• 보건의료산업학회지
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• 제9권1호
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• pp.17-29
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• 2015

This study, an examination of the plan for effective resource management for national university hospitals, was performed to determine the relationship between the effectiveness of patient output by considering input personnel using the DEA model and Management Performance, in which 4 years of data from 12 national university hospitals were analyzed. Among the components of the effectiveness, utilizing properly imput components from the application of VRS(Variable Returns to Scale), the Management Performance of national university hospitals was found to be affirmatively influenced by PTE(Pure Technical Efficiency). Regarding the Management Performance of national university hospitals in their attempts to establish a plan for effective human resource management, the management of patient numbers on the basis of calculation level with input is more recommendable than the controlling of personnel input using patient numbers. Thus, the establishment of a strategy plan for the proper allocation of administrative staff and sickbeds, considering the variation of patient numbers, is suggested.

• 한국병원경영학회지
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• 제23권2호
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• pp.82-94
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• 2018

Purposes: The purpose of this study is to investigate the factors which affect the promotion of the employees working at university hospitals in Korea. Methodology: The data of this study were obtained from personnel management database of 1,634 employees working at 4 university hospitals owned by an education foundation located in the City of Seoul and Kyoung-kee Province. The collected data were analyzed using frequency analysis, correlation analysis and probit regression analysis using SAS 9.4. Findings: The main findings of the study were as follows: First, appraisal score of the employees was the most important factors affect the possibility of the promotion and the following variables of tenure, higher degree, number of transfers, managers were also found to have significant effect on the possibility of the promotion. Second, Impact of those are varied among promotion ladders and the occupations like nurses, administrative staff, and technicians, which revealed that the important competency needed for the promotion was different. Practical Implications: The study results imply that, in order to motivate the employees through the promotion system at university hospitals, it is strongly recommended to use different criteria for evaluating the employees' performance and qualification for the promotion in terms of the promotion ladder and the characteristics of each occupation.

• 한국콘텐츠학회논문지
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• 제8권6호
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• pp.186-194
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• 2008

본 연구는 병원행정직 종사자의 직무만족과 조직몰입도를 파악하고자 울산과 부산지역의 의료기관 행정직원에게 설문조사를 한 결과 338명이 연구대상자로 선정되었다. 직무만족과(임금요인, 담당직무, 승진, 대인관계요인) 조직몰입은 Like리 5점 척도로 5점(매우 그렇다)부터 1점(매우 그렇지 않다)으로 구성되었다. 자료 분석은 빈도분석, 분산분석(ANOVA), 상관관계와 다중회귀분석을 실시하였다. 그 결과는 다음과 같다. 직무만족도는 의료기사전공, 보건(원무)행정전공, 간호사전공 그리고 고졸 및 기타 전공 순으로 높았다. 조직몰입도는 의료기사전공, 간호사전공, 보건(원무)행정전공, 그리고 고졸 및 기타 전공 순으로 높았다. 직무만족과 조직몰입 변수간의 상관관계는 임금, 담당직무, 승진, 대인, 조직몰입도 모두 뚜렷한 정의 관계로 나타났다.

• 대한간호학회지
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• 제35권8호
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• pp.1493-1499
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• 2005

Background. Adequate staffing is necessary to meet patient care needs and provide safe, quality nursing care. In November 1999, the Korean government implemented a new staffing policy that differentiates nursing fees for inpatients based on nurse-to-bed ratios. The purpose was to prevent hospitals from delegating nursing care to family members of patients or paid caregivers, and ultimately deteriorating the quality of nursing care services. Purpose. To examine nurse staffing levels and related factors including hospital, nursing and medical staff, and financial characteristics. Methods. A cross-sectional design was employed using two administrative databases, Medical Care Institution Database and Medical Claims Data for May 1-31, 2002. Nurse staffing was graded from 1 to 6, based on grading criteria of nurse-to-bed ratios provided by the policy. The study sample consisted of 42 tertiary and 186 general acute care hospitals. Results. None of tertiary or general hospitals gained the highest nurse staffing of Grade 1 (i.e., less than 2 beds per nurse in tertiary hospitals; less than 2.5 beds per nurse in general hospitals). Two thirds of the general hospitals had the lowest staffing of Grade 6 (i.e., 4 or more beds per nurse in tertiary hospitals; 4.5 or more beds per nurse in general hospitals). Tertiary hospitals were better staffed than general hospitals, and private hospitals had higher staffing levels compared to public hospitals. Large-sized general hospitals located in metropolitan areas had higher staffing than other general hospitals. Occupancy rate was positively related to nurse staffing. A negative relationship between nursing assistant and nurse staffing was found in general hospitals. A greater number of physician specialists were associated with better nurse staffing. Conclusions. The staffing policy needs to be evaluated and modified to make it more effective in leading hospitals to increase nurse staffing.

• 한국병원경영학회지
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• 제3권1호
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• pp.62-82
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• 1998

The purpose of this study is to assess the cause and level of conflict arising within and between departments among administration office workers who work in a recently established tertiary hospitals of a major cooperation or related non-profit cooperation: The study also aimed to find methods for resolution of such conflicts by comparing with other existing university hospitals. The subject population included 299 business administration office workers randomly selected from two cooperate related tertiary hospitals of less than 3 years in its existence and two university hospitals over 700 beds in Seoul and Kyong In area. Data were collected through a survey questionnaire. To define related factors for the level of conflict among departments in each hospitals multivariate regression analysis was conducted. Independent factors were characteristics of subjects, conflicting factors within and between the departments. The results are as follows: 1. Those in the 30-39 rears of age group demonstrated significantly higher level of conflict between departments. Those working in the new hospitals, who were older and had long-term tenure, and those with short-term job experience at current working hospital had higher level of conflict between the departments with statistical significance. 2. Concerning the involvement of conflicting factors and the level of conflict in the administration there was statistically significant positive correlation between reliability and job-related intra- and interdepartmental level of conflict in existing hospitals. There was a significant positive correlation between intradepartmental conflicting factors of mutual dependence, difference in goal/orientation and intra- and interdepartmental level of conflict. 3. In multivariate regression analysis, women more than men, and those who had worked for many years in hospitals had statistically significant influence on factors involved in interdepartmental level of conflict, explaining 51.0% of the model. 4. In existing hospitals, gender was a significant factor with women showing a higher level of interdepartmental conflict compared to men. Among the interdepartmental factors, mutual dependence had statistically significant influence and showed a positive relationship with interdepartmental level of conflict. In the new hospitals, job position was a significant factor which showed that those in high position such as section chief or above, compared to those in managerial or general position had higher level of conflict. Among the interdepartmental characteristics, factors of mutual dependence and goal/orientation had statistically significant influence and showed a positive relationship with interdepartmental level of conflict. In the new hospital setting efforts to reduce conflict in areas among workers with high position, old age, and long tenure and those in Purchasing, Material and Computer Department should be made and prudent management and planning for improved manpower and increased budget or efficient allocation and clear definition of job description are necessary to adequately assess and make improved efforts for rapid stabilization of the premature hospital system from its inception, In the existing hospitals a lack of conflict within and between departments may give rise to stagnation or inefficiency of the organization. Future study are needed with respect to the relationship between interdepartmental level of conflict and the effectiveness of the hospital organization for improved resolution of conflict in the organization and hospital management.

• Healthcare Informatics Research
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• 제24권4호
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• pp.327-334
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• 2018

Objectives: The objective of this study was to investigate the relationship between the level of Electronic Medical Record (EMR) system adoption and healthcare information technology (IT) infrastructure. Methods: Both survey and various healthcare administrative datasets in Korea were used. The survey was conducted during the period from June 13 to September 25, 2017. The chief information officers of hospitals were respondents. Among them, 257 general hospitals and 273 small hospitals were analyzed. A logistic regression analysis was conducted using the SAS program. Results: The odds of having full EMR systems in general hospitals statistically significantly increased as the number of IT department staff members increased (odds ratio [OR] = 1.058, confidence interval [CI], 1.003-1.115; p = 0.038). The odds of having full EMR systems was significantly higher for small hospitals that had an IT department than those of small hospitals with no IT department (OR = 1.325; CI, 1.150-1.525; p < 0.001). Full EMR system adoption had a positive relationship with IT infrastructure in both general hospitals and small hospitals, which was statistically significant in small hospitals. The odds of having full EMR systems for small hospitals increased as IT infrastructure increased after controlling the covariates (OR = 1.527; CI, 1.317-4.135; p = 0.004). Conclusions: This study verified that full EMR adoption was closely associated with IT infrastructure, such as organizational structure, human resources, and various IT subsystems. This finding suggests that political support related to these areas is indeed necessary for the fast dispersion of EMR systems into the healthcare industry.

• 보건의료산업학회지
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• 제11권2호
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• pp.29-42
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• 2017

Objectives : This study aimed to identify the impact of social responsibility(CSR) activities by the hospital on the organizational commitment and value of the hospital by the internal members, to recognize the importance of staff carry out social responsibility activities effectively in the relevant departments, and use planning as a vital element or establishing a long-term hospital management strategy. Methods : Data were collected from 800 the administrative practioners of the hospitals in 200 hospitals nationwide. A structured questionnaire was used to measure the research variables using a 5-point Likert scale. The final sample consisting of 230 was analyzed using SPSS. Results : It was found that economic, legal, and charitable CSR have a statistically significant effect on organizational commitment and value of hospital Conclusions : The results suggest that hospitals should a fulfilling the obligation to abide by the norms and rules to be strictly observed, social services and charitable activities for the community are a strategy to increase the organizational commitment and hospital value in the long run. These activities should be actively pursued in a way that is sustainable and long-term so that they can improve to management performance.

• 대한안전경영과학회지
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• 제17권4호
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• pp.181-192
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• 2015

The health care markets are rapidly expanded due to population aging, increasing incomes, strengthening assurance of health insurance and so on, and the competition in the markets is getting serious. In the industry, hospitals have played more important role than any others, where doctors, nurses, medical technicians, administrative staff, etc cooperatively works hard. Among them, nurses capture 40 percents of specialized hospital workers and their role for patients as customers is essential. Therefore, it could be one of the most important keys to increase the productivity and wellbeing of nurses with respect to enhancing efficiency and competitiveness of operating hospitals. In this paper the impact of nurses' job satisfaction, job stress, burnout, and organizational citizenship behavior on their productivity is studied. The subjects were 576 nurses in 20 different hospitals in Seoul, Kyounggi, etc. We held hypotheses and statistically tested and analysed them, using SPSS 20.0 software. Thus, we found various significant results(p<0.05), and they will give useful suggestions for managing nurse manpower and enhancing their productivity.

• 디지털융복합연구
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• 제16권5호
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• pp.309-315
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• 2018

본 조사는 일부지역 종합병원 행정직원들의 조직공정성, 자아존중감 및 자기효능감과 직무스트레스 간의 관련성을 파악하고 직무스트레스에 미치는 융복합적 영향을 분석하였다. 자료수집은 2016년 11월 1일부터 2017년 1월 31일까지 구조화된 무기명 자기기입식 설문지를 통하여 시행되었으며, 조사대상은 임의로 선정된 J시의 11개 종합병원 행정직원 221명으로 하였다. 직무스트레스는 조직공정성의 절차공정성과 분배공정성, 자아존중감 및 자기효능감과는 음의 상관관계를 보였다. 공분산구조분석 결과, 종합병원 행정직원들의 조직공정성, 자아존중감, 자기효능감 및 직무스트레스의 인과관계를 확인하였으며, 조직공정성의 절차공정성 및 분배공정성이 높아질수록, 자아존중감이 높아질수록, 자기효능감이 높아질수록, 직무스트레스를 감소시키는 효과가 있는 것으로 나타났다. 이러한 결과를 볼 때, 종합병원 행정직원의 직무스트레스와 관련된 조직공정성, 자아존중감 및 자기효능감을 관리하는 노력이 필요하다. 분석결과는 종합병원 행정직원의 직무스트레스를 낮추는 조직 및 인사관리에 활용될 수 있다. 추후연구에서는 종합병원 행정직원의 직무스트레스에 영향을 미치는 융복합적인 추가요인에 대한 조사가 필요하다.

• 디지털융복합연구
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• 제15권7호
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• pp.239-246
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• 2017

병원행정직 근무자들의 자기효능감, 직무특성 및 직무스트레스와 직무만족도 간의 관련성을 파악하고 직무만족도에 미치는 융복합적 영향을 조사하였다. 조사대상은 임의로 선정된 11개 종합병원의 재직자 221명으로 하였으며, 자료수집은 2016년 11월 1일부터 2017년 1월 31일까지 구조화된 무기명 자기기입식 설문지를 통해 이루어졌다. 직무만족도는 자기 효능감, 직무특성의 3가지 하위요인과는 양의 상관관계를, 직무스트레스의 7가지 하위요인과는 음의 상관관계를 보였다. 공분산구조분석 결과, 직무스트레스는 자기효능감 및 직무특성보다는 직무만족도에 더 큰 영향을 미쳤으며, 자기효능감 및 직무특성이 높아질수록, 직무스트레스가 낮아질수록 직무만족도를 증가시키는 효과가 있는 것으로 나타났다. 이러한 결과를 볼 때, 병원행정직의 직무만족도와 관련된 자기효능감, 직무특성 및 직무스트레스를 관리하는 노력이 필요하다. 분석결과는 병원행정직의 직무만족도를 높이는 조직인사관리에 활용될 수 있다. 추후연구에서는 병원행정직의 직무만족도에 영향을 미치는 융복합적인 추가요인에 대한 분석이 필요하다.