• Title/Summary/Keyword: 병원규모별

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Survey on the Relationship between the Number of Medical Technologists and the Medical Test Count (검사건수에 따른 임상병리사의 인원편성에 관한 설문조사 분석)

  • Kim, Junghyun;Kim, Dae-Eun;Yoon, Joong-Soo;Lee, Jeong Soo;Park, Tae-Wha
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.1
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    • pp.93-104
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    • 2019
  • This study examined the relationship between the number of medical technologists and the medical test count. Data was obtained from 441 medical technologists in a hospital through a self-reported questionnaire. The Pearson correlation test, student's t-test, ANOVA or descriptive statistics were performed for data analysis. The distribution of medical technologist according to the size of hospitals was small 5.8, medium 14.9, large 25.8, and super 45.4. The analysis demonstrated a relationship between the number of medical technologists and the number of medical tests in the field, number of clinical tests per MT, and number of optimal medical test per MT according to the hospital size (P<0.001). The average time for quality control by the department at a higher hospital was less than two hours. In terms of the satisfaction of salary, work environment, test accomplishment, and welfare service, the dissatisfaction of medical technologists in small and medium hospitals was higher than those in large and super hospitals. Overall, a focus on intensifying systemic supplementation and improving the condition of medical technologists is needed to provide reliable data for medical examinations in medical areas.

Characteristics of financial ratios and profitability correlation of hospitals by disclosure of accounting information of medical institutions - Focused on the characteristics of financial ratio by disclosure of accounting information - (의료기관 회계정보공시에 의한 병원의 재무비율 특성과 수익성 관계)

  • Shim, Yong-Woo;Lee, Sang-Goo
    • Management & Information Systems Review
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    • v.38 no.4
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    • pp.25-39
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    • 2019
  • The purpose of this study is to analyze the management performance of hospitals by analyzing the ratio of stability, profitability ratio, and growth rate through the financial ratios of medical institutions using accounting information disclosure data of medical institutions, financial status table and profit and loss statement. The main goal is to analyze and analyze financial statements of medical institutions' accounting information in 2016 and 2017, analyze the difference and analyze the general characteristics and financial ratios by type, type and size of medical institutions, The financial characteristics of medical institutions were identified. The ratio of stability, profitability, and growth rate through financial ratios were compared and analyzed. In addition, we analyzed the correlation between the medical profit margin, the total asset profit margin, the medical profit margin rate, and the net profit margin of the medical institutions through the financial ratios of accounting information disclosure data of medical institutions. The main results are as follows: First, the size of the hospital and the size of the debt through the change of assets, liabilities and capital of the financial statement are increasing, the size of own capital is relatively decreased, and the management performance is getting worse It is showing. Second, the increase in average medical revenues in the income statement is small, and the average increase in net profit is small. Thus, medical institutions were able to confirm the difficulty in creating profits through medical activities. In addition, there was a large difference in the debt ratio, the stability ratio, and the profitability ratio of the general hospitals and the general hospitals according to the types of medical institutions, and the difference in the average financial ratios of national and public hospitals, school corporation hospitals, I could confirm. The correlation between independent variables in the correlation was -0.904 between the capital ratio and the total assets turnover ratio, -0.800 between the labor cost ratio and the hospital income ratio, and -0.631 between the labor cost ratio and the foreign profit ratio. In order to improve the management deterioration of hospitals by using accounting information disclosure data of medical institutions, it is necessary to have a large effect on the net profit margin of the medical care and the net profit margin of the total assets.

A Study on the Space Programming of the Medical Recording Department in the General Hospital (종합병원 의무기록부의 규모계획에 관한 연구)

  • Ryu, Jae-Kwon;Lee, Nak-Woon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.3 no.4
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    • pp.27-34
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    • 1997
  • This study aims at proposing the basic architectural data of the medical recording department for the general hospital planning and design. This research investigated the size of working space and the chart custody space through actual survey and the present conditions of space were analyzed. In result, this study proposes the formula for the calulation of the chart custody space according to computerization level and the chart custody planning year.

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Analysis and Evaluation of Computed Tomography Dose Index (CTDI) of Pediatric Brain by Hospital Size (병원규모별 소아 두부 CT 검사 선량지표 분석 평가)

  • Kim, Hyeonjin;Lee, Hyoyeong;Im, Inchul
    • Journal of the Korean Society of Radiology
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    • v.10 no.7
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    • pp.503-510
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    • 2016
  • Even though children are exposed to the same amount of radiation, their effective dose amount is higher than those of adults. Therefore, it is very important to reduce the amount of unnecessary radiation exposure because children have a higher radiosensitivity and a smaller body size than adults. In this study, the proposal to seek ways to reduce the amount of radiation is drawn by comparing and analyzing CT Dose Index(CTDI) on the pediatric head CT which was performed at the Busan regional hospitals, to the national diagnostic reference levels. For this, the pediatric head CT scan was conducted among the CT equipments that were installed in downtown Busan. From 2,043 children 10 years old or less who were referred to the pediatric head CT scan, targeting the 28 CT equipments in the 24 hospitals that transmit dose reports to PACS, were examined retrospectively. As a result, the average value of CTDIvol, computed tomography dose index (CTDI) of infant brain, across the hospital, was 31.18 mGy, with DLP of $444.73mGy{\cdot}cm$, which exceeded the diagnostic reference level. The lower the age, the more management is needed for radiation. However, the reality is that the CT examinations are being conducted with a dose that exceeds the reference level as the age of the aged is exceeded. For this purpose, the study seeks to determine the degree of doses of doses outside the diagnostic reference level and analyze the cause of the excess dose and devise measures to reduce the dose reduction.

A Study on the Strategy for Creating Demand of Modular Construction through Case Analysis by Building Type (건물 유형별 사례분석을 통한 모듈러 공법 수요창출 방안 수립)

  • Kim, Dong-Soo;Kim, Kyung-Rai;Cha, Hee-Sung;Shin, Dong-Woo
    • Korean Journal of Construction Engineering and Management
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    • v.14 no.5
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    • pp.164-174
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    • 2013
  • It has been seriously difficult to create demand of modular construction because Korean modular method has been considered as container house or lightweight steel house. Actually, barrier factor of modular construction for activation was difficult to produce modular continuously in factories based on stable amount of demands. So, this research found successive factors of modular construction and proposed the method of demand creation through a plethora of case analysis by building types. In addition, this research found the scale of modular potential market. Owners will be able to use this strategy that is proposed in this research when they make a decision about construction system. Also, the modular construction can make potential market in Korea. As a result, modular system producer can make their business strategies and make continuous demand by conjugating the method of creating demand for modular construction which is proposed in this research.

A Study on Work Environment and Job Satisfaction of Dental Hygienists in Daegu and Gyeongsangbuk-do (대구.경북 치과위생사의 근무환경과 직무만족에 관한 연구)

  • Kim, Young-Sun;Park, Hyun-Suk
    • Journal of dental hygiene science
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    • v.12 no.6
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    • pp.600-606
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    • 2012
  • The purpose of this study is to investigate work environment and job satisfaction of dental hygienists. The survey had collected 373 dental hygienists in Daegu and Gyeongsangbuk-do areas. The results were as follow; 1. The overall average of job satisfaction was 3.30. 2. Differences in the general characteristics and job satisfaction were significantly high with high age, high educational level and high work experience for married people. It was also significantly high when people worked in Gyeongsangbuk-do rather than in Daegu. 3. Differences in work environment and job satisfaction were significantly high in large size of the hospital, patient management and consultation services rather than assistance, monthly salary rather than annular salary, the presence of training opportunity and benefit for long-term worker, and more other vacations and annual vacations. 4. The influence factors of general characteristics on job satisfaction were education, work area and marriage in order ($R^2$=0.092). 5. The influence factors of work environment on job satisfaction were training opportunities, benefit for long-term worker, size of hospital, area of work and incentives in order($R^2$=0.092). From the above results, in order to improve job satisfaction of dental hygienists require a reasonable working environment considering the realistic situation improved.

A Development of Service of optimizing hospital waiting-time Based On IOT (IOT 병원 대기시간 최적화 서비스 개발)

  • Kim, Seonkwang;Choi, Yunjun;Im, Seong-Min;Yang, Deok-Gyu;Bang, Seon-Hui;Jhang, Seongtae;Her, Sungmin
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.11a
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    • pp.1106-1108
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    • 2017
  • 현재 규모가 작은 이름바 '동네 병원'에서는 환자관리의 어려움과 동네 병원의 특성상 병원 자체적인 예약 서비스를 실시하지 않는 병원이 많다. 또한 환자는 기다리는 환자들이 많은 시간에 방문하는 경우, 병원 안에서 자신의 순번을 마냥 기다리는 경우가 빈번하게 발생한다. 이와 같은 불편들 때문에 간호사는 고객에게 간호업무 이외에도 정신적인 서비스를 제공해야 하며, 환자들은 자신의 순번이 오기만을 하염없이 기다리는 등의 불필요한 시간 소모가 크고 자신의 앞에 대기하고있는 환자가 많으면 병원이 어수선하고 앉을 자리조차 없이 서서 기다리는 경우도 허다하다. 이런 불편함들을 조금이나마 해결해주고자 본 논문에서는 저전력 블루투스 (BLE) 기술 기반의 비콘(Beacon)을 활용하여 스마트폰을 이용해 병원 내부적인 예약 서비스가 없어도 자체적인 예약 서비스와 이용자가 스마트폰을 가지고 병원에 들어가기만 해도 자동으로 병원 진료접수를 진행하고 이를 효과적으로 관리할 수 있는 사물인터넷 기반 병원 대기시간 최적화 서비스와 그 핵심 알고리즘을 제안한다. 이를 이용하면 간호사는 이전보다 간호업무에 더 집중할 수 있게 되고, 환자는 북적거리는 병원 대기실에 앉아서 기다리지 않고 실외로 나가 자신의 업무를 보고 진료시간에 맞춰서 돌아와 진료를 받는 '사람이 많아도 한적해 보이는 스마트 병원'을 만들 수 있을 것이라 본다.

A Study on the design of hospital budget variance analysis model reflecting efficiency and an attainable target cost (효율성과 목표원가를 반영한 병원예산 원가차이 분석 모형 설계)

  • O, Dongil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.2
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    • pp.696-706
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    • 2013
  • This study aims to develop DEA model which can look into budget cost variance analysis tool based on standard cost using 68 hospital's input and output data. For accomplishing this purpose, by introducing new DEA model which can get an attainable target cost, we can decompose an actual cost difference into several meaningful sub variances. Also based on the 2008 general hospital data, this model can make variance analysis between actual cost and target cost. Total variance can be divided into technical inefficiency variance, price inefficiency variance, allocation inefficiency variance. This study introduces that by using target budget cost concept, traditional actual cost variance can be divided into a technical variance, price variance, budget variance. Finally, we can get result which confirms there does not exist favorable size effects on efficiency and cost management in running a general hospital.

A Study on the Types of Public Hospitals in the Region by Cluster Analysis (군집분석을 통한 지역거점공공병원의 유형화)

  • Seo, Ji-Woo;Sohn, Minsung;Choi, Mankyu
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.329-336
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    • 2021
  • This study selected indicators that can represent the characteristics of general hospitals, including local medical centers and Red Cross hospitals, which are representative public health institutions, and analyzed clusters. And we present to benchmark in each cluster. According to the analysis, 276 general hospitals were classified into 13 clusters, and local medical centers and Red Cross hospitals were classified into clusters between 1 and 7 of the total 13 clusters because of their small size. Local medical centers and Red Cross hospitals, selected as excellent hospitals in each cluster, showed significant differences in management performance despite similar regional environment and medical performance, and among them, surgical consultation and internal medical care rates, inpatient and outpatient rates. In order for local medical centers and Red Cross hospitals to play their role as secondary acute hospitals in the region, inpatient care services and surgical functions must be activated.

Strategic Orientation of Rural Hospitals in the U.S.A. -Implications for Korean Rural Hospitals-

  • Seo, Young-Joon;Robert L. Ludke;Ko, Jong-Wook
    • Health Policy and Management
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    • v.6 no.1
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    • pp.163-190
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    • 1996
  • 본 논문은 미국 농촌병원의 경영전략과 관련하여 몇가지 가설을 검증한 연구결과이다. 구체적으로 1987년부터 1991년 사이의 미국 농촌병원들의 기본적 경영전략 지향 형태와 변화 추세, 경영전략과 환경 및 병원특성과의 관계, 그리고 경영전략과 재정적 성과의 관계 등이 연구되었다. 본 연구의 자료수집은 미국 농촌지역의 모든 종교병원과 영리병원, 그리고 무작위 표본추출로 뽑힌 50%의 공공병원 및 기타 비영리 병원의 최고경영자를 대상으로 1989년에 우편설문조사를 통해 이루어졌으며 회수된 설문지 중 사용가능한 640개 병원 (응답율 43%)의 자료가 분석 이용되었다. 조사대상병원의 환경적 특성자료는 지역자원 파일(Area Resource File)에서 수집하였고, 병원특성 및 재정적 성과자료는 미국병원협회 연감(Annual Survey of Hospitals)에서 구하였다. 응답병원과 비응답병원간에 환경 및 병원특성에 유의한 차이는 없는 것으로 나타났다. 본 연구에서는 Miles와 Snow가 개발한 방어형(defender), 분석형(analyzer), 진보형(prospector), 반응형(reactor)의 네가지 경영전략지향 형태를 사용하여 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 1) 미국 농촌 병원들은 과거에는 방어형 및 분석형의 경영전략 지향을 보이다가 점차 반응형과 진보형으로 변화해 가고 있다. 2) 가장 뚜렷한 경영전략 지향의 변화추세는 방어형이 급격히 줄고 반응형이 크게 늘어나고 있다는 점이다. 이는 많은 병원들이 급격한 환경변화에 적응하기 위해 일관된 전략 지향보다 융통성 있고 탈력적인 경영전략을 선호하고 있음을 나타낸다. 3) 농촌병원들은 경영전략의 급격한 변화를 추구하지는 않을 것이라는 가설을 뒷받침할 근거는 없는 것으로 나타났다. 이는 급격한 의료환경의 변화로 인해 병원들이 다양한 경영전략의 변화를 모새하고 있는 것으로 볼 수 있다. 4) 대부분의 외부환경 및 병원특성은 병원의 전략지향의 선택에 큰 영향을 미치지 않는 것으로 나타났으나 인구 10,000명당 의사수, 병상규모, 위탁경영 여부, 병상점유율, 소유형태 등의 변수들이 경영전략 지향 형태에 따라 유의한 차이가 있는 것으로 나타났다. 5) 경영전략 지향이 상이한 병원들은 세부 실천전략에 있어서도 치이가 있을 것이라는 가설을 일부 전략에 있어서 사실인 것으로 나타났다. 즉 방어형 병원들은 진보형이나 반응형 병원들보다 내부관리전략, 다양화 전략, 의사유치전략, 직원복지전략 등에 있어서 소극적인 것으로 나타났다. 6) 비록 방어형 병원들이 다른 형태의 병원보다 낮은 재정적 성과를 보이고 있었지만 본 연구의 자료로는 경영전략지향과 재정적 성과간의 인과관계를 구명할 수 없었다. 또한 재정적성과에 따른 전략지향의 변화여부도 통계적으로 유의한 관계가 있지는 않은 것으로 나타났다. 이는 각각의 전략지향들이 환경에 따라 나름대로 장점을 가질 수 있으며 반드시 어느 한가지의 전략지향만이 최선은 아님을 시사해주고 있다. 7) 병원의 경영전략 변화는 환경의 변화와 더블어 그러한 변화에 적응할 수 있는 내부의 능력과도 관계가 있는 것으로 보인다. 이상의 연구결과에 따르면 미국의 농촌병원들은 급격한 환경변화에 적응하기 위하여 다수의 병원들이 환경 및 벼원특성에 관계없이 생존을 위한 전략적 노력을 기울이고 있음을 알 수 있다. 끝으로 이러한 연구결과는 최근 어려운 경영환경에 처한 한국의 농촌병원들도 합리적인 경영을 위해서는 병원이 처한 외부환경분석과 함께 내부의 능력에 적합한 경영전략의 방향을 설정하고 그에 따른 실천적 세부 경영전략을 수립해야만 한다는 것을 시사해 주고 있다.

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