• Title/Summary/Keyword: 병원 전문화

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Financial performance analysis based on efficiency evaluation of Regional Public Hospital (지방의료원의 운영효율성 평가에 따른 재무성과 분석)

  • Lee, Jin-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.614-623
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    • 2017
  • The purpose of this study is to analyze the impact of the financial performance of regional public hospitals on their efficiency. In addition, the analysis of their efficiency using environmental factors, such as the market share, operating mode, and size of the regional public hospitals, as well as the factors influencing their efficiency, are selected by selecting the input and output factors of the hospitals and some differences were found between them. The DEA index and financial performance of the 31 regional public hospitals were calculated for the three years from 2012 to 2014. ANOVA and hierarchical regression analysis were used. As a result, there was a significant difference in their efficiency according to the environmental factors, such as the city scale of the regional public hospital, the number of hospital beds, and their business performance, productivity, and publicness. The medical profit margin (p<0.05), labor cost investment efficiency (p<0.05) and HHI (p<0.05) were found to affect the efficiency. In order to identify the inefficiencies of the regional public hospitals and increase their efficiency, it is necessary to measure the efficiency of the input resources and to reduce their cost. In addition, if the regional public hospitals were to provide specialized services, such as specialized functions of medical care that would give them a competitive advantage over private hospitals, their operational efficiency would be enhanced and they would be able to fulfill their role as public medical institutions.

Conception and Design of U.I.-U.I. Manual of Seoul National University of Technology (U.I.의 개념 및 제작에 관한 고찰-서울산업대학교 U.I. 매뉴얼을 중심으로-)

  • 전양덕
    • Archives of design research
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    • v.11 no.3
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    • pp.177-185
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    • 1998
  • Started from the Industrial Revolution in England, the design movement, the concept of plastic arts is spread and developed in many European countries. It meets new phase due to the much more developed industrial techniques and internationalized era since the World War II. The concept of identity in design appeared with industrial diversification, specialization, and inter- nationalization comes out through every visual identification standards. And the concept is used in public facilities and groups such as national institutions, schools, hospitals, or lots of religious bodies, as well as in industries to aim at the most profit from products' sale. Since the opening of Seoul National University of Technology in 1910, the university which has long history and tradition of about 90 years has used the unique visual identification in changing the University name to meet with the surrounding environment and the timely characteristics. However, the English name for the University was changed in 1998, so the new era to leap was open. Therefore, the University introduced formally the concept of U. I. (University Identification) with the new image. It is an inevitable outcome of modern time.

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The Impact of Hospital Specialization on Length of Stay per Case and Hospital Charge per Case (병원 전문화가 건당 재원일수와 건당 의료비에 미치는 영향)

  • Kim, Jae-Hyun;Park, Eun-Cheol;Kim, Tae Hyun;Lee, Kwang Soo;Kim, Young Hoon;Lee, Sang Gyu
    • Health Policy and Management
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    • v.26 no.2
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    • pp.107-114
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    • 2016
  • Background: Over the last few decades, because hospitals in South Korea also have undergone dramatic changes, Korean hospitals traditionally have provided specialized health care services in the health care market. Inner Herfindahl-Hirschman Index (IHI) measures hospital caseloads based on patient proportions, independent of patient volumes. However, IHI that rely solely on patient proportions might be problematic for larger hospitals that provide a high number of diagnosis categories, as the patient proportions in each category are naturally relatively smaller in such hospitals. Therefore, recently developed novel measure, category medical specialization (CMS) is based on patient volumes as well as patient proportions. Methods: We examine the distribution of hospital specialization score by hospital size and investigate association between each hospital specialization and length of stay per case and hospital cost per case using Korean National Health Insurance Service-cohort sample data from 2002 to 2013. Results: Our results show that IHI show a decreasing trend according to the number of beds and hospital type but CMS show an increasing trend according to the number of beds and hospital type. Further, inpatients admitted at hospitals with higher IHI and CMS had a shorter length of stay per case (IHI: B=-0.104, p<0.0001; CMS: B=-0.044, p=0.001) and inpatients admitted at hospitals with higher IHI and CMS had a shorter hospital cost per case (IHI: B=-0.110, p=0.002; CMS: B=-0.118, p=<0.0001). Conclusion: This study may help hospital policymakers and hospital administrators to understand the effects of hospital specialization strategy on hospital performance under recent changes in the Korean health care environment.

Types of Shared Medical Decision Making for Terminally Ill Patients (말기 환자의 공유 의료적 의사결정에 관한 의료인의 인식 유형)

  • Jo, Kae Hwa;Kim, Gyun Moo
    • Journal of Hospice and Palliative Care
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    • v.17 no.4
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    • pp.278-288
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    • 2014
  • Purpose: The purpose of this study is to analyze types of shared medical decision making by health professionals in a decision making position. Methods: The Q-methodology was used. Q sample was constructed with a total of 35 Q-statements that were offered with a 9-point rating scale. The statements were structured to generate answers that would form a shape of a normal distribution. Answers to Q sample were analyzed using a QUANL PC program. Results: Four types of shared medical decision making were identified. Type I is patient-centered decision making, Type II is physician-centered, Type III is health professional-centered and Type IV is patient-family-centered. Conclusion: Study results indicate that it is recommended to develop an education program based on the four types of shared medical decision making so that health professionals can be provided with different approaches according to their decision making style.

The Convergence Study on the Relationship between the Job Stress and Mental Health of Nurses (간호사의 직무 스트레스와 정신건강 관련성에 대한 융합적 연구)

  • Kim, Mi-Jin;Kang, Gyun-Young
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.39-47
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    • 2015
  • This study was to explore the relationship between the job stress and mental health of nurses. The participants were 291 nurses from two general hospitals in C city. Job stress, mental health, and general characteristics of nurses were measured. The data were collected from April 7 to 30, 2015. The collected data was analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis. The mean score for job stress was 61.96 point and 92.45 for mental health. The mean scores for job stress were significantly different by age and turnover experience in nurses. Job stress was positively correlated with mental health(r=.233, p=.000). The findings indicate that job stress has an influence on mental health. We'd like to provide basic data on developing convergence programs to prevent and intervene job stress considering nurses' mental health problems in nursing service that is rapidly changing and specialized for the convergence generation.

Through a selection factor analysis of the local healthcare institutions Building complex medical services strategy (지방의료원의 선택요인분석을 통한 복합적인 의료서비스 전략 구축)

  • Lee, Jin-Woo;Ahn, Sang-Yoon;Lee, Chong Hyung;Lee, Moo-Sik;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.297-307
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    • 2015
  • This study reviews equipped with enhanced capability of medical care, quality service, accessibility, and consumer awareness to be a competitive and representative local healthcare service provider with improved administrative efficiency. The method of analysis are ANOVA and Structural Equation Modeling. The results which revealed the significant difference among demographic factors in determining the preference or degree of satisfaction at medical service to select local healthcare institutions suggest that the close review on the needs of groups of major customers of local healthcare institutions are necessary when preparing the strategy of specialized medical service of local healthcare institutions. this suggests that both images would be important factors to secure the competitive advantage of local healthcare institution and therefore the strategy maximized the enhancement of medical service with embossed image of hospital to attract customers of medical service is needed.

Policy Tasks for bringing the Marine Healing Industry to Waterfront Spaces (해양친수공간에서 해양치유산업의 정책 과제)

  • PARK, Hong-Gyun
    • The Journal of shipping and logistics
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    • v.34 no.4
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    • pp.677-694
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    • 2018
  • The ocean is a unique space for exchange with the city, forming an organic relationship between people and waterfront areas. The marine healing industry improves quality of life through medical care and well-being, and creates added value by combining with the medical industry. The policy analysis results are as follows. First, the marine healing industry is the newest high-growth area. Furthermore, a professional medical service hospital is the first priority. This will include the development of marine healing facilities and strengthening forest healing connectivity, emphasizing the development of highly specialized medical technologies. The second priority is value creation in marine healing specialization, accompanied by an integrated and systematic policy for research and development of new medicines in marine healing effects. It is also important to apply new market trends and develop applied marine healing service programs. Thirdly, it is necessary to explore the possibility of a fragmented market for policy development.

A Survey on the Job Stress of Dental Hygienist on Working Environment (광주지역 치과위생사의 직무 스트레스 조사)

  • Son, Hye-Ju;Kim, Seung-Hee;Choi, Moon-Sil
    • Journal of dental hygiene science
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    • v.10 no.5
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    • pp.387-394
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    • 2010
  • Objectives: According to variety rapid change of working environment of dental clinics, dental hygienist faced of many job stress in their working place. The aim of this study was to analyze the stress factors. Methods: 206 participants of dental hygienist that working from each a section in Gwang-ju analysed the Job stress questionnaire as used self written. Results: The stress related of job factors was the highest score from 20-25 years old(p<0.05), score from dental clinic under ten persons, score from single women(p<0.05), score from 1 to 3 years old on job career, score from cases without home economic to support. The stress related of the patients was the highest score from 20-25 years old(p<0.05), score from dental clinic under ten persons, score from single women, score from 1 to 3 years old on job career(p<0.05), score from cases live with parents. Conclusions: These results suggest that, on dental hygienists working in the dental clinic and hospital, the stress of job activities have significant effects on dental hygienists. Therefore, it is recommended that the stress is being systematically reduced methods.

Comparative Study on the Actual Conditions about Hypertension and Diabetes Case Management of the Elderly at the Hall for the Aged and the D Senior's College (D 노인대학과 경로당 노인들의 건강행태 및 고혈압당뇨병 관리실태 비교조사)

  • Yoon, Young-Suk;Kwon, Yang-Ok;Jung, Young-Hee
    • Journal of dental hygiene science
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    • v.10 no.1
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    • pp.17-24
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    • 2010
  • The purpose of this study was to provide the basic data for effective intervention of oral health behaviors strategy and to compare the actual conditions about hypertension and diabetes case management of the elderly at the hall for the aged and the D senior's college. The research method was a questionnaire including hypertension and diabetes case management of the elderly and the subjects were 174 of the elderly(65 age over) at the hall for the aged(100) and the senior's college(74). The results of this study were as follows; 1. Hypertension 1)The incidence of hypertension of elderly at the hall for the aged and the senior's college were 32.2%. 2)83.9% of the hypertension cases were initially diagnosed during hospital examination(p < 0.05). 3)Regular blood pressure checks were performed more than one time monthly on 76.8% of the cases(p < 0.05). 4)Blood pressure control was well controlled on 75%(p < 0.05). 5)85.7% of the elderly at the hall for the aged took hypertension drugs daily and 42.9% of the elderly at the senior's college took no drug alternatively(p < 0.05). 2. Diabetes 1)The incidence of the diabetes of elderly at the hall for the aged and the senior's college were 14.4%. 2)80.0% of the diabetes cases were initially diagnosed during hospital examination(p < 0.05). 3)64.0% of the cases did not have blood sugar measuring instrument(p < 0.05). 4. In the quality of life, the thinking of no difficulty in walking and no anxiety/depression was more presented on the elderly at the senior's college than those at the hall for the aged(p < 0.05). 5. The subjective health condition scores were higher on the elderly at the senior's college than those at the hall for the aged(p < 0.05).

Professionalism raising of the escort which leads an instance analysis (사례분석을 통한 경호 전문성 제고)

  • Yu, Hyung-Chang
    • Korean Security Journal
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    • no.18
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    • pp.73-99
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    • 2009
  • There are three assassination and treatening cases in this thesis introduced as analysis data. They are shooting accidents of the U.S.A's President Reagun (1981,3.30), and the President Park Jeong Hee of South Korea(1974.8.15), assassination of the Prime Minister Lavin of Israel (1995.11.4) In March 30, 1981, there was an accident where criminal, Hinckley, fired ball cartridges right before the President Reagan got into the car to move to White House after completing the announcement of Hilton Hotel of Washington. As a result, the chest of president was shot and public information secretary and safeguard were wounded. In August, 15, pm 10:23, where the 29th 8.15 independent anniversay event was being celebrated by the people at the National theater in Jangchungdong, Seoul, the criminal Moon Sekwang fired ball cartridges, he failed to assassinate the President Park Jeong Hee of Korea, but shot the First lady Yuk Young Soo. She was wounded right part of head and died. In November 4, Saturday, pm 22:00 the Prime Minster Lavin had finished the supporting event of Middle Asia's Peace project and was taking on the car when he was killed by the criminal Amir's shooting, The accidents left very important lesson from the aspect of security analysis and it has been frequently used as a material for the education and training of safeguard organization. In Korea, as well as Presidential Security Service, national security departments have selected it as an important model for the subjects such as 'Security Analysis, 'Security Practice' and 'Security Methodology'. In the performance of security duty, security skill is the most important matter. Moreover, it has a close relationship with politics, society and culture. The purpose of this study is to analyze and reevaluate the case, which has been treated as a usual model from the aspect of security analysis, beyond its introduction. Attempted assassination of President Reagan was evaluated as a positive success example because of its rapid response of adjacent guards to evacuate Reagan, who is a guard target, within 10 seconds after the shot. When comparing it to President Kennedy Assassination of 1963, it was evaluated that guards were significantly specialized. In the study, however, it was possible to found many problems such as carelessness of guard, who is in charge of external area of event place, idle attitude for frequently used event place, confusion of wireless communication, risk of wireless security disclose, insufficient provision of compulsory record file, insufficient profiling of dangerous person and unsecured hospital and first-aid room.

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