• 보건의료산업학회지
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• 제8권4호
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• pp.13-24
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• 2014

This study analyzes the effects of hospital caseload on medical charges and length of stay for inpatients. Hospital caseload, representing the level of concentration of patients, was measured with the Internal Herfindal Index for three diagnosis related group (DRG) codes (appendectomy, operations on anus, and operations on uterus and adnexa). Ordinary least squares regression was used for analysis. Results showed that medical charges per inpatient and average length of stay significantly differed with respect to hospital concentration indices, and that hospital caseload was inversely related to operational performance for appendectomy and operations on uterus and adnexa. The significant negative relationship between concentration index and length of stay may decrease the total medical charges. The results imply that the expansion of the DRG payment system to hospitals will have a negative influence on their gross sales.

• 한국병원경영학회지
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• 제19권2호
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• pp.55-65
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• 2014

The objective of this study is to identify the effect of brand evidence on customer satisfaction, and the effect of customer satisfaction on brand verdict in case of hospital management. To achieve this objective, 250 hospital customers were surveyed in Busan and Gyeongnam province. Of these, 220 respondents were used for the analysis. The research results show that brand name, employee service, core service and feelings have a positive effect on customer satisfaction. However, services cape failed to affect customer satisfaction.

• 한국병원경영학회지
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• 제20권2호
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• pp.57-71
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• 2015

In this research, by confirming the path relation between the patient's perceived quality of the medical service and their revisit intent, and by investigating the adjustment effect of the customer's trust of the hospital between the quality of the medical service and the image of the hospital and the revisit intent, this research has the objective of presenting basic data and documentation for the establishment of both a positive hospital image to medical care customers and also a differentiated medical service marketing strategy. The deduced results of the research are as follows. First, the quality of medical service was shown to have a significant influence on the image of the hospital, and second, the quality of medical service was shown to have a significant influence on the revisit intent, but only on certain dimensions. Third, it could be confirmed that there was a partial adjustment effect on the customer's trust of the hospital from the relationship between the revisit intent and the image of the hospital and its quality of the medical service. Finally, it was confirmed that the image of a hospital had a very significant influence on the revisit intent.

• 약학회지
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• 제49권5호
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• pp.399-404
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• 2005

To investigate drug interaction, 23,536 prescriptions published for 1 year were investigated with 'Drug Inter­action Fact 2002'. Dispensing records and a database file written in a local general hospital in South Korea were used as a sample. The number of total cases of drug interaction was 3,238 ($13.76\%$) out of 23,536 prescriptions. The incidence of drug interaction in each prescription the children, the adults, and the elderly were $1.33\%,\;10.97\%,\;25.50\%$, respectively. The incidences of drug interaction per each prescription were $22.03\%,\;20.52\%,\;0.51\%,\;and\;0.36\%$ in neurosurgery, internal med­icine, pediatrics, and orthopedics, respectively. In neurosurgery and internal medicine, risk-high drugs of drug interaction such as antihypertensive drugs, diuretics, and cimetidine were used very often in elderly. In this paper, several suggestions to reduce drug interaction were postulated with regard to the usage of analgesics, non-steroidal antiinflammatory drugs, and antibiotics.

• 한국병원경영학회지
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• 제18권4호
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• pp.145-165
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• 2013

The researches on corporate social responsibility(CSR) focused mostly on its effects on financial performance or consumer's behavior. However relatively few studies have dealt with employee's attitude towards CSR. The purpose of this study is to analyze determinants of hospital employee's attitude towards CSR. The data were collected from 163 employees at a general hospital in Gyeonggi-do from June 18 to July 18 in 2012. For the statistical analysis of data, t-test, ANOVA, and hierarchical multiple regression analysis were implemented. The result of hierarchical multiple regression analysis shows that first, perceived management support and direct benefits were positively related to the attitude towards the acceptance of CSR while interruption of work was negatively related. Second, as interruption of work was controlled, the statistically significant relationship between clinical department and attitude towards the acceptance of CSR was disappeared. In order to accommodate CSR in hospitals, first, the enterprise-wide support is more effective rather than expecting the action of each employee. Second, hospitals should provide the education about CSR to let employees expect direct benefits such as improving of their moral sense. Third, the burden of work causing interruption needs to be managed to cause employees to accept CSR.

• 한국컴퓨터정보학회논문지
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• 제20권12호
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• pp.53-59
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• 2015

In this paper, we developed a Hospital Information System in which the business process is formalized and a wire/wireless integrated solution is used. This system consists of the administration office program, the medical office program, the ward management program and the rounds management program. The administration office program can enroll and accept patients, issue and reissue the RFID card. The medical office program inputs a medical examination and treatment, outputs a diagnosis, requests a hospitalization, retrieves the record of a medical examination and treatment, assigns the corresponding examination room to the accepted patients, and updates the number of an waiting patient and a patient number according to the examination room on real time. The ward management program handles hospitalizations and leaving hospital, a nurse's note, and an isolation ward monitoring. The rounds management program handles a medical examination and treatment, and a leaving hospital using PDA. This developed system can be built at low cost and increase the quality of the medical services highly by making it automated the medical administration automation. Also the small number of the medical staffs can manage the inpatients efficiently by using the monitoring functions.

• The Korean Journal of Pain
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• 제25권1호
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• pp.47-51
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• 2012

Intrathecal drug administration system (ITDAS) can reduce the side effects while increasing the effectiveness of opioids compared to systemic opioid administration. Therefore, the use of ITDAS has increased in the management of cancer pain and chronic intractable pain. Catheter obstruction is a serious complication of ITDAS. Here, we present a case of catheter obstruction by a mass formed at the side hole and in the lumen. A 37-year-old man suffering from failed back surgery syndrome received an ITDAS implantation, and the ITDAS was refilled with morphine every 3 months. When the patient visited the hospital 18 months after ITDAS implantation for a refill, the amount of delivered morphine sulfate was much less than expected. Movement of the pump rotor was examined with fluoroscopy; however, it was normal. CSF aspiration through the catheter access port was impossible. When the intrathecal catheter was removed, we observed that the side hole and lumen of the catheter was plugged.

• Journal of Preventive Medicine and Public Health
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• 제28권4호
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• pp.885-897
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• 1995

The objectives of this research are 1) to access different images held by three consumer groups (patients in university hospital, patients in corporation hospital, persons who are not currently visiting hospitals) on two types of hospitals(university hospitals and corporation hospitals), and 2) to investigate the personal factors affecting images of two types of hospitals. The data for this analysis were collected by questionnaire survey. A total of 403 interviews were conducted. Of these cases, 43 percent are male and 57 percent are female. The major statistical methods used for the analysis are paired t-test, factor analysis and multiple regression. The three consumer groups show a consensus that corporation hospitals are better than university hospitals in some aspects, such as kindness, facilities, and equipments. However, these groups disagree in certain images on two types of hospitals, such as popularity, credibility, and readiness for emergency. The images on two types of hospitals are varied by the respondents' sociodemographic characteristics such as age, sex, and by the type of hospital they are currently visiting.

• 임상간호연구
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• 제16권2호
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• pp.33-42
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• 2010

Purpose: The current study was done to describe how nurses are portrayed in hospital administration journals as compared with physicians. Methods: A content analysis of the pictures was conducted using the framework of Goffman. The data were collected from all issues of four hospital administration journals published in 2005, 2006, and 2007 (n=465). Results: Overall, the analysis indicates that nurses were portrayed from the perspective of femininity and mothering. In group scenes, nurses were pictured as peripheral, compared with physicians. Sometimes the photos did not focus on nurses at all. Nurses were also placed standing in the periphery not like physicians at the center of the scene. In terms of professional portrayal, the photos in general present positive image of nurses similar to that of physicians. However, the number of photos including nurses was relatively small. Conclusion: The results of this study indicate that nurses appear less frequently in mass media and when they do it is at the periphery of the scene. It is, then, necessary to make greater effort to call upon mass media to cover more nurses showing a positive images of the profession. All stake holders such as individual nurses, hospitals and related associations should make a combined effort toward that end.

• 융합정보논문지
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• 제10권7호
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• pp.168-175
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• 2020

본 연구는 병원행정직 종사자들의 경력관리활동이 경력목표 대비 현재 근무환경 만족도와 어떠한 영향관계가 있는지를 파악하여 병원행정직 종사자들이 자기성장과 조직생활의 질 향상을 위한 각 개인의 경력관리에 유용한 정보제공을 목적으로 실시하였다. 연구방법은 대학병원 및 종합병원에 근무하고 있는 행정직 종사자들을 대상으로 2020년 4월 1일부터 4월 15일까지 구조화된 설문자료를 수집하여, t-test, 분산분석, 로지스틱회귀분석을 실시하였다. 분석결과, 대학병원 및 종합병원행정직 종사자들의 경력관리활동과 경력목표 대비 현재 근무환경 만족도는 보통을 약간 상회하는 수준으로 근무의료기관 종류에 따라서는 유의한 차이를 보이지 않았으나, 경력관리활동 수준은 성별과 임상 총 경력에 따라 유의한 차이가 있는 것으로 나타났으며, 경력목표 대비 현재 근무환경 만족도는 임상 총 경력이 높을수록 만족도가 낮은 것으로 나타났다. 그리고 경력목표 대비 현재 근무환경 만족유무는 개인특성이나 근무의료기관 종류와 관계없이 개인차원에서의 경력관리를 위한 조력자 관계형성 활동이 유의하게 긍정적인 영향관계가 있다는 것을 알 수 있었다. 이러한 결과는 병원행정직 종사자들의 경력관리방안 설정에 유용한 정보로 활용될 수 있을 것으로 사료된다.