• Title/Summary/Keyword: Hospital performance

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The Degree of Market Orientation by Type and Size of Hospital, and Moderating Effect of Environments on Performance (병원의 특성에 따른 시장지향성 분석과 성과에 있어서 환경의 조절 역할)

  • Kim, Pyung-Wung;Yoo, Kyu-Soo;Lee, Yong-Gi
    • Korea Journal of Hospital Management
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    • v.5 no.2
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    • pp.1-21
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    • 2000
  • This study was to examine the degree of market orientated effort by hospital type and size,. and analyzed the moderating effect of environments between market orientation and it's performance. First, there was no significant differences by hospital type, such public hospital, university hospital, and private hospital. However, the orders of market orientation implementation was university hospital. private hospital, and public hospital This finding suggest that university hospital and public hospital, should be market-oriented, or customer-oriented more now, relatively. Second, there were no significant differences in marketing as management policy by hospital types, i.e. public, university or private sector hospitals. However, as to the intensity of the implementation of the market-oriented approach, private hospitals came first, followed by the university hospitals, then the public ones. This finding suggests that university and public hospitals should be more market or customer oriented to compete in the market. Third, only the competitive environment does active moderating roll on hospital performance. The competitive environmental factor forces the organization to be more market oriented. This means the more you are positively situated in the competitive environment, the more you are looking for a market oriented approach. You become more aware of the value of customers and you become more focused on the customer satisfaction and thus become more patient oriented in every facet of decision making. And market oriented hospitals recognize the importance of utilization of high tech medical treatment skills and equipment in patient care. Fourth, according the analysis, market oriented effort gives more influence on hospital performance than the environmental factors. This means that the market oriented effort should become a culture of the hospital which seeks to out distance themselves from its competitors.

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Development of Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain (욕창, 낙상예방 및 통증간호의 간호과정 적용 평가도구 개발)

  • Kim, Keum Soon;Kim, Jin A;Kim, Moon Sook;Kim, Yu Jeong;Kim, Eul Soon;Park, Kwang Ok;Song, Mal Soon;Yi, Young Hee;Lee, In Ok;Jung, Yoen Yi;Choi, Yun Kyoung
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.133-147
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    • 2009
  • Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.

A Study of relationship between high performance-HRM system of medical doctor and the effectiveness of hospital (병원조직의 고성과 HRM시스템과 조직유효성의 관계 : 의사직종 HRM을 중심으로)

  • Park, Seung-Ho;Cha, Jong-Seok
    • Health Policy and Management
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    • v.22 no.4
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    • pp.676-695
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    • 2012
  • This study purposes to examine the relationship between high performance-HRM system of medical doctor and the effectiveness of hospital. The high performance-HRM practices were derived from reviewing the literature of SHRM(Strategic Human Resource Management) and investigating some cases of Korean leading hospitals. The result reveals that the high performance-HRM system of medical doctor is significantly related with subject measurement such as financial performance, employees' turnover, and customer(patient) satisfaction. Moreover, it is positively related to objective performance such as hospital's profit growth, yearly patient growth. Based on the result, the academic and practical implications are suggested and then the limitation and further research directions are discussed.

Seismic Performance Evaluation of a Mid-rise General Hospital Building (중층 종합병원 건물의 내진성능평가)

  • Kim, Taewan;Chu, Yurim;Kim, Seung Rae
    • Journal of the Earthquake Engineering Society of Korea
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    • v.21 no.5
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    • pp.245-254
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    • 2017
  • The building which are essential for disaster recovery is classified as a special seismic use group. Especially, achievement of seismic performance is very important for the hospital, so the hospital should be able to maintain its function during and right after an earthquake without significant damage on both structural and non-structural elements. Therefore, this study aimed at checking the seismic performance of a hospital building, but which was limited to structural elements. For the goal, a plan with a configuration of general hospitals in Korea was selected and designed by two different seismic-force-resisting systems. In analytical modeling, the shear behavior of the wall was represented by three inelastic properties as well as elastic. Nonlinear dynamic analyses were conducted to evaluate the performance of structural members. The result showed that the performance of shear walls in the hospital buildings was not satisfied regardless of the seismic-force-resisting systems, while the demands on the beams and columns did not exceed the capacities. This is the result of only considering the shear of the wall as the force-controlled action. When the shear of the wall was modeled as inelastic, the walls were yielded in shear, and as the result, the demands for frames were increased. However, the increase did not exceed the capacities of the frames members. Consequently, since the performance of walls is significant to determine the seismic performance of a hospital building, it will be essential to establish a definite method of modeling shear behavior of walls and judging their performance.

The Study on the Effect of Factors on Management Performance in General Hospital (종합병원의 경영성과에 영향을 미치는 요인에 관한 연구)

  • Cho, Duk-Young
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.111-120
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    • 2012
  • This research analyzes on the factors and difference of the management performance in general hospital. In details, we provide that personnel expenses, materials costs and administrative expenses have impact on management performance in general hospital and these factors have differences by region and sickbed size. The meaningful results of this study as follow. In the first, personnel expenses ratio influence management performance but materials costs ratio and administrative expenses ratio are only partially impact for the management performance. Secondly, in the management performance by region, there are no significant differences between the two groups of the big city and small and medium-sized cities. In personnel expenses ratio, materials costs ratio and administrative expenses ratio, The materials costs ratio is significant difference but ersonne expenses ratio and administrative expenses ratio have no significant difference. Finally, there's no significant difference between the hospital size and management performance. But this study provide that there is partially a difference between personnel expenses ratio, materials costs ratio and administrative expenses ratio and the hospital size.

A Study on Knowledge, Importance and Performance in Nursing Records of University Hospital Nurses (일 대학병원 간호사의 간호기록 작성 지식과 중요도 및 수행도에 관한 연구)

  • Hwang, Eun Sook;Lee, So Jung;Kim, Sin Ja;Heo, In Hui
    • Journal of Korean Critical Care Nursing
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    • v.12 no.1
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    • pp.71-81
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    • 2019
  • Purpose : The purpose of this study was to assess hospital nurses' knowledge, importance and performance in keeping nursing records. Methods: The research design was a descriptive study. The sample for this study was 186 nurses with at least one year of work experience at a hospital with more than 800 beds in Seoul. Knowledge was self-reported using the Nurse Charting Knowledge Scale. Importance and performance were rated on a 4-point scale of 26 items. Data were analyzed by SPSS 21.0 program and IPA. Results: This study showed significant results that knowledge, importance and performance for keeping record are related to each other. The importance and performance of nurse's records were relatively higher than the mean. In the IPA Matrix, there were 2 items requiring improvement, 13 items requiring maintenance, and 11 items with low priority. Conclusion: Therefore, awareness of the importance of record keeping and continuous education on nursing record knowledge should be provided so that nurses can improve their record keeping skills.

The Effects of the Healthcare Accreditation on Hospital Employees' Satisfaction Level and Hospital Management Performance (의료기관 인증제도가 구성원 만족도와 병원운영 효과에 미치는 영향 : 비 인증병원과 인증병원 비교)

  • Lee, Hye-Seung;Yang, Yu-Jeong
    • Journal of Digital Convergence
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    • v.12 no.1
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    • pp.431-443
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    • 2014
  • The purpose of this study was to grasp which effect the healthcare accreditation has on hospital employees' satisfaction level and hospital management performance by comparatively analyzing between accreditation hospital and non-accreditation hospital. As for difference in hospital employees' satisfaction level according to accreditation system, the incentive payment and pride of own task at the accreditation hospital and the hospital management effect were indicated to have positive(+) influence with statistically significant difference upon the item such as accuracy of task performance owing to the business standardization. It was indicated that hospital employees' satisfaction is high at the accreditation hospital and that the higher satisfaction level leads to having influence upon the effect of hospital management. What a country differentiates medical bill or supports medical equipment for medical institution that acquired accreditation is considered to be a plan for activation that can allow non-accreditation hospitals to be able to participate positively in the voluntary accreditation system.

Factor Analysis on the Performance of Hospital Customer Relationship Management (HCRM) System (병원고객관계관리시스템의 성과요인 분석)

  • Chun, Je-Ran
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.79-84
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    • 2021
  • The objective of this paper is to find out the factors for the performance of the Hospital Customer Relationship Management (HCRM) system. Furthermore, the relationships between these factors have been analyzed. In order to analyze the performance of the HCRM system, factor analysis with several Key Performance Indicators (KPIs) was conducted. And also multiple regression analysis and Chi-square test were executed. In this study, several hypotheses were derived to analyze the relationships between factors of performance of HCRM system. These hypotheses were tested by using the Structural Equation Model (SEM). As the result of this study, we discovered the HCRM-Infrastructure has positive effects on the HCRM-Performance. And the HCRM-Performance has also positive influences on the hospital management performance. On the basis of the research result, we proposed some suggestions and guidelines for the successful implementation and improvement of HCRM system.

The Fitness and Organizational performance Analysis of Hospital Specialization Strategy Types (병원전문화 전략유형의 적합성과 조직성과 분석)

  • Kim, Han-Sung;Kim, Young-Hoon;Woo, Jung-Sik;Lee, Hae-Jong;Yoon, Byoung-Jun;Han, Whiejong;Choi, Young-Jin
    • Korea Journal of Hospital Management
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    • v.17 no.4
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    • pp.87-115
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    • 2012
  • This research classified hospital specialization strategy types through cluster analysis, analyzed fitness of hospital specialization strategy types for external environment or organizational structure, and examined relation between hospital specialization strategy types and organizational performance. This research surveyed 1,437 hospitals which have more than 30 patient's bed and practice national health service in Korea. Specifically, this research divided into two part : external fit - analysis of relation between external environment and specialization strategy, internal fit-analysis of relation between organizational structure factors and specialization strategy. also, as the organizational performance for achieving specialization strategic purpose, not only the productivity, efficiency, profit but also the medical quality was considered. In case of external fit, many hospitals chose integration type if there are a lot of competitive hospitals and regional population. Particularly, if there are many competitive hospitals, concentration type is chosen. In contrast, if there are many doctors in the region, differentiation type is chosen. In case of internal fit, according to organization type and patient's bed number, hospitals chose different types. If it is a general hospital and has a few bed number, generalization or concentration type is chosen. Tertiary hospital or the hospital with many patient's bed chose differentiation type. According to the number of specialists, if there are a few specialists, generalization or concentration type is chosen. If there are many specialists, differentiation type has high fitness for the hospital. In relation to strategy types and organizational performance, differentiation type has best result. Differentiation type has a good result in 7 items out of 11.

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A Study on the Effect of Market Orientation on Customer Orientation, Professionalism, Job satisfaction and Performance in Specialty Hospital (전문병원의 시장지향성이 고객지향성, 직업전문성, 직무만족 및 경영성과에 미치는 영향)

  • Lee, Jung-Woo;Choi, Young-Jin
    • Korea Journal of Hospital Management
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    • v.14 no.1
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    • pp.1-22
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    • 2009
  • The purpose of this study is to find how does market orientation of specialty hospital affects customer orientation, professionalism, job satisfaction and performance. Consequently, the correlation between market orientation and performance can be identified and more effective guideline for marketing strategy can be draw through this study. Data were collected from 302 employees in 6 hospitals using a standardized questionnaire. This study analyzed the research model using structural equation model. The findings of this paper are as followings; 1. Customer orientation and professionalism had been affected directly by market orientation. 2. Performance has been affected directly by customer orientation and job satisfaction. 3. Job satisfaction has been affected directly by professionalism. 4. Performance has been affected indirectly by professionalism via job satisfaction.

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