• Title/Summary/Keyword: Hospital policy

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The Effect of Organizational and Individual Capabilities on Job Satisfaction and Work Performance in Healthcare Institutions (의료기관에서 조직역량과 개인역량이 직무만족 및 업무수행에 미치는 영향)

  • Joung, Hyun Suk;Hong, Kwan Soo;Lee, DonHee
    • Journal of Korea Society of Industrial Information Systems
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    • v.25 no.4
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    • pp.65-81
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    • 2020
  • This study examines the effects of the organizational and individual capabilities on employee' job satisfaction and work performance. The proposed research model and developed hypotheses were tested using structural equations modeling based on data collected from 243 care team members (doctor and nurse) in hospitals with more than 500 beds in South Korea. The results of study confirm the positive effects of organizational capabilities on job satisfaction and work performance, but individual capabilities did not significant effects on job satisfaction. In addition, there is a positive relationship between job satisfaction and work performance. The study provides valuable insights to hospital top management and administrators, institutions, and policy-makers about the importance of developing organizational and individual capabilities.

Correlation between Outpatient's Medical Adherence and National Insurance Types in the Type 2 Diabetes Mellitus (제2형 당뇨병의 외래환자 복약순응도와 보험유형과의 관계)

  • Lee, Mi-Joon;Kang, Hee-Kyung;Seo, Bum-Jeun
    • Journal of Convergence for Information Technology
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    • v.8 no.4
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    • pp.9-14
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    • 2018
  • The purpose of this study was to analyse the relationship between the characteristics of the patients who received oral antihyperglycemic drugs and their medical adherence in Korea. The study method was a cross-sectional study using the patient sample data of the Health Insurance Review and Assessment Service for 2016, and it was analyzed with 109 major components of diabetes drug. The medical adherence was slightly higher in male than female. The patriots & veterans(free) type had the highest medication adherence because they have low self burden to access medical institutions compared to other insurance types. It is expect that this study result will be used as a basic data to understand the burden of outpatients with health insurance and establish a policy to reduce of the self outpatients' burden with chronic diseases such as type 2 diabetes.

The effect of Nursing Work Environment of Hospital Nurses on Nursing Job Performance and Job Satisfaction : The mediating effect of Self-Leadership (병원간호사의 간호근무환경이 간호업무성과, 직무만족에 미치는 영향: 셀프리더십의 매개효과)

  • Kim, Shin-Hee;Kwak, Yun-Bok;Lee, Eun-Hee
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.509-519
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    • 2021
  • The purpose of this study is to understand the mediating effect of self-leadership in the process of understanding the effects of nursing job performance and job satisfaction in the nursing work environment perceived by nurses. In this study, nurses who worked for more than one year at three general hospitals located in Province A. Total of 225 data were used for the final analysis. Date analyzed using the SPSS 22.0 program by t-test, ANOVA, Pearson's correlation coefficient and hierarchical regression analysis. Self-leadership was found to play a partial mediating role in the relationship between nursing work environment and nursing job performance(z=4.30, p<.001) and between nursing work environment and job satisfaction(z=3.70, p<.001). Therefore, in order to improve nursing job performance and job satisfaction, it will be necessary to establish a management plan that can improve the nursing work environment and improve self-leadership.

Relationship between Basic Psychological Needs, Positive Psychological Capital, and Psychological Burnout depending on Types of Nursing Organizational Culture (간호 조직문화 유형에 따른 간호사의 기본심리욕구, 긍정심리자본, 심리적 소진 간의 관계)

  • Cho, Young-Mun
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.413-421
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    • 2021
  • This study is a descriptive survey research for relationship between basic psychological needs, positive psychological capital and psychological burnout according to type of nursing organizational culture. The participants were 151 clinical nurses at 5 general hospital located in M city from May 2020 to June 2020 by questionnaire survey. For data analysis, SPSS/WIN 23.0 program was utilized including one-way ANOVA, independent t-test, Pearson correlation coefficients. This study showed a positive correlation for basic psychological needs, positive psychological capital in relationship-oriented culture and innovation-oriented culture. In addition, it showed a negative correlation for psychological burnout. This study confirmed positive correlationt between relationship-oriented culture, Innovation-oriented culture and positive psychology in nursing organization. Therefore, it is necessary to establish a system within a nursing organization and develop related programs that can promote relationship-oriented culture, innovation-oriented culture.

Analysis of factors affecting antibiotic use at hospitals and clinics based on the defined daily dose (병원 및 의원급 일일사용량 기준 항생제 사용량에 영향을 미치는 요인)

  • Lee, Eun Jee;Lee, GeunWoo;Park, Juhee;Kim, Dong-Sook;Ahn, Hyeong Sik
    • Journal of the Korean Medical Association
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    • v.61 no.11
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    • pp.687-698
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    • 2018
  • Inappropriate antibiotic use significantly contributes to antibiotic resistance, resulting in reduced antibiotic efficacy and an increased burden of disease. The objective of this study was to investigate the characteristics of prescribers whose antibiotics use was high and to explore factors affecting the use of antibiotics by medical institutions. This study analyzed the National Health Insurance claims data from 2015. Antibiotic prescription data were analyzed in terms of the number of defined daily doses per 1,000 patients per day, according to the World Health Organization anatomical-therapeutic-chemical classification and methodologies for measuring the defined daily dose. We investigated the characteristics of prescribers and medical institutions with high antibiotic use. Multivariate regression analyses were performed on the basis of characteristics of the medical institution (number of patients, type of medical institution [hospital or clinic], age of the physician, etc.). The number of patients and number of beds were found to be significant factors affecting antibiotic use in hospitals, and the number of patients, region, and medical department were significant factors affecting antibiotic use at the level of medical institutions. These findings are expected to help policy-makers to better target future interventions to promote prudent antibiotic prescription.

Study on the Establishment of Fixed Night Shifts and Flexible Work Arrangements for Nurses (간호사의 야간전담 및 유연근무제도 정착을 위한 실태 조사)

  • Kim, Jeoung Hee;Choi, Eun Ju;Kim, Myoung Sook;Yu, Mi;Jun, Jin Hwa;Kim, Yeon Hee
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.2
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    • pp.107-119
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    • 2019
  • Purpose: The purpose of this study was to investigate the welfare status of nurses and the status of fixed night shifts and flexible work arrangements in both general hospitals and advanced general hospitals in Korea. Methods: A total of 167 hospitals participated in this study, done from April to October 2018. Results: There were 103 hospitals utilizing the fixed night shift system, 22 in the two-shift system, 3 in the fixed holiday shift, 79 in the fixed shift system, and 39 in the short-time working system. The average welfare benefits for nurses increased to 33.02 million won on average. However, welfare services for the nurses were poor: 41.8% of the respondents had a nurses' lounge, 81.7% were given dormitory space at their place of employment, 41.8% had access to welfare facilities, and 56.4% were provided with welfare support countermeasures. Conclusion: The results show an increasing trend of hospitals to utilize fixed night shift and flexible work arrangements. An institutional strategy at the national policy level should be established to implement flexible work arrangements including the fixed night shift system, which has a poor level of welfare.

Development of Clinical Terminology System for Human Body : Convergence Research of SNOMED CT (인체 골격의 좌표형 임상용어체계 표준 개발 : SNOMED CT 기반의 융복합 연구)

  • Choi, Byung-Kwan;Choi, Eun-A;Nam, Moon-Hee
    • Journal of Digital Convergence
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    • v.17 no.4
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    • pp.177-185
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    • 2019
  • This is a methodological study to develop standards for human body coordinate clinical terminology system. The Standard was developed through four stages: Stage 1 - research plan was developed through literature review and data collection. Stage 2 - preliminary standard was created. Stage 3 - the standard was revised in accordance with the consultation of experts through seminars. Stage 4 - Final version of the standard was presented after verification of the content level. 2D human body images are expressed as x, y axes, and 3D images are expressed as x, y, z axes. Concepts and definitions of coordinates were preassembled into FSN, synonyms and preferred names of SNOMED CT. The latter combination was defined through 18 relationships. The average index was 4.01 for the content validity of the developed relationship standard. This research suggests that subsequent standards should be developed for other parts of the human body such as the brain, organs, and tissues. Also, it suggests that methodological research should be continued to increase the utilization of the standard in clinical practice.

An Analysis of the Disagreement in Disease Coding in South Korean Medical Institutions: Focusing on the Health Insurance Claim Data of Outpatients (우리나라 의료기관의 질병 코딩 불일치성 분석 : 외래환자 건강보험 청구 자료를 중심으로)

  • Jeon, Yun-Hee;Kang, Gil-Won
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.533-540
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    • 2018
  • The purpose of this study was to use the data from the Health Insurance Review and Assessment Service to analyze the disagreement in disease coding given by different medical institutions on the same disease of the same patient and provide basic data that could help improve the quality of national public health statistics. 9,976,826 patients' data records from the Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) of 2014 were analyzed. The disagreement in disease coding differed by movement paths for medical institutions; the disagreement rate tended to increase when moving from a medical institution other than public health centers to a public health center and decrease remarkably when moving from a specialized general hospital to another. Therefore, this analysis of disagreement in disease coding among medical institutions suggests the need to supplement the system so that domestic medical institutions can realize consistent disease coding.

Communication with a Physician Experienced by a Nurse in a Clinical setting : Using Focus Group Interview (임상현장에서 간호사가 경험하는 의사와의 의사소통 : 포커스그룹 면담을 이용하여)

  • Song, Mi Sook;Yun, Hyewon
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.279-290
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    • 2019
  • The purpose of this study was to explore communication experiences with doctors experienced by nurses in clinical settings, to resolve communication difficulties, and to identify ways to communicate effectively. "What is communication with a physician experienced by a nurse? The focus of the discussion was performed with questions. The study was a qualitative study of 21 nurses with different clinical experiences using interview methods and analyzed data using the criteria of Downe-Wam bol dt. 12 Themes were reclassified to derive 4 Themes clusters. In conclusion, it is necessary to create an atmosphere of respect for doctors and nurses, and each department should be able to quickly identify and deal with communication problems. Based on the research, It is suggested that the training of communication skills be strengthened to be possible.

Influence of implant-abutment connection structure on peri-implant bone level in a second molar: A 1-year randomized controlled trial

  • Kim, Jin-Cheol;Lee, Jungwon;Kim, Sungtae;Koo, Ki-Tae;Kim, Hae-Young;Yeo, In-Sung Luke
    • The Journal of Advanced Prosthodontics
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    • v.11 no.3
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    • pp.147-154
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    • 2019
  • PURPOSE. This study aimed to evaluate the effect of two different implant-abutment connection structures with identical implant design on peri-implant bone level. MATERIALS AND METHODS. This clinical study was a patient-blind randomized controlled trial following the CONSORT 2010 checklists. This trial was conducted in 24 patients recruited between March 2013 and July 2015. Implants with internal friction connection were compared to those with external hex connection. One implant for each patient was installed, replacing the second molar. Implant-supported crowns were delivered at four months after implant insertion. Standardized periapical radiographs were taken at prosthesis delivery (baseline), and one year after delivery. On the radiographs, distance from implant shoulder to first bone-to-implant contact (DIB) and peri-implant area were measured, which were the primary and secondary outcome, respectively. RESULTS. Eleven external and eleven internal implants were analyzed. Mean changes of DIB from baseline to 1-year postloading were 0.59 (0.95) mm for the external and 0.01 (0.68) mm for the internal connection. Although no significant differences were found between the two groups, medium effect size was found in DIB between the connections (Cohen's d = 0.67). CONCLUSION. Considering the effect size in DIB, this study suggested the possibility of the internal friction connection structure for more effective preservation of marginal bone.