were used with a level of significance of 5%. The prevalence of GAD, depression, and poor sleep in parents were 34.1%, 17.1% and 44.7%, respectively. The prevalence of GAD in children was 20.4%. Logistic regression showed that stress from Emergency Alert Messages about COVID-19 was associated with GAD and depression in parents. In children, the degree of emotional change after COVID-19 was associated with GAD. This study confirmed that there was a change in the psychological status of children and guardians due to the epidemic of coronavirus disease-2019, and it would be necessary to consider their psychological status during dental treatment.