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The Internal Marketing Strategy for the Performance of Medical Service -A Focus on the Compensation Package for the Internal Customers- (의료서비스의 내부마케팅 전략수립을 위한 내부고객세분화와 보상정책의 적용에 관한 연구)

  • Paik, Soo-Kyung
    • Korea Journal of Hospital Management
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    • v.6 no.3
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    • pp.90-108
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    • 2001
  • This research examines the compensation package maximizing the utilities of internal customers by applying the market segmentation theory. Data were collected from four Korean hospitals in Seoul, Pusan and Kyunggi-do. The research is designed to seek the compensation package maximizing the utility of doctors and nurses by applying the market segmentation theory. The compensation package for doctors and nurses was classified into 5 attributes which are level of salary, payment method, education, promotion, reward method. The test results were as follows. First, the relative importance of each attribute in the compensation package is different. The level of salary is the most important, reward method is the next. Second, the utility of doctors increases by 8.7%, when they are segmented on the basis. of their preference for compensation attributes while that of nurses increases by 39.8%. The results of this study imply that the utility of doctors and nurses increases with differentiated compensation package for internal customer segmented by their preference.

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Perception of Nurses and Physicians in Neonatal Intensive Care Units on Kangaroo Care (신생아집중치료실 캥거루케어에 대한 간호사와 의사의 인식)

  • Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.17 no.4
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    • pp.230-237
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    • 2011
  • Purpose: To identify the perception and practices of kangaroo care in nurses and doctors working in neonatal intensive care units (NICU) in Korea. Methods: One hundred forty-nine nurses and nineteen doctors working in the NICU from six university hospitals completed a survey questionnaire. Results: Most agreed that Kangaroo care promoted attachment and parental confidence as well as physical health of the infant. However, nurses and doctors showed a negative perception in providing kangaroo care for premature infants under 1,000 grams or within several hours after birth. Major barriers for kangaroo care were worrying about extubation and safety problems of premature infants. Married or senior nurses showed a more positive perception than others. Also nurses who worked in hospitals where kangaroo care was provided had a lower barrier perception than other nurses. Conclusion: Nurses and doctors working in NICU worried about adverse effects of kangaroo care even though they perceived positive effects. Standard education programs and manuals should be developed before dissemination of kangaroo care in Korea.

A Study Regarding Current Usage of Ha-Taedok Method in Korean Pediatrician (소아 전문 한의사를 대상으로 실시한 하태독법의 인식 및 사용실태 조사)

  • Jeong, Min Jeong
    • The Journal of Pediatrics of Korean Medicine
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    • v.28 no.2
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    • pp.88-102
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    • 2014
  • Objectives This study is to know the current usage of Ha-Taedok Method in Korean pediatrician. Methods 69 questionnaires were statistically analyzed by using PASW Statistics 18. Results 55 Korean Medicine doctors knew Ha-Taedok Method, but only 2 doctors were using Ha-Taedok Method in their practice. The doctors tend not to use Ha-Taedok Method because it was hard to get permission from the patient's caregiver. 11 Korean Medicine doctors used Ha-Taedok Method to their own children though. The pediatricians felt satisfied from the effect of Ha-Taedok Method especially because it can prevent from disease. They reported no side effect and adverse effect. Coptidis Rhizoma is a preferred herb to use along with Ha-Taedok Method. For a better result from Ha-Taedok Method, it is recommended to start within 3 days old of patient. Conclusions Ha-Taedok Method may be effective as preventive method.

A Study on the Recognition on Home Care Services by Nurses, Doctors and General Employees (일 종합병원의 가정간호사업에 대한 의사, 간호사 및 일반직원의 인식 조사)

  • Lee, Myoung-Won;Kim, Nam-Sook;Kim, Jeong-Sil;Yang, Soon-Ok;Lee, Seung-Hee
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.14 no.2
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    • pp.76-82
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    • 2007
  • Purpose: The purpose of this study was to provide the data for improving home care services through investigating the recognition of home care services by nurses, doctors and general employees. Method: The data were collected from 231 nurses, 103 doctors and 157 general employees who were working at a general hospital in Seoul from Sept 11 to Sept 24, 2006 and analyzed using descriptive statistics and ANOVA. Results: The recognition on necessity of home care services was lower in doctors(M=2.73, SD=.39) and general employees (M=2.83, SD=.31) than nurses(M=3.13, SD=.39). In terms of the recognition on content of home care services, the affirmative percentages of most items were lower in doctors and general employee than nurses. The recognition on effects of home care services was also lower in doctors(M=2.90, SD=.32) and general employees(M=2.99, SD=.31) than nurses(M=3.26, SD=.35). Conclusion: This study indicates that the continuous educations and advertisements on home care services are necessary to facilitate home care services in general hospitals.

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Analysis of organizational variables related to nursing between the doctors' strike and normal periods (의료파업시기와 정상시기간의 간호조직 내 제요인 분석)

  • Yee, Jung-Ae;Park, Hyea-Ja;Kim, Jung-Dam;Kim, Hee-Soon;Bang, Hyo-Kyung;Eom, Ok-Ju;Yom, Young-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.3
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    • pp.511-529
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    • 2001
  • Purpose : To analyze organization variables related to nursing between the doctors' strike and normal periods. Methods : The sample consisted of 1,220(600 for doctors' strike and 620 for normal periods) nurses working in 5 hospitals. Six instruments were used for data collection including Job Activity Scale(JAS; Laschinger, 1994), Organization Relationship Scale(ORS; Laschinger, 1994), Interpersonal Support Scale(developed by Firth et al., 1986 and revised by Ahn(2000), Self-efficacy Scale(Riggs & Knight, 1994),Job Satisfaction Scale(Slavitts et al., 1978), and Organizational Commitment Questionnaire(OCQ; Mowday et al., 1979). Results : There were significant differences among variables(i.e., formal power, interpersonal support, self-efficacy and organizational commitment)between doctors' strike and normal periods. The formal power was high during the normal period, however interpersonal support, self-efficacy and organizational commitment were high during the doctors' strike. Conclusion : Interpersonal support, self-efficacy and job satisfaction were change by working conditions, but organizational commitment was not changed by working conditions.

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A Study on Theory of Nurse Liability (간호사고의 원인과 그 예방)

  • Moon, Seong-Jea
    • The Korean Society of Law and Medicine
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    • v.5 no.1
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    • pp.622-660
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    • 2004
  • Medical services aren't done by doctors only but by different medical personnels. If any medical accident takes place, to what extent doctors, nurses and other personnels should respectively be liable for that should be determined. And when an employed doctor does any illegal medical act, his or her employer also should be responsible for that as a user. If a medical accident occurs, the victim or patient usually claims against the employer of the doctor sho causes the accident for compensation. And those who assist medical treatment, including nurses, should be liable for their own acts, but in case their doctor doesn't give any appropriate directions, the doctor should shoulder the liability. This indicates that nurses are also professional medical personnels, and that they should share the liability as well. There are lots of different medical personnels, but doctors and nurses are the pivot of team treatment, and nurses should also take responsibility for their services. Doctors and nurses are equal, as they are in pursuit of the same, namely, helping patients recover their health. Only their roles are different. If they respect each other and see each other as being responsible for their own roles, they will be able to consult together. Medical information on patients and nursing information should be shared by both of them, and patients should be provided accurate treatment and nursing services. If those who offer nursing services are unaware of required information due to conflicts with doctors, it might result in threatening the safety of patients. And in case any important information isn't properly conveyed between them, it might trigger a medical accident. Sophisticated and complex medical science requires medical personnels to be professional, and nurses as well as doctors need to be an expert. The fact treatment-related accidents take place often indicates that treatment is basically attended with danger. Furthermore, patients respond to all sorts of investigation and medicine in a different manner. They should be professional and knowledgeable to predict how they might respond and prevent any possible hazardous situations, and they are expected to have more knowledge in the future. Nonetheless, there aren't yet enough studies on the legal liability of nurses, and this study is expected to pave the way for future research on nurse liability against medical accidents.

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Interview Survey Methods for Moxibustion Treatment of Knee Pain, Neck Pain and Back Pain: Subject to Oriental Doctors in Seoul (슬통(膝痛), 경항통(頸項痛), 요통(腰痛)의 뜸 시술(施術) 방법(方法)에 대한 면접조사 -서울시 한의사를 대상으로-)

  • Lee, Young-Rye;Kim, Eun-Jung;Cho, Hyun-Seok;Lee, Seung-Deok;Kim, Kap-Sung;Kim, Kyung-Ho
    • Journal of Acupuncture Research
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    • v.28 no.2
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    • pp.1-11
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    • 2011
  • Objectives : The aim is to comprehend the difference of moxibustion used according to applied body parts (knee pain, neck pain, back pain) to oriental doctors running clinic in Seoul. Methods : A sampling of 288 oriental doctors running clinic in Seoul was done and the doctors were asked to fill out 20 questions by interviewing directly from Nov. 23. 2009 to Jan. 9. 2010. Results : The result shows that moxibustion was used for knee pain and back pain more than neck pain. The type of moxibustion mostly used was sticker moxibustion for all three symptoms. Burn marks were left mostly in knee and back pain. Most large volume of moxa was used to back pain. More than half of the oriental doctors used 1-3 acupoints for one procedure and on average 2-3 sessions was done. Patients with knee pain and back pain had more than 4 sessions compared to neck pain. Treatments were mostly done 3 times a week, and as for total treatment period, it took less than 1 week for acute symptom, and it took more than 1 week and less than 5 weeks for chronic symptom. Conclusions : This research shows that the method of moxibustion used differs according to the area of treatment(knee pain, neck pain, back pain) by survey of oriental doctors through direct interviews.

Consciousness on Co-operative Practices between Doctors Who Working in Cooperative Practicing Hospitals and General Hospital (협진병원 근무 의사들과 종합병원 근무 의사들의 양.한방 협진에 대한 인식도)

  • Ryu, Ji-Seon;Lim, Byung-Mook;Cho, Byung-Mann;Lee, Won-Chul;Yoon, Tae-Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.13 no.3
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    • pp.29-41
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    • 2009
  • Objectives : This study was performed to compare consciousness of doctors on cooperative practices of western medicine and traditional Korean medicine, and to provide policy implication for development of cooperative practices. Methods : The structured questionnaires were mailed to 132 doctors working in non-cooperative practicing university hospital and 77 doctors working in cooperative practicing hospitals in Busan metropolitan city. The response rate was 40.2% and 40.3% respectively. This survey was performed from 10 Oct. 2008 to 31 Oct. 2008. Results : The doctors working in general hospital had comparatively negative consciousness on basic concept, value and necessity for cooperative practices and traditional Korean medicine. In regards with disease treatment's effectiveness of cooperative practices, both groups evaluated musculoskeletal and immune disease were more effective than others. There were positive relationships between perception for cost-effectiveness and consciousness on intention to participate cooperative practices(p<0.05). Also doctors who experienced traditional medicine treatment had positive consciousness on cooperative practices(p=0.05). Conclusions : To activate cooperative practices of western medicine and traditional Korean medicine, some efforts should be carried out. These include promoting cooperative education programs in medical schools and traditional Korean medical schools, doing research on cost-effectiveness of cooperative practices, and trying to minimize legal and systemic restrictions for cooperative practices.

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The role of Medical Officers and Confucian Doctors in the 18th Century in Joseon (18세기 조선통신사 의관(醫官)과 유의(儒醫)의 역할 - 의학문답(醫學問答)을 중심으로 -)

  • Ham, Jeong-Sik;Kim, Nam-Il;Ahn, Sang-Woo;Park, Sang-Young;Cha, Wung-Seok
    • Korean Journal of Oriental Medicine
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    • v.13 no.1 s.19
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    • pp.19-27
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    • 2007
  • In the 18th Century, those who played most important role in international interchange of medical science between Korea and Japan were skillful doctors and doctors of Joseontongsinsa(Correspondents of Joseon called on Japan as a mission). But they have been truly neglected by researchers on history of Korea, even on history of Korean medical science. They were received warm treatment from Japanese. But They were at the most middle-class in social standing in Joseontongsinsa. Though they played important role, they were underpriced and their brilliant achievements were faded out. It is on account of their low social position in Joseon Dynasty, a strict class society. Samsa, Jesulkuan, and Seogi were members of Joseontongsinsa those who were high class in social standing and were good at writing. In general, they were also Confucian doctors in Joseon. In the case of Samsa, there was Seo Myungung who was famous Confucian doctor. And since 'dispatch principle of Jesulkuan' had been prepared, Jesulkuans had paticipated in questions and answers on clinical problems. In a broad sense, We can regard Lihyun, a Jesulkuan in 1711's mission, Shinyuhan, a Jesulkuan in 1719's mission, and Seogies of Samsa as Confucian doctors. Though they were not medical specialist, but we can find them as Confucian doctors through the questions and answers on clinical problems they were participated in.

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Telephone Survey for Developing Clinical Trial Protocol on Individualized Acupuncture Treatment for Knee Osteoarthritis (퇴행성 슬관절염의 맞춤형 침구 임상시험 프로토콜 개발을 위한 전화조사)

  • Seo, Byung-Kwan;Lee, Sang-Hoon;Seo, Jung-Chul;Lee, Seung-Deok;Kim, Sun-Woong;Choi, Sun-Mi;Kim, Yong-Suk
    • Journal of Acupuncture Research
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    • v.22 no.5
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    • pp.141-150
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    • 2005
  • Objectives : This study was accomplished in order to find out how Korean medical doctors take acupuncture prescription for knee osteoarthritis in clinical practice Methods : The survey questions were developed by the consensus from 4 professors and 10 residents who major in acupuncture & moxibustion for developing clinical trial protocol on individualized acupuncture treatment for knee osteoarthritis. 206 persons having more than 10 years experience were randomly selected from a list of Korean medical doctors. Telephone interviews with them were conducted by the well-trained interviewers between May 21 and May 27 in 2005. Results : 139 of 206 Korean medical doctors made an acupuncture prescription prior to treatment of knee osteoarthritis. 103 of 139 Korean medical doctors used both local and remote points, and 26 of them used remote points only, and 10 of them used local points only. In case of doctors who use remote points, the five element (45 of 129) or Saam (28 of 129) acupoints were used dominantly, and its was based on the pattern identification of the Jangbu organs related with the pain (56 of 129) or of the pain location (35 of 129). Conclusion : This study showed that Koran medical doctors prefer to use remote points such as five element or Saam acupoints based on the pattern identification of the Jangbu organs related with the pain or the pain location. These result may be useful for developing protocols for clinical trial on acupuncture on knee osteoarthritis.

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