• 한국방사선학회논문지
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• 제12권3호
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• pp.367-372
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• 2018

의료의 과학화로 인해 고가의료장비를 이용한 의료서비스 공급이 증가하고 있다. 의학 정보의 대중화로 의료소비자들의 의학적 지식수준 및 의료기관 선택능력의 향상으로 높은 수준의 의료서비스가 요구되고 있다. 이처럼 의료소비자들이 의료기관을 대하는 태도가 바뀌면서 의료기관들 역시 고객 만족도 향상을 위한 인식의 변화가 필요하다. 이에 본 연구는 의료서비스의 의식구조 변화를 지향하기 위해 PET/CT의 효용성에 대한 의학적 지식 유무에 따라 의료서비스만족도 차이를 분석하였다. 연구 결과 의료소비자 자신의 질병과 PET/CT의 효용성에 대한 의학적 지식이 있는 사람이 진료만족과 환경만족 모두 높게 나타났다. 따라서, 의료기관에서는 형식적인 의료서비스 제공이 아닌 의료소비자의 의학적 지식에 대한 지각 변화를 파악하여 의학 정보를 제공하는 실질적인 의료서비스 대응책이 필요할 것이다.

• 한국산학기술학회논문지
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• 제11권2호
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• pp.727-732
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• 2010

본 연구는 국내 당일수술센터 이용환자의 의료서비스 만족도와 관련된 요인들을 규명하기 위해 시도하였다. 설문조사는 2009년 1월 13일부터 2월 13일까지 한 종합병원에서 독립적으로 운영하는 당일수술센터를 이용하는 환자들로부터 도출했다. 연구결과 첫째, 당일수술환자는 수술과 입원경험은 적었고 본인의 건강 관심도는 높은 것으로 나타났다. 둘째, 수술대기시간과 수술시간은 의료서비스 질에 유의한 차이가 있었다(p<0.05). 셋째, 다중 로지스틱 회귀분석에서 당일수술환자의 인식도에 영향을 주는 것은 연령과 교육수준으로 나타났다(p<0.05). 결론적으로 당일수술율을 증가하기 위해서 당일수술의 이점에 대한 정보를 제공하고 수술 전 교육이 필요하다.

• 대한간호학회지
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• 제41권1호
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• pp.18-25
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• 2011

Purpose: This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis. Methods: A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks. Results: Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035). Conclusion: The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.

• 한방재활의학과학회지
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• 제18권3호
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• pp.99-118
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• 2008

Objectives : This study aimed to understand the satisfaction degree of patients due to traffic accident(TA) in order to provide basic data which would give help not only to improve the quality of services, but also to strengthen the competitiveness of oriental medical hospitals on sequela of TA patients. Methods : The data were collected from inpatients and outpatients who answered a self-report questionnaire. Independent t-test, analysis of variance(ANOVA), $X^2$-test, correlation analysis were used for data analysis. Results : According to the research on medical satisfaction degree, the overall satisfaction degree was 4.141. On each field, satisfaction degree related to the doctor service recorded the highest degree among others(4.474). Satisfaction degree related to the appropriateness of service was the second(4.091). On the other hand, satisfaction degree of using procedure was the lowest degree(3.857). On the difference of degrees of satisfaction by general characteristics, patients who were unemployed houseworker group showed lower doctor service satisfaction degree than that of other groups. However, on the difference of degrees of satisfaction related to other general characteristics, there were no significant differences(p<0.05). Conclusions : The service distribution of oriental medical hospital was almost equal without concentrating on specified social classes.

• 대한건축학회논문집:계획계
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• 제34권11호
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• pp.3-12
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• 2018

Hospice is the wholistic caring service for terminally ill patient and his family so that he can live in dignity and maintain the quality of life until he passes away peacefully. The purpose of this study is to compare the development of hospice movement in UK, USA, Japan and Korea, to analyze space configuration characteristics of facilities built between 1980-2009 through case study. The result is as follows. First, The modern hospice started in England and it has spread around the world rapidly. In Korea, hospice service was introduced even prior to US and Japan and developed in spite of poor medical environment. The application of health insurance subsidies were late compared to other countries, but the hospice and palliative care system was quickly set on the basis of precedent cases. Second, the number of hospital beds per facility is decreasing, and it has been divided into smaller clusters for the residential atmosphere. The controversy between private rooms and multi-patient room is still ongoing, and increasing facilities without in-patient service. Rather than establishing uniform and absolute regulations, it is necessary to design a flexible space which can cope with various situations such as patients' needs, service changes, and manpower status. Third, the spaces for family members and friends to stay in both private rooms and communal spaces are increasing. Forth, Facilities for patients with different needs, such as children and adolescents and AIDS patients, have been developed in UK and USA. Further research on of patients' diverse needs and customized environmental support is necessary.

• 한국병원경영학회지
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• 제23권1호
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• pp.28-40
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• 2018

Purpose: The purpose is to understand the perception of medical providers at tertiary hospitals in Seoul on the importance-performance of the reform on a doctor-designation system, and to provide the policy suggestion of the perception on such a system. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six tertiary hospitals in Seoul. An importance-performance analysis was utilized for an analysis that showed the perception of the reform on a doctor-designation system. Findings: First, it was identified that those medical providers had the highest perception of the importance about the performance of the reform on a doctor-designation system. Second, according to the result of action grid of an importance-performance analysis (IPA), it can be identified that in the 2nd stage of 'Concentrate here' included are the items as to design and effect of medical care quality and subsidies & patient infection and safety and control fees, effect of income security of the method for compensating for loss established by the government and offering sufficient information on general medical services and doctor-designation medical services. In the 1st stage of 'Keep up the Good Work', and the 2nd stage of 'Concentrate here' included is the item as to the performance of patients of the reform on a doctor designation system. Practical Implications: There could be identified the effect of the reform bill on the perception of medical providers. It is expected that a better environment would be provided for patients to use a hospital and for medical providers to offer medical services, if the goverment makes efforts to improve methods for compensating for loss and continuous monitoring of the performance of patients.

• 한국컴퓨터정보학회논문지
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• 제17권3호
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• pp.33-40
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• 2012

최근 병원정보 시스템은 의료서비스의 질과 효율성을 제고하기 위해 스마트폰 및 태블릿 PC를 활용한 스마트 진료서비스가 대형병원을 중심으로 도입되고 있으며 개인의 진료정보를 PC, 스마트폰 등을 통해 관리하는 개인건강기록(PHR) 서비스에 대한 관심 및 기술개발이 활발히 진행 중에 있다. 이러한 차세대 병원정보 시스템을 구축하기 위해서는 상이한 병원정보 시스템 간의 데이터 연동과 다양한 사용자 기기 간의 UX 일관성이 보장되어야 한다. 따라서 본 논문에서는 이러한 멀티플랫폼 환경 하에서 의료정보를 통합하여 연동할 수 있는 게이트웨이 시스템을 설계하기 위해 개인의 진료정보 표준과 성능 향상을 위한 연구를 수행하였다. 본 연구를 통해 게이트웨이 시스템의 핵심 기능인 데이터 간의 매핑 방법에 있어서 CCR 표준을 적용하고 다중 테이블 기반 매핑 방법을 사용하여 시스템 설계를 하였다. 이에 대한 성능 평가를 위해 실험을 한 결과 응답속도가 약 20% 향상된 결과를 얻을 수 있었다.

• 한국병원경영학회지
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• 제28권1호
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• pp.37-51
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• 2023

Purposes: There exist many non-covered services that the National Health Insurance does not cover, and thus, their prices are set by individual health care providers. However, little study has been done to investigate how hospitals set prices for those services. The purpose of this study is to examine the relationship between ownership, profitability, and prices of those services for a sample of general hospitals. Methodology/Approach: Data regarding the prices of major non-covered services (e.g., upper-level hospital room fees, MRI, Da 7inci robot surgery, and LASIK) were obtained from the Health Insurance Review and Assessment Service and the financial information, as well as other characteristics, were derived from the financial reports from the Korea Health Industry Development Institute. Descriptive statistics, t-tests, and multiple linear regression analyses were used to test the relationship between the independent variables and the dependent variables. Findings: Hospitals owned by private universities appeared to have higher prices for non-covered services while regional public hospitals tend to have lower prices. Profitability, measured by operating margin, was not significantly related to the prices. Hospitals that charge higher prices were more likely to be located in the capital area (Seoul, Incheon, and Gyeonggi), and to employ larger number of personnel. Practical Implications: Public hospitals tend to charge lower prices for non-covered services. Relative market power appears to be related to pricing. Further research is needed to investigate whether such a relationship varies over time and its effects on the quality and access.

• 서비스연구
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• 제13권3호
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• pp.147-159
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• 2023

본 연구는 기존의 서비스디자인 방법론의 소수 데이터를 기반으로 휴리스틱 기반의 연구 한계를 극복하고, 의료서비스의 질적 수준 관리에서 핵심가치로 주목받고 있는 경험데이터의 객관적 측정 및 가공에 관한 모델을 개발하기 위한 연구이다. 이론적 배경에서 의료서비스에서 경험의 중요성, 경험데이터의 측정 및 가공, 환자중심성 실현에 관한 문헌연구를 진행하였다. 이와 같은 문헌 및 이론적 배경 연구결과를 기반으로 다음과 같이 4가지 연구변수에 대하여 조작적 정의하고, 통계적으로 검정을 진행하였다. 가설 H1은 3가지 요인 관점의 경험데이터 측정이 페르소나 모델링에 주는 영향이고, 가설 H2는 페르소나 모델링이 서비스청사진 시각화에 주는 영향, 가설 H3은 서비스청사진 시각화는 환자중심성 실현에 주는 영향, 가설 H4는 페르소나 모델링이 환자중심성의 실현에 주는 영향이다. 요인분석, 신뢰성 분석, 상관분석의 데이터 기초검정 후 회귀분석기법으로 검증한 결과 4가지 가설은 모두 채택되었다. 결론적으로 병원에서 좋은 의료진과 의료장비만을 갖춘다고 해서 그 가치를 인정받기 어려운 시대이기에 환자들에겐 의료진과 의료장비의 효용보다 지속해서 어떠한 의료서비스 경험을 얻고 있는지가 더 중요하다는 의미를 파악할 수 있었다. 서비스 경제의 시대에서 병원서비스 경쟁력의 핵심은 매력적인 경험을 제공하느냐가 병원의 진짜 실력이 되기에 본 연구 주제인 경험데이터의 측정과 가공이 환자중심성의 실현과 스마트병원 구현에 중요한 의미가 있을 것이다.

• 한국임상보건과학회지
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• 제2권1호
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• pp.1-16
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• 2014

Purpose. For a more efficient hospital management, this study aims to provide basic data so that the hospital management and staff in charge of hospital administration may systematically classify and collect hospital information, by analyzing the ordinary characters of an upper-level general hospital system and its common-type balance sheet, common-type profit and loss statement and financial ratio. Methods. By using information about an upper-level general hospital in C Province, provided by Alio(www.alio.go.kr), a public organization information provision site, Health Insurance Review & Assessment Service(www.hira.or.kr) and Ministry of Health and Welfare(www.mw.go.kr), this study analyzed 3 year's data from 2010 to 2012 and provided basic data by analyzing the ordinary characters of an upper-level general hospital system, and its common-type balance sheet, common-type profit and loss statement and financial ratio. Results. After analyzing the ordinary characters, common-type balance sheet, common-type proft and loss statement and financial ration of this general hospital, based on the 2010 to 2012 data, this study came to the following conclusions. Firstly, out of all the 1,069 hospital staff, there were 272 doctors working for 24 medical departments, out of whom the majority was 33 physicians. Most of the nurses were third-class ones, and about 2,000 outpatients and 600 inpatients on average were treated per day. Secondly, as a result of analyzing the common-type balance sheet, this study discovered that intangible assets out of fixed assets accounted for 41%, the majority, out of which usable and profitable donation asset buildings were of great importance, and the liquid assets increased more in 2012 than 2011. In the financial structure, the ratio of liquid liabilities was over 50% out of all the liabilities in 2012, and the ratio of purchase payables was high as well. The ratio of fixed liabilities reached up to 40%, out of which the retirement benefit appropriation fund was quite high. The capital was over 80%, but the surplus was in a deficit state. Compared to the capital, the ratio of total liabilities was about 90%, which indicates the financial structure of this general hospital was vulnerable. Thirdly, as a result of analyzing the common-type profit and loss statement, this study found out that the medical profits from inpatients were higher than profits from outpatients. The material cost was related to the medical quality of this general hospital, and it was as high as 30% out of the total costs and was about 45% of the labor cost. This general hospital showed 10% in the ratio of non-medical profits, and it seemed because of government subsidies. The ratios of medical profits and current net income were gradually changing for the better in 2012, compared to 2011. Lastly, as a result of analyzing the financial ratio, it was found that the liquidity ratio kept decreasing, from 110.7% in 2010 and 102.0% in 2011 to 77.2% in 2012. Besides, it was analyzed that the liquidity ratio and the net working capital ratio greatly decreased, while the quick ratio and the liquid ratio kept decreasing. Conclusions. 1. It is necessary to take the risk management into more consideration, and particularly, it is needed to differentiate and manage the levels of risk in detail. 2. By considering the fact that investments into hospital infrastructures were mostly based on liabilities, it is needed to deal with the scale of losses when evaluating risks. 3. By reflecting the character that investments into hospital infrastructures were based on liabilities, it is necessary to consider the ratio of ordinary profits as well as the ratio of operating profits to sales, and it is also important to consider sales productivity factors, such as the sales amount per a sickbed, by comparing them with other hospitals. As for limitations of this study, there may be some problems in terms of data interpretation because of the lack of information about the number of inpatients and the number of outpatients per year, which are needed for the break-even point analysis. Besides, to suggest a direction for the improvement of hospital management through analyses, non-financial factors should be reflected, such as the trend of economy, medical policies, and politic backgrounds. However, this study only focused on the common-type balance sheet, common-type profit and loss statement and financial ratio, so this study is actually limited to generalizing all the factors by analyzing public data only.