• Title/Summary/Keyword: Hospital Administration

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The Economic Evaluation of Outpatient-chemotherapy administration model (외래 항암 화학요법 주사실 모델의 적정성 분석)

  • Song, Jung Hup
    • Quality Improvement in Health Care
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    • v.11 no.1
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    • pp.16-30
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    • 2004
  • Background: Although the number of cancer patients increase, the resources for cancer management are not increased. If the outpatient chemotherapy administration room is operated, the shift of patients from inpatient 10 outpatient is occurred. So the capacities for chemotherapy increased and the shifted rooms were occupied with new non-chemotherapy patients. The income of the hospital increased. The purpose of this study was to assess usefulness and cost-effectiveness of the outpatient-chemotherapy adminstration model. Method: There are six beds, two chairs and two nurses and one personnel in the outpatient chemotherapy room. The satisfaction study by patients/family and doctors and the cost analysis over 12 months, by comparing costs of chemotherapy administration at outpatient chemotherapy room with inpatient at ward and inpatient-nonchemotherapy at ward were done. Results: The 97.1 percent of patients/family and the 94.4 percent of doctor who involved chemotherapy were satisfied with outpatient chemotherapy administration. The 91.7% of doctors said there were no differences in treatment outcome between outpatient and inpatient chemotherapy administration. The average number of patients in outpatient chemotherapy room increased from 10.7 to 15.4 but in inpatient from 19.4 to 18.3. The average number of inpatient chemotherapy were not changed related to increase of the average number of outpatient chemotherapy. The profit between outpatient chemotherapy and inpatient chemotherapy administration was 45,344,710 won and the profit between outpatient chemotherapy and non chemotherapy treatment was -185,294,614 won. Conclusion: The outpatient chemotherapy administration model is good for patients/family, doctors and hospital partially. But the hypothesis described above was not correct. The process of cancer patients treatment were from diagnosis and treatment to first administration of chemotherapy. So the shift from inpatient to outpatient was not occurred. In economic aspect, the profit between outpatient chemotherapy and non chemotherapy treatment was in the red. As the level of health care fees was so low, the hospitals hesitate operating the room of outpatient chemotherapy. It is necessary to raise the level of health case fees for outpatient chemotherapy administration.

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A Study on the Corporatee Governance Structure for-Profit Hospital -Focusig specially on the outside Director in Commercial Code-

  • Jeun, Young-Ju;Lee, Hye-Seung
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.12
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    • pp.173-178
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    • 2016
  • In this paper many discussions are raised regarding the outside director system in order to establish the position of the outside director within institutional organizations and to review ways to activate the outside director system in for-Profit Hospital. it seems to be more desirable in Korea for each company to establish an efficient system by itself in accordance with suggested guidelines suitable for each for-Profit Hospital management circumstances rather than to apply a unilateral outside director system to for-Profit Hospital through legalization. In this regard, while keeping the current outside director system for the time being, it is necessary to review and improve the management status of companies and the usefulness of the system, and various recommendations from lawyer associations, Hospital business associations, and academia should be allowed rather than just for-Profit Hospital recommendation by the government.

Analysis of Total Hospital Charges, Length of Stay, and Cost of Rehabilitation by Hospital and Stroke Type (의료기관별 뇌졸중 유형에 따른 진료비, 재원일수 이학요법료의 차이분석)

  • Kim, Sun-Mi;Kim, Da-Yang;Lee, Kwang-Soo
    • The Korean Journal of Health Service Management
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    • v.11 no.1
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    • pp.91-105
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    • 2017
  • Objectives : This study analyzed the differences in length of stay(LoS), total hospital charges(THC), and cost of rehabilitation(CoR) between two types of stroke patients, intracerebral hemorrhage(ICH) and cerebral infarction(CI). Factors associated with these differences were also assessed. Methods : Data were obtained from the 2011 National Inpatient Sample data of Health Insurance Review and Assessment Service. We used propensity score matching to match the characteristics of the two types of stroke patients, and conducted a regression analysis to analyze their associations. Results : The differences between THC, LoS, and CoR by stroke and hospital types were shown. Each type of hospital showed different results. Conclusions : A rapidly aging population will accelerate the number of stroke patients requiring effective management. Studies evaluating healthcare utilization of stroke patients will provide evidence for both healthcare resources allocation and healthcare policy decisions.

Comparision for Hospital P. R. Activities among Large General Hospitals (병원홍보실태에 대한 비교연구)

  • Lee, Hae-Jong;Na, Yu-Mi;Shin, Hee-Young
    • Korea Journal of Hospital Management
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    • v.1 no.1
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    • pp.1-20
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    • 1996
  • This study is purposed to compare PR activities among the 5 large hospitals in Seoul and Kyonggido. The research methods are used in interview survey for employees and Questionnaires survey for patients or their relatives. The 427 patients or their relatives(response rate: 85.4%) were surveyed. The hospital which is below, is more active than any others in special PR activities. 1. Distribution of hospital information books: E, P, A 2. Distribution of calendar: P 3. Broadcast in hospital: E 4. Education of employees about PR : E, A 5. Education of employees about service: all hospitals are active. The PR sectors are organized under the Department of planning(S,J,E) or CEO(P,A). And the budget of PR activities is almost a similar level among all. The degree of recognition and utilization for PR activities is not different among hopitals by the sociodemographic variables of patients. And the average of correlation ratio between recognition of each hopital's PR activities and its utilization is 62.01%(range:51.29%-67.98%) average.

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A Study on the Relationship between Patient Clothes and Hospital Satisfaction (환자복과 병원만족도의 관계)

  • Jin, Ki-Nam;Kim, Yeon-Hee;Joo, Hyun-Sil
    • Journal of the Korean Society of Clothing and Textiles
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    • v.34 no.7
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    • pp.1197-1204
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    • 2010
  • This study analyzes the effect of patient clothes on hospital satisfaction. We conducted a survey on 272 patients from June 12 to August 14 in 2009. For the statistical analysis of data, t-test, ANOVA, and hierarchical regression analysis were used. The results of the study were as follows. First, the clothing satisfaction of patients depended on age and gender. Elderly patients were more satisfied with patient clothes compared to younger patients and patients with low educational backgrounds were more satisfied with patient clothes. Second, the effect of patient clothes on hospital satisfaction was statistically significant even after controlling for other factors. Third, the effect of patient clothes on hospital satisfaction depended on the age of the patient. In the case of young patients, the hospital satisfaction level increased sharply when they were satisfied with patient clothes.

Determinants of the Intent to Use a Wireless Technology of a University Hospital Nurses (일개 대학병원 간호사의 무선정보기술 사용의도 영향 요인)

  • Lee, Eun-Ju;Seo, Young-Joon;Kim, Yeon-Hee;Oh, Ji-Young
    • Health Policy and Management
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    • v.20 no.3
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    • pp.58-72
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    • 2010
  • The purpose of this study is to investigate determinants of intent to use a wireless information technology(WIT) of University Hospital Nurses. The independent variables used in the study are usefulness, compatibility, social environment, perceived readiness, technical readiness, organizational readiness and socio-demographic characteristics. The dependent variable is the intent to use a wireless information technology(WIT). The sample used in this study consisted of 297 nurses selected from a university hospital located in Wonju, Gangwon-do, Korea Data were collected with self-administered questionnaires and analyzed using multiple regression analysis. The results of the study revealed that 5 independent variables of usefulness, compatibility, perceived readiness, technical readiness, and organizational readiness were found to have significant effects on the nurses' intent to use a WIT. As a conclusion, it is important to make organizational, clinical, and technical environment WIT-friendly prior to applying WIT to hospital nurses. In addition, it is also important to provide an education and training for nurses to improve their skill of using WIT and to make the new WIT compatible with the existing nursing information system.

The Analysis of Factors affecting Workers' Knowledge Sharing Intention in a University Hospital (일 대학병원 근로자의 지식공유 의도에 미친 영향분석)

  • Lee, Hyun-Sook;Kim, Young-Hoon;Lee, Hae-Jong;Kim, Young-Bae
    • Korea Journal of Hospital Management
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    • v.18 no.4
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    • pp.131-144
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    • 2013
  • The purpose of this study is to analysis factors affecting workers' knowledge sharing intention in a hospital. This study is based on personal factors such as perceived incentives, perceived reciprocal benefits, perceived behavioral control, and subjective norm. Also, there are organizational factors such as organizational climate, CEO's support, rewards system, trust, and IT system. Data were assessed using 107 employees who work at C university hospital in Chunkcheong-do and collected with self-administered questionnaires from April 1 to 13 in 2013. This study was analyzed SPSS 18 by using frequency and multi regression analysis. The results of the study were as follows. First, knowledge sharing intention among personal factors was statistically significant in perceived behavioral control. Second, the awareness of knowledge sharing intention among organizational factors was turned out to be positive effect for CEO's support and trust. This study was identified a couple of factors affecting knowledge sharing intention between personal and organizational factors. The the implications of these factors are discussed and areas for developing hospital management strategies are fostered knowledge sharing.

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Effect of Hospital Selection Factors on Patient Satisfaction and Reuse Intention (병원선택요인이 환자만족도 및 재이용에 미치는 영향)

  • Shim, Gyu-Beom;Kim, Min-Ho;Kim, Weon;Shin, Moon-Ju
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.37-48
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    • 2014
  • This study was performed to identify effects of hospital selection factors on patient satisfaction and reuse intention. For this purpose, a survey was performed subject to outpatients and inpatients in 10 hospitals located in Busan district from March 7, 2013 to June 21, 2013 and total 447 copies were used as final study data. As results of this study, it was found that among the hospital selection factors of outpatients, internal conditions and medical service gave effects to patient satisfaction and internal conditions, service of medical staffs and medical service gave effects to reuse intention. It was found also that among the hospital selections factors of inpatients, internal conditions, service of medical staffs and medical service gave effects to patient satisfaction and external conditions, internal conditions, service of medical staffs and medical service gave effects to reuse intention. It was suggested that in the effect of patient satisfaction on reuse intention, both inpatients and outpatients gave the effect and thus higher patient satisfaction was related to higher reuse intention. Therefore, instead of hospital-centered medical treatments, hospitals should restructure its medical and service systems that are patient-centered. Also, it is necessary for the hospital managers to recognize that patient satisfaction is an important factor in increasing its profit.

Study on the Trend of Medical Departments in Hospitals (중소병원의 개설 진료과목의 추세분석)

  • Moon, Kyeong-Jun;Lee, Kwang-Soo
    • The Korean Journal of Health Service Management
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    • v.6 no.3
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    • pp.67-74
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    • 2012
  • This study analyzed the trend of relationship between hospital departments. Hospitals directory issued by Korean Hospital Association in 2009 was used to collect the study sample data. The study sample used 188 hospitals established during the four years from 2005 to 2008, and bed size, establishment year was identified in the directory. Population variable in 2009 was taken from the website of Statistics Korea. SAS 9.2 was used for the statistical analysis. In regression analysis, year of establishment (2008) was statistically significant in explaining the number of hospital departments. Hospitals established in 2008 showed significant positive number of department than other years. Study hospitals showed increasing number of hospital departments during four years. Further study will be needed to analyze the effects of hospital departments on their performances.