• 제목/요약/키워드: Hospital Managers

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Development of a Linking Model between Community Resourses and Industrial Injury Insurance Organs for the Activation of Medical Rehabilitation Services for Industrial Injury Patients (산재환자의 의료재활서비스 활성화를 위한 산재보험시설과 민간시설간의 연계모형 개발)

  • Kim, Hee-Girl
    • Korean Journal of Occupational Health Nursing
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    • v.14 no.1
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    • pp.56-70
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    • 2005
  • Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.

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A Study on Positioning of Nursing Service Image in General Hospital;Centering around 5 General Hospitals in Seoul (종합병원의 간호 서비스 이미지 포지셔닝 연구;서울시내 5개 병원을 중심으로)

  • Lim, Ji-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.2
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    • pp.369-388
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    • 1999
  • This study is a descriptive research to establish a positioning strategy of nursing service image, making a perception map on each hospital's nursing service image and ranking construct factors of nursing service image. The results in this study were as follows; 1. The rank of construct factors of nursing service image which were thought important by subjects was the first 'Kindness', the second 'Reliability', the third 'Professional Knowledge', the fourth 'Responsibility', and the fifth 'Advanced Nursing Skill'. 2. The perception map for nursing service image on each hospital showed a hierarchial structure and positioned the first B hospital, the second C hospital, the third D hospital, the fourth A hospital, and the fifth E hospital. The perception map for construct factors of nursing service image and hospitals showed the first dimension : 'Reliability', the second dimension : Kindness', the third dimension : 'Mission', 'Accuracy', 'Neat Appearance', and 'Ethical Aspect', and the fourth dimension : 'Client Advocate', 'Humanistic Consideration', 'Professional Knowledge', 'Responsibility', and 'Advanced Nursing Skill'. 3. The findings of subject's characteristics which affected degree of likeness on each hospital nursing service image to make a marketing strategy were as follows : In A hospital D hospital, and E hospital, the subject group whose hospital dates were under 1 week, education level was upper graduate university, and age was between 40's and 50's, were appeared to have low nursing service image on following construct factors : 'Kindness', 'Reliability', 'Responsibility', 'Mission', 'Neat Appearance', and 'Humanistic Consideration'. In B hospital and C hospital the subject group whose hospital dates were under 1 week or over 5 weeks, sex was woman, and age was 20' s or 40's, having a admission experience on subject hospitals, were appeared to have low nursing service image on following construct factors : 'Professional Knowledge', 'Advanced Nursing Skill', 'Ethical Aspect', and 'Humanistic Consideration'. As the based on above results, nursing managers can use positioning method to develope a marketing strategy for nursing service image.

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Accrual Medical Expenses and Actual Situation of Medical Receivable According to The Type of Seamen's Insurance (선원보험 유형에 따른 진료비발생 및 미수금실태)

  • Park, Eun-Ha;Hwang, Byung-Deog
    • Korea Journal of Hospital Management
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    • v.19 no.3
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    • pp.1-10
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    • 2014
  • The purpose of this study was to present base data for an efficient management of medical expenses at the hospital management by doing grasp of status of medical expenses from seamen's insurance by voluntary agreements. A Object of study is analyzing the data of medical expenses occurred from the total number of 2,699(inpatients 507, outpatients 2,192)cases who were covered by seamen's insurance at a general hospital which is located in Pusan Metropolitan City during 48 months from January 1, 2009 to Dec 31, 2012. The main results of this study are as follows: accrual medical expenses are the ship management companies member of P&I insurance is the most highest but share of receivables are the Korean ocean-going companies member of P&I insurance is the most highest, therefore, Korean ocean-going companies focus strictly than the payments from accounts receivable management should be considered to reduce the occurrence and concerning the turn around period of medical receivables are 4 months to 6 months during a research period. Therefore, it will be needed for managers of hospitals to prepare differentiated management based on the characteristics of each in insurer and to have recovery strategies of uncollected medical expenses.

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The System Dynamics Model Development for Management Performance Forecasting of Small and Medium Hospital (BSC기반의 중소병원 경영성과예측 시스템다이내믹스 모델개발)

  • Chung, Hee-Tae;Kim, Yoon-Sin;Kwak, Sang-Man;Lee, Yong-kyoon
    • Korean System Dynamics Review
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    • v.8 no.2
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    • pp.209-234
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    • 2007
  • Recently, balanced scorecard is widely used in the public sector as well as in the private sector. Balanced scorecard system of a particular hospital is a very useful tool in the sense that it shows various measures for the management including the traditional financial measures. However, since it does not show the impact of action items, managers have to analyze his potential decisions. On the other hand, a system dynamics model for the management of a hospital can be used to predict future management status. In this paper, a balanced scorecard system with a system dynamics model is developed for a small sized hospital, and the feasibility and applicability of the system have been tested. It turns out the combination of the balanced scorecard and system dynamics technique can be comprised each other. The balanced scorecard system can take advantage of the data forecasted by the system dynamics model including the implementation of action items taken today. On the other hand, the key performance indicators and action items from the balanced scorecard system provide guidelines the scope and direction of the system dynamics model. The additional efforts of developing a system dynamics model are well compensated by the additional colorful functionalities of the system. This paper also covers the future research areas for the combined system to be more effectively developed.

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Effect of SBAR-Collaborative Communication Program on the Nurses' Communication skills and the Collaboration between Nurses and Doctors (SBAR-협력적 의사소통 프로그램이 간호사의 의사소통 능력과 간호사-의사 협력에 미치는 효과)

  • Hyun, Mi-suk;Cho, Hye-Jin;Lee, Mi-Aie
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.518-530
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    • 2016
  • Purpose: The purpose of this study was to investigate effect of the SBAR-Collaborative Communication Program on nurses'communication skills and on collaboration between nurses and doctors. Methods: From March 11 to November 11, 2013, data were collected from 180 hospital nurses working in a university hospital in Gyeonggi province. Outcomes were measured at three time intervals; before, three and six months after the program was completed. Results: After participating in this program, there was a significant increase in nurses'communication skills but not in collaboration between nurses and doctors. None of the participants' general categories influenced nurses'communication skills at pre-test, but age, education level, total years of working and work department significantly influenced scores at 3 and 6 months. Work department was the only category for which there was a significant difference in collaboration between nurses and doctors at pre-test, and education level and work department were related to significant improvement at 6 months. Conclusion: Findings indicate that this program can improve communication skills for nurses and also, collaboration between nurses and doctors, especially for nurses under 25 years of age. Thus nursing and hospital managers should provide SBAR-Collaborative Communication Programs to new nurses in their job training.

The mediating effect of informatization level between characteristics of introducing information system and organizational performance in hospital settings (병원의 정보시스템 도입 특성과 조직성과간의 관계에 있어 정보화 수준의 매개 효과)

  • Ji, Jae-Hoon;Cho, Young-Ha
    • Korea Journal of Hospital Management
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    • v.17 no.3
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    • pp.1-22
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    • 2012
  • The purpose of this study is to analyze the mediating effect of informatization level between characteristics of introducing information system and organizational performance in hospital settings, and to provide suggestions to improve the performance level of strategic information system of hospitals. In order to achieve study purpose, a causal path model was developed and empirically tested. Data were collected from 746 managers of 92 hospitals keeping information system in Busan, Ulsan and Kyungnam Province using self-administered structured questionnaire. Major results of this study were as follows; The results of the path analysis showed that organizational characteristics variables except informatization strength within health industry had significant effects on informatization level, and had indirect effects on organizational performance mediated by informatization level. On the other hand, informatization level, especially revelation capability among informatization level variables, was found to have significant direct effect on organizational performance. These results of empirical test imply that informatization level variables are both important affecting factors on organizational performance and mediating factors between organizational characteristics and organizational performance. Therefore, in order to increase organizational performance, measures improving informatization level should be developed and carried out continuously. And, especially, focusing on building and strengthening revelation capability is crucial to those efforts.

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Relevance of role perceptions and job satisfaction of Hospital workers (병원근로자들의 역할인식과 직무만족과의 관련성)

  • Park, Bu-Yeon;Shin, Ji-Hun
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.5
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    • pp.1197-1203
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    • 2012
  • This study was to identify the influence of job satisfaction on the role clarity perception of the personnels except medical staffs of hospitals. The study subjects of this study were 486 personnels employed in the supporting departments of hospital. As the result of multiple regression analysis, policy decision showed the highest explanatory power on job satisfaction, We would conclude that in order to improve the performance level of hospital by increasing the job satisfaction of their non-medical personnels, the hospital managers should make efforts to raise the role clarity of them. Our study had some limitations. Especially, because measurement scale on job satisfaction used in our study didn't consist of subdivision, our findings would not show which area was more important in improving job satisfaction.

Relationship between Hospital Nurses' Perceived Patient Safety Culture and Their Safety Care Activities (병원 간호사가 지각하는 환자안전문화와 안전간호활동과의 관계)

  • Choi, Jeong-Hwa;Lee, Kyung-Mi;Lee, Mi-Aie
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.64-72
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    • 2010
  • Purpose: This study was performed to measure hospital nurses' perceived patient safety culture and their safety care activities, and to investigate the relationship between these two factors. Method: This study was a cross-sectional survey. The participants were 301 nurses working at 4 general hospitals, and data collection was done from June 22 to June 30, 2009 by self-administrated questionnaires. Results: With a possible score of 5 points, the average score for nurses' perceived patient safety culture was 3.34, and for their safety care activities, 4.25. There were perceived differences in patient safety culture and safety care activities according to age, position, length of work experience and number of patient safety education sessions attended. All sub-factors in patient safety culture had a positive relationship with safety care activities. Factors influencing nurses' safety care activities were number of patient safety education sessions attended, hospital environment, and supervisor/manager. These factors explained 58.2% of the variance. Conclusion: The findings indicate that patient safety education is very important to improve nurses' safety care activity. So nursing supervisors/ managers should develop strategies encourage patient safety education, and make nurses' working environment safer.

The Relationship of Complaining Type, Complaining Behavior, and Subsequent Purchase Intention of the Visitors to the Help-desk Centers in General Hospitals (종합병원 민원접수자의 불평유형과 불평행동 및 재구매의사간의 관계)

  • Lee, Ji-Hyun;Lee, Dong-Myong
    • Korea Journal of Hospital Management
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    • v.5 no.2
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    • pp.120-141
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    • 2000
  • The purpose of this study is to identify and clarify the factors which affect the complaining type, the complaining behavior, and the subsequent purchase intention. The data in this study is collected through questionnaires from patients with grievances who visited the help desk centers of :1 general hospitals in Seoul. Total 70 questionnaires were collected. The conclusions from this study can be summarized as follows; 1. The complaining type(related with medical service) have relatively correlation with the having of occupation among demographic characteristics and select motivation of hospital. 2. The complaining type(related with medical service) has an effect un the official complaining behavior. And the older persons take action with the official complaining behavior. 3. The complaining type(related with medical service) has an effect on the negative purchase intention. Therefore the most important thing in hospitals management is that hospitals improve their medical service quality. And hospital managers should station the complaining center and try to ease the complaining behavior and negative purchase intention.

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Unsupervised Outpatients Clustering: A Case Study in Avissawella Base Hospital, Sri Lanka

  • Hoang, Huu-Trung;Pham, Quoc-Viet;Kim, Jung Eon;Kim, Hoon;Park, Junseok;Hwang, Won-Joo
    • Journal of Korea Multimedia Society
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    • v.22 no.4
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    • pp.480-490
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    • 2019
  • Nowadays, Electronic Medical Record (EMR) has just implemented at few hospitals for Outpatient Department (OPD). OPD is the diversified data, it includes demographic and diseases of patient, so it need to be clustered in order to explore the hidden rules and the relationship of data types of patient's information. In this paper, we propose a novel approach for unsupervised clustering of patient's demographic and diseases in OPD. Firstly, we collect data from a hospital at OPD. Then, we preprocess and transform data by using powerful techniques such as standardization, label encoder, and categorical encoder. After obtaining transformed data, we use some strong experiments, techniques, and evaluation to select the best number of clusters and best clustering algorithm. In addition, we use some tests and measurements to analyze and evaluate cluster tendency, models, and algorithms. Finally, we obtain the results to analyze and discover new knowledge, meanings, and rules. Clusters that are found out in this research provide knowledge to medical managers and doctors. From these information, they can improve the patient management methods, patient arrangement methods, and doctor's ability. In addition, it is a reference for medical data scientist to mine OPD dataset.