• Title/Summary/Keyword: 병원행정

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A Study on analysis of severity-adjustment length of stay in hospital for community-acquired pneumonia (지역사회획득 폐렴 환자의 중증도 보정 재원일수 분석)

  • Kim, Yoo-Mi;Choi, Yun-Kyoung;Kang, Sung-Hong;Kim, Won-Joong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.3
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    • pp.1234-1243
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    • 2011
  • Our study was carried out to develop the severity-adjustment model for length of stay in hospital for community-acquired pneumonia so that we analysed the factors on the variation in length of stay(LOS). The subjects were 5,353 community-acquired pneumonia inpatients of the Korean National Hospital Discharge In-depth Injury Survey data from 2004 through 2006. The data were analyzed using t-test and ANOVA and the severity-adjustment model was developed using data mining technique. There are differences according to gender, age, type of insurance, type of admission, but there is no difference of whether patients died in hospital. After yielding the standardized value of the difference between crude and expected length of stay, we analysed the variation of length of stay for community-acquired pneumonia. There was variation of LOS in regional differences and insurance type, though there was no variation according whether patients receive their care in their residences. The variation of length of stay controlling the case mix or severity of illness can be explained the factors of provider. This supply factors in LOS variations should be more studied for individual practice style or patient management practices and healthcare resources or environment. We expect that the severity-adjustment model using administrative databases should be more adapted in other diseases in practical.

An Analysis on the Results of Korean Special Library Management Evaluation Conducted in the Year 2012 (전문도서관 운영평가의 분석 및 진단에 관한 연구 - 2012년도 운영평가 결과를 중심으로 -)

  • Han, Jong Yup;Cha, Sung-Jong
    • Journal of the Korean Society for Library and Information Science
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    • v.47 no.3
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    • pp.407-435
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    • 2013
  • The purpose of this study is to have the development of special libraries in Korea and produce policy alternatives and current implications as well as to analyze the management evaluation of Korea special libraries in 2011. The evaluation of 39 detailed index scored at 51.8 out of 100. There were five evaluation territory. Among them, the facility environment's score was the highest as 77.3 and manpower was 53.5, library management were 51.0. The information resource and service territory were analyzed under 50 as scored 49.3 and 45.4. Closely look at the detailed index, the highest index was 'user amenity' (96.7) from facility environment and the lowest index was 'participation record of the long-term educational training of library staff' (13.0). This study diagnosed current management of libraries and problem as well as to analyze the result of administration evaluations of special libraries in nation throughout 2012. The institution type of special libraries in Korea is very varied such as central administrative agency, government-funded research institute, local government, and education office in local-affiliated institute, business, private organization, hospital, the press and so on; therefore, the analysis result can be utilize for basic information to provide future special libraries type in order to make differentiated policy making.

A Phenomenological Study on Experiences as a Dental Intermediary Manager (치과 중간관리자의 근무경험에 대한 현상학적 연구)

  • Moon, Hak-Jin;Lim, Soon-Ryun
    • Journal of dental hygiene science
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    • v.16 no.4
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    • pp.263-271
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    • 2016
  • This study aimed at comprehending the duty, role, and difficulty of intermediary manager through in-depth investigation of dental hygienist intermediary managers experienced over 10 years working in a dental clinic. In-depth interviews were conducted with 10 dental intermediary managers and Giorgi's analysis method was used to analyze the data. Findings revealed that the work experience of the dental hygienist intermediary managers appeared in the range of "becoming an intermediary manager through various processes", "various duties that they experience as an intermediary manager", "difficulty as an intermediary manager", "ability that they perceive as necessary for being a dental intermediary manager", and "worthiness they feel as the intermediary manager". The dental intermediary managers complained of difficulties at work, and appeared to perform various tasks such as human resource management, clinic management support, and patient's management. Accordingly, the researcher considers that research on dental intermediary managers' capacity development necessary.

충북지역 보건진료원이 업무 분석적 연구

  • Kim, Hui-Ja
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.174-175
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    • 1989
  • 본 연구는 보건진료원의 업무를 분석하기 위하여 충북에서 활동하고 있는 보건진료원 136 명을 대상으로, 설문지를 흥해 자료수집을 하였으며 백분률, 평균값, 표준편차로 자료처리를 하였다. 조사기간은 1968 년 8월 1일부터 11월 20일까지 했으며 그 결과를 요약하면 다음과 같다. 1. 보건진료원의 일반적 특성과 업무에 관련 된 배경을 살펴보면 다음과 같다. 보건진료원의 일반적 특성으로 연령 분포는 30 - 34세가 30.1 %로 가장 많았고 결혼 상태는 기혼자가 61.8 % 였다. 종교는 기독교가 42.6% 로 많았고 학력은 3 년제 간호전문대학 과정졸업 자가 78.9 %로 많았다. 현 가족과 동거상태에서 배우자와 자녀가 함께 사는 경우가 76.5% 였고, 보건진료원의 경력은 1 년 마만이 41.2 %로 가장 많았다. 보건진료원의 업무에 관련된 배경을 살펴보면, 근무지역조건은 갑지가 65.3 % 였고, 현 거주지는 보건진료소내 숙소가 대다수 였다. 보건진료소는 신축된 건물이 대다수였고, 보건진료소 시설은 '그저 그렇다'고 대답한 수가 가장 많았다. 보건진료소 운영협의회 수당은 월 $5\sim7$만원인 경우가 85.6 % 였다. 2. 보건진료원의 보건의료제공 실태는 다음과 같다. 보건진료원이 현재 담당하는 주민수는 $501\sim1,000$ 명이 35.3 % 이고, 1,500 명 이상의 주민을 담당하는 경우도 32% 였다. 보건진료소를 이용한 주만은 연평균 1,956 명이고, 보건진료소 평균 이용건수는 1,812건이다. 보건진료원의 직업만족도는 만족한다가 40.6%로 대체로 긍정적으로 나타났다. 3. 보건진료원과 보건의료 관련기관과의 관계는 다음과 같다. 지역주민의 보건의료자원 이용 정도는 보건소 진료소가 1 위로 가장 많았고, 약국, 약방, 의원, 보건지소의 순위로 나타났다. 보건의료 관련기관과의 협조가 잘 되고 있지 않다고 응답한 경우도 있는데, 보건소(19.7 %), 보건지소( 20.2%) 민간보건 의료기관(22.4 %)이며, 그 이유를 알아서 협조가 잘 이루어지도록 노력해야겠다. 원하는 감독체계는 보건소장(47.3 %), 보건간호 전문가(37.2 %)로 나타났으나 이는 현재있는 감독체제내에서 생각한 것이며 간호전문가에 의한 새로운 감독체제를 원하고 있었다. 많이 이용하는 의뢰 기관은 병원(52 %), 의원(24.4 %), 보건소(10.2 %) 순이었다. 4. 보건진료원의 업무 영역별 수행정도를 살펴보면 다음과 같다. 보건진료원의 업무 영역을 7개 영역으로 구분하여 수행평균 평점을 보면통상질환 관리가 3.70점, 사업운영 관리 및 지도가 3.44 점, 사업계획 수립이 3.19 점, 지역사회 조직 및 개발이 3.17 점, 모자보건 및 가족계획이 3.14 점, 지역사회 보건관리가 3.09 점, 보건 정보체계 개발이 3.02 점으로 나타났다. 위의 결과에서 지역사회 보건관리가 3.09점으로 통상질환 관리 3.70 점 보다 낮게 나타났는데 이는 일차보건의료 사업 정착의 과도기적인 현상으로 생각하며, 이 부분을 더 많이 수행해야 할 것으로 사려된다. 5. 보건진료원의 업무 영역별 수행 소요시간의 평균은 다음과 같다. 지역사회 조직 및 개발 3.48 시간, 사업계획 수립 3.55 시간, 지역사회보건 관리 6.74 시간, 모자보건 및 가족계획 5.55 시간, 통상잘환 관리 15.94시간, 사업운영 관리 및 지도 4.39시간, 보건정보체계 3.62 시간으로 나타났다. 보건진료원이 통상질환 관리와 더불어 예방활동을 효율적으로 할 수 있도록 적절한 행정적, 교육적 지원이 있어야 한다고 생각한다.

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PRESENT STATE AND PROSPECT OF PUBLIC DENTAL HEALTH SERVICE FOR CHILDREN AND ADOLESCENTS IN KOREA (우리나라 어린이와 청소년의 구강건강을 위한 공공서비스의 현황과 전망)

  • Lee, Kwang-Hee;Kim, Jee-Young;Song, Ji-Hyon;Kim, Yun-Hee;Im, Kyeong-Uk;Jeong, Seung-Yeol
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.578-588
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    • 2008
  • To achieve the dental health of children and adolescents which is the objective of the pediatric dentistry, the role of the public service should be increased. The basis of the public service is established by many laws of which the Dental Health Law is most important. The percentages of primary schools that had the school dental health clinic, that implemented the fluoride rinsing program, and that implemented the group toothbrushing after lunch were 7.2%, 57.5%, and 46.9%, respectively, and the percentages of primary school children that received the dental health education and that received the fissure sealing were 48.0% and 12.4%, respectively(2006). About 42% of infants and preschool children from 0 to 6 years received preventive dental care in the last one year, at the nursery or kindergarten(18%) or at the health center(1%)(2005). The percentage of the health centers that implemented water fluoridation was 11.3%, and the percentage of the population who drank the fluoridated water was 5.7%(2006). It was suggested that the school dental health administration should be unified, that dental health teachers should be employed, and that the comprehensive dental health care should be supplied to all the children and adolescents through the circuit school dentists and the school dental hospitals in the long term. Also, the dentist in charge system for the children and adolescent was suggested.

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Relationship between Delegation Preparedness and Job Satisfaction of Nurses in Comprehensive Nursing Care Service Units (간호·간병통합서비스병동 간호사의 위임준비성과 직무만족 간의 관계)

  • Kim, Sunghui;Kim, Miyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.103-112
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    • 2020
  • This study examined the relationship between delegation preparedness and job satisfaction in comprehensive nursing care service wards. Data were collected from 126 nurses who had been working in the comprehensive nursing care wards of five general hospitals located in Seoul and Gyeonggi Province, from May 26 to June 7, 2017. Data were analyzed using independent t-test, one-way ANOVA, and Pearson's correlation coefficients. The delegation education showed a significant difference in delegation preparedness (t=-2.77, p=.006). A statistically significant positive correlation was observed between delegation preparedness and job satisfaction (r=.43, p<.001). Job satisfaction was significantly correlated with understanding the task (r=.26, p=.003), delegation of the task classification (r=.45, p<.001), understanding the delegation (r=.35, p<.001), and delegation skill (r=.34, p<.001), which are the sub-domains of delegation preparedness. Delegation preparedness was correlated significantly with interactions (r=.46, p<.001), task requirement (r=.36, p<.001), professional status (r=.33, p<.001), administration (r=.31, p<.001), and pay (r=.20, p=.026), which are sub-domains of job satisfaction. These results highlight the need for schools and clinical settings to provide continuous education to improve the delegation preparedness for nurses in comprehensive nursing care wards.

Impervious Surface as a Thematic Parameter of Analysis for Childhood Asthma Hospitalizations : Spatio-temporal Approaches (소아천식 유병율 분포의 분석변수로서 불투수면 : 시공간적 접근)

  • Um, Jung-Sup
    • Journal of the Korean association of regional geographers
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    • v.16 no.6
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    • pp.706-723
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    • 2010
  • The impervious surface was frequently employed as a proxy of the total environmental burden in the urban area. The impervious surface was extracted from a satellite image and the GIS (Geographical Information System) database for childhood asthma hospitalizations was generated for a total of 62,136 children using the National Health Insurance database of South Korea. Children living in an impervious environment do result in almost twice as many hospitalizations (26.58%) for asthma, as compared to the sub-urban pervious living (15.82%). Furthermore, the risk zones with persistently high hospitalizations for three years were specifically identified over the impervious sub-district alone. The impervious zone showed a small inter-year variation of hospitalizations (r: 0.937) while the sub-urban pervious fringe was found to display a yearly variation(r: 0.371). The strong temporal autocorrelation means that the impervious areas have frequent long-lived hospitalizations for asthma, thus children living in impervious areas were likely to have had more chronic asthma attacks than those living in pervious areas. These experimental results indicate that an impervious surface as thematic parameter of analysis is a crucial explanatory variable for asthma hospitalizations and its longer persistence among children.

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Analysis of Characteristics about the Location environment of Industrial Complex and Migration Company (산업단지 입지환경과 입주기업의 특성 분석)

  • Lee, Jae-Buem;Kim, Dong-Il
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.193-199
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    • 2016
  • The aim of this study is to determine factors that affect the competitiveness and the move-in environment of migration companies according to the recent change of location conditions of industrial complexes. The results of analysis show that productive factor and economic factor are related to the main factors that determine the location environment. The resident companies have a strong link to the economic characteristics factors, which seems to be related to the expectation and satisfaction for public support facilities, hospitals, educational institutions, and administrative agencies to be placed in the complex, encouraging companies to be located in the complex. In other words, if the existing economic factors and public support facilities were complemented, it can be inferred that the industrial complex promotion policies will be more effectively planned. Also, transportation and infrastructure facilities are analyzed as successful factors for resident companies. In addition, the economic and productive environments turn out to affect public support facilities and environmental factors of infrastructure as major factors. The results of this study are expected to be a useful guideline in determining the resident policy or external factors for the future industrial complex.

Analysis of Satisfaction and Problems of Clinic Radiological Technologist on the Supplementary Education (보수교육에 대한 의원방사선사의 만족도와 문제점 분석)

  • Jeong, Bong-Jae;Park, Jun-Hong;Song, Jae-Heung;Noh, Si-Cheol
    • Journal of the Korean Society of Radiology
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    • v.12 no.7
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    • pp.861-868
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    • 2018
  • As the research about supplementary education of radiological technologist who works in medical clinics, this study was conducted to draw the improvements by analyzing the satisfaction level and problems of the supplementary education. During November 01, 2016 to April 30, 2017, after we distributed a total of 150 questionnaires for the survey to radiological technologists working at medical clinics located in Changwon-si, Gyoungsangnam province, 106 questionnaires suitable for research were analysis by using SPSS 18.0 statistical analysis software. As the sociodemographic characteristics, the age, gender, working period, level of education, and working department were used. And As the welfare factors, working environment, financial support, educational opportunity, medical support, working culture, etc. were used. As the satisfaction factors, 21 items such as system, subject, help, appropriateness of lecturer selection, professionalism were used. And as the problem factors, 18 items such as place, transportation, diversity, administrative treatment, education promotion, proceed method were used. Consequentially, the satisfaction level(3.02 point) of the supplementary education were confirmed as normal level. And the problems(3.18 point) of the supplementary education was analyzed a little higher. The supplementary education is the mandatory education that any health and medical service personnel must complete every three years for license re-issuance. There were many opinions that the supplementary education for radiologists working in various medical institutions did not meet the education level of radiologists working in the medical clinics. In order to improve the satisfaction of the supplementary education of medical clinic's radiological technologist, it should be improved the quality of education through a practical education program that reflects various opinions and improvements on conservative education.

A Study on the Special Needs of the Hearing-Impaired Person for Disaster Response (청각장애인 재난대응 욕구에 관한 연구)

  • Kim, Soungwan;Kim, Hey Sung;Roh, Sungmin
    • 재활복지
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    • v.21 no.2
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    • pp.63-88
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    • 2017
  • This study evaluated the actual status of special needs of the hearing-impaired person for disaster response. The analysis revealed a significant level of unmet needs in disaster response for hearing-impaired person. The 5 special needs in disaster response include: 1) communication needs, which involve securing the means to make an emergency rescue request and communicating information during the rescue process; 2) transportation needs, which indicate the effective evacuation capacity and the level of training; 3) medical needs, which address the degree of preparedness for physical and mental emergency measures and the delivery of health information for rescue and first aid process; 4) maintaining functional independence needs, which refer to the level of self-preparedness to minimize damage in disaster situations, and; 5) supervision needs, which correspond to a personalized support system provided to disaster-vulnerable groups.