• 한국병원경영학회지
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• 제9권2호
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• pp.46-75
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• 2004

This research anticipated on acknowledging the inpatients factors in choosing which hospital for the geriatric hospital and general hospital they would prefer to go to the analization of different factors in patients satisfaction, and the relation between satisfactory standards and the patients intentions on recommendation or re-visiting the hospital. The statistical data was based upon the 359 question and answer papers that were done by inpatients that were hospitalized in two geriatric hospitals and two general hospitals, and the methods used for analyzing were frequency, t-test, factor analysis, and hierarchical multiple regression. The results are as follows. 1. The factors on choosing hospitals between geriatric hospital and general hospitals were different. The priority for the geriatrics was kindness, and then considerate nursing, and the reliance of treatment. The patients of general hospitals looked first for reliance of treatment, reputation and history of the hospital, and the kindness of the staff. The kindness of the staff, good nursing, and easy procedures were the primary factors of choosing geriatric hospital. 2. The four primary factors in choosing which hospital patients would go to were the predominance of the facilities, kindness and convenience, the reliance and proximity of medical treatment, and recommendation. The patients in the geriatric hospital first looked for kindness and convenience, second the reliance and proximity of medical treatment, third predominance of facilities, and last recommendation. The general hospitals main priority was the reliance and proximity of medical care, second predominance of facilities, kindness and hospitality, and last recommendation. 3. The satisfaction rate was higher in the geriatric hospital compared to general hospitals, but the satisfactory of factors were very similar. Patients in the geriatric hospital were pleased with the hospital staffs kindness, quick nursing and the improvement of inconvenient matters, and clear diagnosis of the doctors. The general hospital patients were satisfied with the hospital staffs clear explanation and accurate diagnosis 4. The analysis in the satisfactory factors turned out to be the environment of the hospital, kindness of the staff, and convenience. Both the patients of the geriatric hospital and general hospitals were very pleased with the kindness of the hospital staff. Ranking second and third was convenience and service for the geriatric hospital, and environment of the hospital and convenience for the general hospital. 5. According to a rank of multiple recurrent analysis of the patients satisfaction and the intention of re-visiting in addition to intention of solicitation, in the case of a geriatric hospital, when the intention of re-visiting is the dependent variable, the first stage shows that the less insurance the patient has, the higher was the intention of re-visiting. In the second stage, the more satisfied the patient is of the staffs kindness, the higher was the intention of re-visiting. Further more, when the intention of solicitation is the dependent variable, the first stage shows that not all the independent variables were significant, but the second stage shows that the more satisfied the patient is of the staffs kindness and the hospital along with the medical treatment expenses, the higher was the intention of solicitation. 6. In the first stage of a rank of multiple recurrent analysis of the satisfaction of the general hospital and the intention of re-visiting, not all the variables were significant, but in the second stage, all the satisfaction by factors were significant. Moreover, when the intention of solicitation was the dependent variable, the first stage shows not all the variables were significant, but in the second stage, all the satisfaction by factors were significant. That is to say, in the case of a general hospital, the satisfaction of the hospital and the medical treatment expenses were high, and the more satisfied the patient is of the hospitals environment and the staffs kindness, the intention of re-visiting and the intention of solicitation was higher.

• 한국병원경영학회지
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• 제15권2호
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• pp.27-43
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• 2010

The present study was conducted to assess relative importance of hospital attributes considered by patients with spinal diseases in choosing specialty or general hospitals. A total of 230 patients hospitalized with spinal diseases in sampled study sites, including 2 specialty and 2 general hospitals, participated in a self-administered questionnaire survey from April 26 through May 8 2007. Patients were asked to rate the degree of agreement on each of the 15 attributes on a 5-point Likert-type scale (1 : strongly disagree, 5 : strongly agree) for which they chose the hospital because of that specific attribute. Based on a Factor analysis, the attributes were grouped into 4 : facility and environment, accessibility, interpersonal factor, and credibility. Both patient groups from specialty (mean scale score ; 3.75) and general hospitals (3.62) commonly considered 'credibility' to be the most important attribute, followed by 'facility and environment (3.05 and 3.21).' Logistic regression analysis showed that men(Odds ratio(OR)=0.333) and those with monthly income of $\geq$ 4 million won (OR=0.298) were less likely to choose specialty hospitals. Age groups of 30 to 39 years old (OR=5.140) and $\geq$ 60 years old(OR=4.761), and professionals (OR=5.207) tended to choose specialty hospitals. Patients expressing more importance on 'facility and environment' attribute were less likely to use specialty hospitals (OR=0.571), whereas those emphasizing 'accessibility' were more likely to use specialty hospitals(OR=1.487). The findings of significant difference in patient's demographic characteristics and consideration in hospital attributes would contribute to have a better understanding on patient's choice behaviour and to develop strategy to improve patient's satisfaction.

• 한국병원경영학회지
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• 제26권1호
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• pp.55-70
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• 2021

Purpose: The purpose of this study was to examine the influencing factors of the patient leaning phenomenon in tertiary hospitals. Based on the results of this study, we intended to find implications for improving the problems of the delivery system imbalance in tertiary hospitals caused by patient leaning phenomenon. Methodology/Approach: Qualitative studies were conducted, using focus group interviews and in-depth interviews. The focus group interviews were conducted for 12 users of tertiary hospitals by 2 groups. And in-depth interviews were conducted for 6 tertiary hospital managers. This was considered to be the most effective approach to gather diverse and in-depth information about the influencing factor of patient leaning phenomenon in tertiary hospitals. Findings: In focus group interviews, the reason for choosing tertiary hospitals was the reliability of the hospital(physician, reputation, etc.). And the effect of the policy to strengthen coverage of National Health Insurance and private medical insurance was relatively small. In other words, we found that the individual's desire to receive medical services suitable for one's health status and disease condition was the biggest factor, rather than the cost and policy factors. Practical Implications: We suggested that the appropriate medical care provision should be strengthened according to the role and function of medical institutions. In addition, the education system needs to be reorganized to activate the referral program, expand community medical capabilities, and foster quality primary medical care.

• 한국병원경영학회지
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• 제20권4호
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• pp.50-61
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• 2015

Advances in healthcare technology and rapid economic growth lead to the increased life expectancy and consequently the size of elderly population. Korea is one of the countries that are rapidly aging. Thus, it is particularly important to prepare for the aging society. Recently, the number of healthcare institutions for the elderly citizens has increased. The purpose of selecting a hospital for the elderly is, in general, maintenance of health rather than improvement of health receiving proper treatment. Unlike choosing a hospital for treatment, customers of a long term care hospital have a different set of factors to consider. Especially, when choosing a long term care hospital, the influence of patient's family is greater than the patient. This study examines the factors they consider for long term care hospital. A total of 198 questionnaires were collected from the families of actual patients of long term care hospitals. Twelve questionnaires were found to be non-usable because of missing and unsatisfactory responses. Consequently, 186 questionnaires were used for the analyses. Findings of this study are as follows. First, seven factors have been identified to consider when choosing a long term care hospital for the elderly. They include convenience of facilities, costs variety of facility programs, service hours, reputation, accessibility, quality of medical staff, medical facilities, and facility size. Second, This study measured both importance and satisfaction with these attributes and analyzed the difference between them. Satisfaction was lower than importance in the categories of convenience of facilities, costs, and programs, and accessibility. On the other hand, satisfaction was higher in terms of service hours, reputation, and quality of medical staff. Finally, the current study found positive impact of accessibility and quality of medical staff on reuse intention of a long term care hospital.

• 한국간호교육학회지
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• 제4권2호
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• pp.280-295
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• 1998

This study examines attitudes among nursing student, attitudes that give direction in life and effect the decision-making process when seeking employment. The exigency of which derives from the need to design a proper guidance program to assist students in their search for employment. Data was collected from a survey conducted between November 20 and November 25, 1995, the respondants of which were 120 nursing students without jobs. The data was analyzed by examining frequency, percentage, average, Chi-square, one-way ANOVA and t-test through an SPSS $PC^+$ program. The results of the study can be summarized as follows : 1) There are positive relationship between a student's academic major and employment(So responded 84.3% of the subjects with only 2.5% claiming that his major didn't matter). 2) Students believe that 'good jobs' are secured through aptitude. 'Good jobs' are seen as ones which develop an individuals abilities and which offer the opportunity for advancement. However they do not believe that 'good Jobs' contribute to society 3) Students have not been supplied the proper guidance and information necessary for finding employment. The student's life research institude, professor and assistants provide Insufficient information and counseling. Personal goals are decisive factors in determining what direction a student may take as well as the kind of employment he will seek. However, advice from parents, siblings, friends, alumni, professors, assistants and counselors is also considered. 4) Students do not think it reasonable to base their career decisions on one factor only(33.9% responded that aptitude and personal interests were the most important factor, and 14.9% that income was the key determinant). 5) Location and size of the hospital are important considerations when choosing a job. There is a preference for larger hospitals. 6) A lack of stability and few opportunities for advancement are perceived as the primary reasons for the possibility of leaving one's job.

• 한국산학기술학회논문지
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• 제18권8호
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• pp.88-98
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• 2017

본 연구는 최근 증가하고 있는 메디컬스킨케어에 맞추어 등장한 코스메슈티컬화장품을 사용하는 병원종사자의 제품선택이 마케팅커뮤니케이션에 미치는 영향에 대한 연구로 실시하였다. 코스메슈티컬화장품이 주로 사용, 판매되어지고 있는 병원의 병원종사자를 대상으로 코스메슈티컬화장품을 구매하는 소비자와의 불만에 대응하고 부정적 이슈의 영향을 최소화하여 소비자와의 우호적 관계를 강화할 수 있는 대안 마련에 필요한 자료를 얻는데 목적이 있다. 연구는 서울 경기 인천 지역의 병원(피부과, 성형외과, 여성의원, 기타병원)에서 코스메슈티컬화장품을 사용하는 병원종사자를 520명을 대상으로 설문조사를 실시되었다. 총 502부의 설문지가 최종분석에 사용되었으며, 데이터 분석은 Cronbach's ${\alpha}$, one-way ANOVA, 탐색적요인 분석 및 Duncan 테스트로 구성되었다. 또한 변수간의 상관관계를 조사하기 위해 상관분석을 수행하였고, 가설검정을 위해 회귀분석을 수행하였다. 본 연구의 결과로 코스메슈티컬화장품을 선택할 때 마케팅커뮤니케이션의 영향을 미친다는 것을 알 수 있으며 특히 제품의 가치, 품질, 가격 요인이 마케팅커뮤니케이션에 큰 영향을 미치는 것으로 보이고 있다. 즉, 제품의 가치 및 품질을 가장 중시함과 동시에 합리적인 가격을 원하는 것을 알 수 있다. 이를 고려하여 향후 코스메슈티컬화장품만의 차별화된 제품을 추구하고 트랜드의 변화양상에 맞추어 코스메슈티컬화장품의 잠재고객 확보 및 판매증대에 필요한 기초자료로 제공하고자 한다.

• 치위생과학회지
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• 제10권1호
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• pp.45-54
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• 2010

본 연구는 일반치과환자의 대상으로 일반적 특성에 따른 치과 의료기관 선택요인에 관한 중요도와 치과의원과 치과병원의 선택에 중요한 영향을 미치는 정보를 제공하고자 2009년 8월부터 9월까지 조사 한 것으로 SAS(ver 9.1)분석결과 다음과 같은 결론을 얻었다. 1. 일반적 특성에 따른 치과의료기관 선택요인에 관한 중요도를 비교한 결과 연령대에 따 라서 거리, 교통, 주차편리 같은 거동이나 이동성의 편리를 중요하게 생각하고, 최종 학력에 따라서는 치과소문요인의 중요도가 높으며,(p<0.05) 직업에 따라서는 치과소문, 주차편리의 중요도에 유의한 차이가 나타났다.(p<0.05) 소득에 따라서는 전문의 수련 여부요인이 200만원 미만인 집단보다 500만원이상인 집단이 통계적으로 높게 나타났다.(p<0.05) 2. 대상 치과의원을 방문한 환자들의 방문경로는 소문이 23.7%로 가장 많았으며 다음으로 의료진 및 직원의 소개, 가족의 권유가 각각 17.7%로 나타났는데 이는 인터넷이 발달해 있는 지금도 소문이나 가족의 권유 등 구전의 효과가 크다는 것을 알 수 있다. 3. 추천도에 영향을 미치는 요인에서는 Model I에서는 의료진 실력 우수(p=0.013), 의료 정보 획득 편리(p=0.014), 예약제도 편리(p=0.029), 최신시설(p=0.001), 고가 치료비(p=0.027)은 통계적으로도 유의한 결과를 보였으며, Model II에서는 인테리어(p=0.009), 치과 이름(p=0.027)은 통계적으로도 유의한 결과를 보였다. 4. 재이용 의사에 영향을 미치는 요인에서는 Model I에서는 의료정보 획득편리(OR=0.64)와 고가의 치료비(OR=1.74)가 통계적으로 유의한 결과를 보였으며, Model 에서는 야간 및 공휴일 진료여부(OR=1.47)가 통계적으로 유의한 결과를 보였다.

• 대한영양사협회학술지
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• 제5권2호
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• pp.194-204
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• 1999

The objectives of this study were to assess the current practices of implementing selective menus and to identify the perception of foodservice manager and customer on selective menus for hospital foodservice would be fulfilled. Two types of questionnaires for hospital foodservice managers as well as customers were developed. Questionnaires were distributed to managers of 8 hospital foodservice department and 317 customers of patient meal service, and 6 managers and 139 customers were responded. The data were analyzed using frequency and t-test. The results of this study can be summarized as follows : 1. In hospital foodservice operations, the selective menu pattern was first introduced by L hospital on June 1994 in Seoul and recently 8 hospitals were currently implementing selective menus. But using rate of selective menus by patients were relatively low(23.2%), ranging from 15% to 32%. 2. Customers' needs for selective menus were rated significantly higher in the group of patients(4.24/5) who chose the selective menus than their counterpart(3.88/5). 3. The main reason not choosing selective menus was identified by patients as 'not knowing the implementation of selective menus'(52.6%), inconvenient factors in using selective menus for customer were also identified as orders : 'lack of nutrition information on menu item'(38.6%), 'complexity in procedure'(29.8%), and 'lack of menu variety'(26.3%). However managers considered 'managerial burden' and 'limited human resource' as main obstacle to implement the selective menu pattern. 4. Customers indicated 'variety of menu', 'active public relations' as effective methods to enhance using rate of selective menus, however, foodservice manager indicated 'variety of menu'(50%), 'improvement of quality'(16.7%), and 'simplicity in procedure'(16.7%). Based on the results of this study, following recommendations have been suggested : Managers in patient meal service should recognize customer needs for implementing selective menus and pay more attention in implementing selective menus and activating this program. For more effective implementation of activating selective menu program, the foodservice department should establish action plan on 'active publicity work', 'simplicity in procedures', 'variety of menu' and 'improvement of quality'. Especially nutrition informations on meals should be provided for customers in order to elevate participation rate.

• 한국지역지리학회지
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• 제3권2호
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• pp.163-193
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• 1997

복지사회를 지향하는 오늘날, 건강 중진에 직접 관계되는 의료시설의 접근성 문제는 주요 과제이다. 특히 삶의 질이라는 측면에서 질병의 치료 외에 건강진단, 예방과 회복, 요양 및 응급서비스의 비중이 커지고, 인구의 노령화 현상이 진전되면서 의료시설의 효율적인 입지가 주 관심사로 대두되고 있다. 의료시설은 주민의 생존과 직접 관계되는 기본적이고도 필수적인 중심시설로, 지역 주민은 균등한 혜택을 받을 수 있어야 한다. 이를 실현시키기 위해서는 기본적으로는 효율성과 평등성을 기반으로 1차 진료기관이 균등 분포해야 한다. 이에 본 연구에서는, 광주시를 사례지역으로 선정하여 의료시설의 입지와 그에 대한 주민의 효율적 이용에 관하여 분석하였다. 분석에 있어서는 통계자료와 기존의 연구 성과 외에 설문 및 현지조사 자료를 기반으로 시설 측면과 이용자 측면을 동시에 고찰하였다. 우선 의료 환경의 변화 및 의료시설의 변화 과정을 고찰하고, 이어서 의료시설의 유형별 입지 특성과 주민의 분포 특성을 고려한 지역별 의료수준을 분석하였다. 그리고 유형별 의료시설의 이용행태와 그 요인을 구명한 후, 마지막으로 장래 이용 유형의 예측과 문제지역의 추출, 나아가서는 시설의 합리적인 입지와 경영 방향을 제시하였다. 본 연구 결과는, 앞으로 신설될 의료시설의 적정 입지에 관한 기본 자료로서는 물론 지역 주민의 불평등성 해소라는 응용적 측면에서 의의를 지닌다.