• 한국콘텐츠학회논문지
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• 제15권12호
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• pp.285-293
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• 2015

본 연구는 요양병원 의사 및 간호 인력 대상으로 차등등급에 따른 의료서비스 질 향상 및 만족도, 병원운영성과에 대하여 어떻게 인지하고 있는지를 파악함으로써 차등등급제도가 효율적으로 운영되기 위한 기초자료를 제공하기 위하여 수행되었다. 본 연구의 결과는 다음과 같다. 의사 등급과 간호 인력 등급에 따른 차이분석을 위해 독립표본t검증을 실시한 결과, 의사2등급에서 환자권리향상과 경영 효율성이 높다는 것을 알 수 있었고, 간호 인력 2등급에서 환자안전향상, 진료향상, 환자권리향상이 높다는 것을 확인하였다. 의사 및 간호 인력 등급에 따른 차이분석을 위해 ANOVA분석을 실시한 결과, 환자안전향상, 병원재정, 병원위상에서는 의사 1, 간호 인력 2등급에서, 환자권리향상 및 자기계발에서는 의사 2, 간호 인력 1등급에서 높다는 것을 확인하였다. 전반적으로 의사, 간호 인력의 등급은 높지만, 1등급과 2등급 간의 차이는 각 부문 별로 상이한 결과가 나와 향후 요양병원 차등등급제의 의사 및 간호 인력 1, 2등급 간의 산정기준 개편을 고려할 필요가 있을 것이다.

• 간호행정학회지
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• 제7권2호
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• pp.349-359
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• 2001

This study was attempted to provide the basic data concerning development of stress management program for hospital nurses, and to focused on the analysis of job stress and social support according to the types of behavior pattern. The subjects were 296 staff nurses at a general hospital in Seoul. Data were collected with self-reported questionnaires and analyzed by SPSS-PC+ 8.0 win for descriptive analysis and ANOVA analysis. The results of this study indicated that; 1) The perceived job stress was negatively correlated with social support and was positively correlated with TABP. 2) The score of the perceived job stress was higher in TABP nurses than TBBP. The TABP nurses usually perceived more support from peers than from supervisors These results showed that the staff nurses who supported from supervisor felt less stress, and the score of the perceived job stress was higher in TABP nurses than in TBBP. So the differences in social support and job stress according to the types of behavior pattern must be considered significantly in development of the staff nurses' stress management program. Also it was needed to develop the strategies that TABP nurses was effectively supported by the supervisor.

• 디지털융복합연구
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• 제12권4호
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• pp.357-366
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• 2014

이 연구는 노인요양병원 직원들의 직무만족도가 서비스 질에 미치는 영향을 파악하여 직원들의 직무만족도를 높이고 서비스 질을 향상 할 수 있는 방법을 모색하고자 시행하였다. 이를 위하여 부산광역시 지역 10개 요양병원 종사자 300명을 대상으로 2013년 4월 2일부터 5월 22일까지 설문조사를 실시하였으며, 총 276부를 최종 연구에 활용하였다. 조사결과로는 첫째, 업무만족도, 보수만족도, 동료만족도가 직무만족도에 영향을 미치는 것으로 분석되었으며, 둘째, 업무만족과 동료만족은 서비스 질에 영향을 미치는 것으로 분석되었으나, 보수만족은 영향이 없었다. 셋째, 직무만족은 서비스 질에 영향을 미치는 것으로 분석되었다. 따라서 직원들의 직무만족도가 높아야 환자들에 대한 서비스 질이 높아지고, 또한 직무만족도를 높이기 위해서는 업무량의 감소, 적절한 보상체계, 동료 간의 화합을 다질 수 있는 기회를 제공함으로써 서비스의 질을 높일 수 있다고 할 수 있다.

• 한국콘텐츠학회논문지
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• 제9권7호
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• pp.233-240
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• 2009

본 연구는 병원행정 서비스의 품질 향상을 통해 고객만족도를 높이기 위한 방안을 제시하는데 목적이있다. 연구 목적 달성을 위하여 병원행정 서비스를 행정직원 서비스, 의료직원 서비스, 시설 서비스, 제도적 서비스로 구분하여 실증연구를 실시하였다. 연구 분석 결과, 다음과 같은 병원행정 서비스의 품질 향상을 위한 방안을 제시하였다. 첫째, 행정직원 서비스 부문에서는 고객에 대한 진료비 내역의 자세한 설명, 환자의 대기 시간을 줄이기 위한 신속한 업무처리와 부서간의 원활한 업무협조가 요구된다. 둘째, 의료직원 서 비스 부문에서는 진료 예약 시간의 정확성 확보를 위해 진료 절차의 단순화와 외래 진료 개시 및 퇴원 수속 완료 시각을 조기화 하는 것이 필요하다. 셋째, 시설 서비스 부문에서는 고객을 위한 편의 시설과 휴식공간의 마련, 주차시설의 확충 및 식단 개편 등이 요구된다. 넷째, 제도적 서비스 부문에서는 진료수가의 정확한 공개 및 서비스 효율화 방안이 마련되어야 한다.

• 한국의료질향상학회지
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• 제6권1_2호
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• pp.108-119
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• 1999

Background : To study any interference of demonstrated in different patient satisfaction scores for the same questionnaires handled by hospital staff and by independent surveyors, respectively. Methods : This study included 728 subjects who were admitted to a university hospital from June 22 to July 1, 1999. The contents of the questionnaire were composed of six dimensions: hospital structure and process, staffs technical competence and humaneness, information & education and communication. Measurements were performed on a 5-score Likert scale. T-test and logistic regression analysis were also performed. Results : In an outpatient survey, satisfaction scores from a questionnaire delivered by hospital staff were significantly higher than independent surveyors for the dimension of communication, but no differences were shown among other dimensions. In an inpatient survey, satisfaction scores by hospital staff were higher for the process and communication dimensions(p<0.05). In particular, in both the inpatient and outpatient surveys, the difference of satisfaction scores for personnel items were significant between groups. After adjustment for age and sex those differences were significant between groups. Conclusion : To minimize the bias on questionnaire survey, the effects of personnel, who deliver and gather the questionnaire should be carefully considered in the evaluation of health service satisfaction.

• 한국병원경영학회지
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• 제26권4호
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• pp.59-66
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• 2021

Purposes: This study aimed to identify relevant factors that determine cancer surgery at a medium-sized general hospital where patients are diagnosed with cancer. Methodology: The study subjects were 1,530 patients diagnosed with cancer between November 2013 and October 2019 at a 400-bed general hospital located in the metropolitan area. Multiple logistic regression analysis was performed to identify the patient characteristics, cancer types, and characteristics of treatment experience of the study subjects, in addition to the determinants of cancer surgery in the hospital. Findings: Among 1,530 cases diagnosed with cancer, 353 cases (23.1%) were operated at the hospital where the cancer diagnosis was made. As determinants of surgery after a fist-time diagnosis at a general hospital, the likelihood of having surgery at the hospital, for colorectal cancer patients compared to stomach cancer patients (Odds Ratio=2.38), bladder and kidney cancer patients (Odds Ratio=1.79). According to the results of an additional survey conducted, it was found that important determinants of decisions on a hospital to receive cancer surgery were the kindness of the staff including doctors and nurses, and the trust in the medical skills and technique of the doctor. Practical Implication: The management of general hospitals should take note of the fact that it is important to establish proactive strategies for hospital management including strengthening the rapport between patients and medical institutions based on the kindness of medical staff (doctors and nurses) and staff, in addition to promoting cancer adequacy evaluation results and introducing one-stop systems.

• 의료법학
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• 제12권2호
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• pp.295-316
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• 2011

If the medical staff privileges, which mean the eligibility to practice at open hospitals, are excluded in the United States, antitrust claims based on the violation of the Sherman Act have been raised a lot. The proliferation of these lawsuits in the United States, which are characterized as antitrust lawsuits, can be understandable situation. The reason is because doctors who don't belong to specific hospitals are seriously damaged, if the medical staff privileges are excluded and doctors cannot use facilities of open hospitals. In order to decide to allow the privileges of certain doctors, hospitals have to rely on peer review to maintain high quality of medical services, and it is not easy to find alternative of peer review in the professional areas like healthcare. However, there are possibilities that members of the peer review can abuse power to unfairly exclude privileges of potential competitors. In this sense, it is asserted in the U.S. antitrust lawsuits that the restraint of medical staff privilege can be the illegal restraint of trade in violation of section 1 of Sherman Act and can be monopolization or an attempt to monopoly by hospitals in violation of section 2 of Sherman Act. As Korea adopted open hospital system quite recently, there is still no case related with the exclusion of medical staff privileges. However, medical staff privilege system of Korea is not different from that of the United States in principle. Thus, the U.S. jurisprudence on the exclusion of medical staff privileges can be referred in the interpretation of "practice that interferes with or restricts the activities or contents of the business" based on Article 19.1.9 of Monopoly Regulation and Fair Trade Law of Korea.

• 기본간호학회지
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• 제6권1호
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• pp.18-34
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• 1999

Nurse's caring behaviors are essential to help patients cope with their health problems. The purpose of this study was to investigate the importance of nurse's caring behaviors as perceived by staff nurses and patients. The subjects were 295 staff nurses and 340 patients from five medical centers in Taegu. Data collection was done from Dec. 10, 1997 to Jan. 31, 1998. The tool for this study was a 7 point Likert type scale with 27 earing behaviors developed by Lee(1996). Cronbach alpha of the tool was .9701 in staff nurses and .9618 in patients. Data were analyzed with SAS using t-test, ANOVA and Spearman rank correlation program. The results are as follows : 1. The a verage score of perceived importance of nurse's taring behaviors for the 27 items was 5.65 in staff nurses and 4.97 in patients. 2. The most important caring behaviors perceived by the nurses was 'Nurse gives painless and cautious injection and treatment for patients' and for the patients, 'Nurse gives hygienic treatment and nursing care'. 3. The caring behavior which showed a significant difference between the ranks of perceived importance by staff nurses and patients was 'to treat the patient with tenderness and friendship'. 4. The Spearman rank correlation coefficient between the ranks of importance perceived by staff nurses and patients was 0.8302. With the results of this study, the staff nurses could be recognized to have much enthusiasm and passion about caring. It is suggested that nurses let the public know about the nurses' caring roles. In the future, research to investigate the actual practice of nurses' caring behavior is necessary.

• 한국간호교육학회지
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• 제5권1호
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• pp.133-141
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• 1999

Recently there are increasing concerns on quality improvement activities related to difficult economic situations, more competitive environment, health professional's emphasis on quality, and customer's needs in health care. The purpose of this study was to identify educational needs in the quality improvement for staff nurses. Study setting was an acute care hospital having more than 1000 bed in Seoul, Korea. The subjects were 40 staff nurses who participated in the first Quality Assurance(QA) inservice education. Data were collected by self-administered questionnaire which consisted of four parts : QA knowledge and attitude(ten items, by five Likert scale), contents of QA education(ten items, by setting the priority), evaluation of the program(structure, time allocation, place, educational method), and general characteristics of respondents (age, duration to work for hospitals etc.) The response rate was 85%(34/40), Most had positive perspective and attitude about QI/QA activities, but 9% had negative impression and knowledge about this activities. Also they'd like to know the plan of hospital-level QI/QA activities, QI/QA current practice, general hospital system, the role of QA specialist and so on. Consequently, for building the quality improvement activities that is customer-focused, coordinated, outcome-oriented, resource-efficient, collaborative in Korea, at first the education about philosophy, theory, and implementation process of QI/QA should be conducted, and then that on QI/QA terminology, quality indicators development, the analysis and presentation of quality-related data and so forth be followed.

• 성인간호학회지
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• 제21권1호
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• pp.53-61
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• 2009

Purpose: This study was to provide baseline data to arrange systematic management for the infectious waste. Methods: This data was collected by self-reported questionnaires from a total of 419 subjects, ie nurses, nurse's aides and laboratory technicians working at a university hospital located in G city. The collected data were analyzed by t-test or ANOVA, Tukey test, Pearson's correlation, and multiple regression analysis using SPSS/WIN 12.0. Results: The knowledge of the infectious waste was statistically significant in type of staff and level of education. Attitude was statistically significant in type of staff, age group, level of education, working period, and marital status. And also the practice of the subject was statistically significant in type of staff, age group, education level, the working periods, and marital status. There was positive association between attitude and practice(r=.63, ${\rho}$< 001). By means of multiple stepwise regression analysis, total variance explained by the attitude towards infectious wastes, single employee, and the working periods less than ten years was 44% of the practice of infectious wastes. Conclusion: An educational program focusing on strategy to change employee's attitude can be effective for building a well-organized management system.