• 보건행정학회지
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• 제24권2호
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• pp.153-163
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• 2014

Background: This study aims to explore the effects of quality of care, image, and role performance perceived by community residents on medical service satisfaction to public hospitals. Methods: The subjects of this study were selected in the community residents around 39 district public hospitals. The questionnaire were included 4 factors and 16 items. The data were collected utilizing call-interview by a survey company. Results: The community satisfaction was positively correlated with quality of care, image, and role performance of public hospitals (p<0.001). As the results of multiple logistic regression, the significant variables of community satisfaction were quality of care (odds ratio [OR], 1.353; 95% confidence interval [CI], 1.211 to 1.511), image (OR, 1.487; 95% CI, 1.280 to 1.727), role performance (OR, 1.240; 95% CI, 1.085 to 1.416) among subjects having use experience of public hospitals. The significant variables of community satisfaction were quality of care (OR, 1.240; 95% CI, 1.175 to 1.309), image (OR, 1.328; 95% CI, 1.232 to 1.432), age (OR, 3.051; 95% CI, 1.385 to 6.724), monthly incomes (OR, 0.420; 95% CI, 0.198 to 0.892) among subjects not-having use experience of public hospitals. Conclusion: Public hospitals have to effort to improve image and satisfaction of community through providing quality of care, and role performance. It is possible to support them by the central and local government.

• 한국병원경영학회지
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• 제28권4호
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• pp.23-32
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• 2023

Purposes: Caregivers are placed in a poor working environment because there is no special legal basis or definition in the current medical system, and they have difficulty in supplying manpower due to frequent job change and retirement. Therefore, this study aimed to find out the effect on job consciousness, job stress, job satisfaction, and turnover intention of caregivers in nursing hospitals for the elderly. Methodology: In this study, a survey was conducted from May 2nd to 16th, 2022, targeting caregivers with more than 6 months of work experience working at 10 nursing hospitals in D City. Data were collected through convenience sampling, and a self-administered questionnaire method was used, in which subjects filled out a questionnaire. A total of 240 questionnaires were distributed, and 220 copies were considered for the final analysis after excluding non-response or inappropriate questionnaires for data use. Data analysis used t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis, and the main results are as follows. Findings: Job stress and job satisfaction showed a significant correlation with the level of turnover intention, and were also found to be major determinants. On the other hand, among the occupational characteristics of the study subjects, employment type, job motivation, service period, number of patients, injury experience, and license status showed a significant difference from turnover intention. Conclusion: As a result of the above research, in order to prevent job turnover and retirement by improving job stress and job satisfaction of caregivers engaged in nursing hospitals, it is necessary not only to legalize caregivers, but also to secure an appropriate level of caregivers for nursing hospitals and improve specific treatment for caregivers. Ultimately, a policy alternative that can provide quality nursing service is required.

• 농촌의학ㆍ지역보건
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• 제35권3호
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• pp.239-248
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• 2010

우리나라 20세 이상 성인 37,108명을 대상으로 노동형태와 성별에 따른 이중적 문제를 동시에 가지고 있는 여성육체근로자의 건강수준과 의료 이용을 분석한 결과, 여성의 만성질환의 유병률이 남성보다 높고, 특히 여성 육체근로자의 만성질환 유병률, 미치료율, 건강행태가 남성보다 좋지 않게 분석되었다. 그리고 만성질환 유병률과 미치료율, 건강행태의 육체근로 여부별 차이는 남성에서보다 여성에서 더 큰 것으로 분석되었다. 의료이용에 대해서도 외래방문횟수에서는 유의한 차이가 없었으나 여성 육체근로자의 외래진료비가 여성 중에서 가장 적은 것으로 분석되었다. 따라서 여성 육체근로자의 건강수준이 낮음에도 불구하고 적절한 의료이용을 하지 못하는 건강불평등상태에 있을 가능성을 보여주었다. 그러므로 건강불평등을 해소시키기 위해서는 육체근로자에 대한 정책적 배려 이외에도 여성 육체근로자에 대한 배려가 추가로 고려되어야 할 것으로 보인다. 그러나 이 연구는 노동형태별, 성별 차이를 분석함에 있어 연령이외에 건강수준과 의료이용에 영향을 미치는 다양한 환경적, 경제적, 사회적 요인들이 통제하지 못하였으며, 자료수의 한계로 만성질환의 의료이용과 일부 행태만을 분석하고 있고, 연구 자료의 수집연도가 오래되어, 연구 결과의 해석에 주의가 필요하다.

• 보건행정학회지
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• 제12권4호
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• pp.18-33
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• 2002

This study was planned to investigate the difference in the choice of services between western and oriental medicine. Data were collected from 493 outpatients who visited the D hospital by structured questionnare. The results were as follows; The older aged groups, there were the more oriental medicine visitors, significantly Oriental medicine visitor had more experience to use the complementary food than western medicine visitor. In comparison of reason for service choice, the proportion of oriental medicine visitors was higher than western medicine visitor in considering of specialty of institution. In contrast, western medicine visitor had interest to 'newly-developed facility and equipment' and 'convenience and accessibility of service' as factor of service choice. In analysis of evaluation the service experiences, oriental medicine visitors evaluated the oriental medicine highly in 'therapeutic efficacy' and ' less side effect'. But western medicine visitor evaluated the western medicine highly in 'quick effect of therapy' and ' scientific apprach'. We concluded from result that there were difference in service choice behavior between western and oriental medicine visitor. We hope that these information will be applied to planning of consumer-oriented marketing strategy of hospital.

• Journal of Yeungnam Medical Science
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• 제40권1호
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• pp.58-64
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• 2023

Background: A group health service is a system that delegates workplace health management to an entrusted institution. There have been various studies on group health services to date, but recent changes, such as an increase in foreign workers, are rapidly changing industry characteristics. Methods: Satisfaction was assessed using a 27-question survey distributed among 203 workplaces employing health professionals. The survey items consisted of general characteristics, comprehensive satisfaction, requirements for health professionals' work, and satisfaction with work environment management, ergonomic management, and healthcare management. Multiple regression and frequency analyses were performed. Results: The comprehensive satisfaction was 4.08 points on average, out of 5. The comprehensive satisfaction of health professionals in the industry was positively correlated with each factor. Hazardous materials and chemical management (material safety data sheets, MSDSs) were the most common requirements. Conclusion: A low level of satisfaction with work environment management indicates high demand for healthcare management. The working environment should be improved by identifying characteristics of the workplace, examining harmful substances, inspecting equipment, and enhancing worker methods. The shorter the work experience of health professionals, the more dependent they are on group health services. The variables affecting comprehensive satisfaction were the period of work, healthcare management satisfaction, and work environment management satisfaction. Most of the requirements of health professionals in the workplace were practical improvement case presentations, MSDSs, and legal document management.

• 한국산학기술학회논문지
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• 제17권2호
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• pp.343-350
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• 2016

구강건강 삶의 질에 영향을 미치는 구강건강관리행태를 파악하여 중국인 유학생의 구강건강 삶의 질을 향상시키기 위한 방안을 마련하고자 전북 소재 대학교 중국인 유학생 236명을 대상으로 2013년 4월 2일부터 5월 9일 동안 자기기입식 설문조사를 실시한 결과 65.3%가 1년 이내 치과내원 경험이 없었으며, 82.6%가 1년 이내 치석제거를 받지 않았고, 68.2%가 구강보건교육을 받은 적이 없는 것으로 나타났다. 일반적 특성에 따른 OHIP-14는 학년, 건강보험 가입여부, 유학생활 만족도에서 유의한 차이가 있었고(p<0.05), 구강건강관리행태에 따른 OHIP-14는 주관적인 구강건강상태, 1년 이내 치과내원 경험과 치석제거 경험에서 유의한 차이가 있었다(p<0.05). 구강건강 삶의 질에 영향을 주는 요인으로는 주관적인 구강건강 상태와 1년 이내 치석제거 경험으로 나타났다(p<0.05). 중국인 유학생들의 구강건강 문제 발생 시 의료기관의 편리한 이용을 위해 자국어 번역 안내서 및 의료 전문 통역자의 배치와 대학 차원에서 학교구강보건실의 운영 및 구강건강증진을 위해 실질적으로 도움이 되는 구강보건교육이 요구된다.

• 보건교육건강증진학회지
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• 제25권4호
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• pp.43-54
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• 2008

Objectives: To identify the willingness of laypersons to perform the cardiopulmonary resuscitation(CPR), we analyzed their characteristics of socio-economic status and health-medical conditions associated with their willingness. Methods: Based on a health survey of Incheon Metropolitan City adults(N=5,114), tests of the differences between a group with willingness to perform CPR(=1,531) and a group with non-willingness to perform CPR(=3,583), and a logistic regression analysis of two groups were executed on socio-economic status-gender, age, marital stats, education level, jobs, and monthly household income-and health-medical conditions-CPR-related self-confidence, CPR education, chronic diseases, accident experience, EMS(emergency medical service) experience, and health status. Results: The rate of the willingness group was 29.9%, which was relatively lower than other developed countries. There were statistically significant differences between the willingness group with the non-willingness group on gender, age, jobs, CPR-related self-confidence, CPR education, and so on. Furthermore, Gender, age, students or armed forces among jobs, CPR-related self-confidence, and CPR education were statistically significant influential factors on the willingness to perform CPR. Conclusion: This study indicated that there was considerable variation in socio-economic status and health-medical conditions associated with willingness to perform CPR in Incheon. The CPR education aimed at increasing CPR-related self-confidence and correcting inaccurate perceptions of CPR attitudes would promote its use in response to out-of-hospital cardiac arrest.

• 보건행정학회지
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• 제19권1호
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• pp.62-80
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• 2009

The purpose of this study was to examine the factors influencing the attitude toward the increasing role of private health insurance(PHI). In the Korea Welfare Panel Data 2007, a sample of 1,675 (adjusted by weight value: 1,607) respondents on an opinion on promoting PHI was used in the study. With independent variables including socio-demographic characteristics, health status, health-related behavior, and opinions on welfare service, ordered-probit model was used to analyze the attitude toward PHI. Negative opinion on the increasing role of PHI were responded by 54.6%(n=877) of the respondents, whereas 22.2%(n=373) were positive and 23.2%(n=357) were neutral. Old people, the better off, those with worse self-assessed health status, and those having an experience of health examination tend to have the positive attitude toward the increasing role of PHI. Women, those with chronic diseases or disorders and those who do not agree that comprehensive welfare benefits reduce work incentive showed negative attitude toward PHI. When comparing the needs for PHI before and after medical utilization, ex-ante need tends to strengthen the tendency to support private health insurance. This study will contribute to the discussion on the optimal mix of public and private health insurance in Korea by a better recognition of attitude toward PHI and health care system.

• 보건행정학회지
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• 제18권1호
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• pp.21-42
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• 2008

This study investigates economies of scale, cost complementarity and economies of scope for healthcare organizations using econometric approaches. The economies of scale appear to exist in each service provided by a hospital such as inpatient treatment services, outpatient treatment services, and other patient treatment services, respectively. When we test all services in aggregate level, it also indicates that the healthcare industry on average exhibits the economies of scale of 6 percent, which implies that scaling up hospital sizes will bring substantial cost savings to them Evidence shows that cost complementarity exists between outpatient services and other services for patients and, i.e., these other services for patients experience the reduction in marginal costs as the outputs of the outpatient services increase. For the economies of scope, they are present in most service areas; aggregate level services, outpatient services, and other services for patients, respectively. Inpatient treatment services, however, do not show any evidence of the economies of scope. Results show that the economies of scope are achieved by the general hospital type that provides all service areas such as inpatient treatments, outpatient treatments, and other services for patients. The existence of the economies of scope provides the rationale for extending the existing line of business in a hospital into more diverse areas of services where its benefit comes in the form of cost savings. In sum, it overall provides evidence that the M&As in this industry are encouraged to achieve cost reductions from the economies of scale and scope by changing the size and the output mix.

• The Journal of Korean Physical Therapy
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• 제30권4호
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• pp.151-157
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• 2018

Purpose: This study was conducted to identify the characteristics of physical therapy service utilization and user satisfaction depending on the experience with therapeutic exercise or ultrasound intervention among elderly persons using senior centers. Methods: The subjects were adults aged over 60 years (total 215) recruited in 40 senior centers located in each province in South Korea. Subjects responded to questions concerning overall demographics factors, utilized characteristics of physical therapy service and 12 variety user satisfactions with effectiveness, facilities, and therapist using a survey instrument. The collected data were analyzed by Fishers' exact tests and t-tests using the SPSS 21.0 program to compare the results of elderly persons who had or had not experienced exercise therapy or ultrasound therapy. Results: The participants that experienced ultrasound therapy or therapeutic exercise reported significantly higher overall results pertaining to effectiveness of physical therapy and a clear explanation from physical therapist's satisfaction than those who were non-experienced. Satisfaction with pain relief was significantly higher among elderly who experienced therapeutic exercise than those who did not. Those who underwent ultrasound therapy showed significantly higher satisfaction with facilities and location than those who did not. Conclusion: The results of this study suggest that satisfaction among users differs by type of physical therapy. In the future, physiotherapy services provided in senior centers needs to be designed to improve the effectiveness of physical therapy, professionalism of physical therapists and comfort of facility.