• 한국의료질향상학회지
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• 제23권1호
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• pp.69-90
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• 2017

Purpose: The purpose of this study was to analyze the impact of healthcare accreditation and to provide empirical evidence to validate positive effectiveness. Methods:Six electronic databases (KERIS, KoreaMed, NDSL, Ovid-medline, Embase, Cochrane library) were accessed in May 2016. Keywords used were 'accreditation' and 'Joint Commission on Accreditation of Healthcare Organization (JCAHO)'. Of the initially identified 3,008 articles, 60 studies on healthcare accreditation were selected based on inclusion criteria that are hospital accreditation, accreditation by disease and clinical center accreditation. These were retrieved and analyzed. Result: The 60 study results were on the impact of healthcare accreditation. Results were classified into four perspectives of Balanced Score Card (Financial, Customer, Internal Process, Learning & Growth). In internal process perspective, results revealed that healthcare accreditation has made a positive impact on "care process and procedure". In learning & growth perspective, healthcare accreditation has made a positive influence on "leadership", "organizational cultures" and "change mechanisms". However, it revealed that healthcare accreditation does not directly affect financial performance. It is also difficult to reach a definitive conclusion that healthcare accreditation programs affect patient satisfaction of customer and clinical outcome of the internal process. Conclusion: Healthcare accreditation programs provide positive impact on change of care process and building communication-oriented hospital culture. However, more rigorous and diverse research is needed on financial effects and clinical outcomes of healthcare accreditation.

• 한국콘텐츠학회논문지
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• 제17권12호
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• pp.368-377
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• 2017

본 연구는 고등교육기관 평가 인증제와 대학재정지원사업을 중심으로 대학 자체교육인증제의 시행배경을 살펴보고, A대학의 사례를 중심으로 운영상의 문제점을 확인하여 대학 자체교육인증제의 개선 방안을 도출하는 것을 목적으로 한다. 이를 위해 A대학에서 2016년도에 실시한 평가위원 및 인증위원과의 면담자료와 자체교육인증 관련 회의록 등을 Nvivo11을 사용하여 질적 자료 분석의 단계에 따라 분석하였다. 분석 결과 A대학의 사례를 통해 나타난 자체교육인증제의 운영상 문제점은 첫째, 학과의 과중한 행정업무 부담에 따른 자체인증제 참여 부담, 둘째, 모호한 평가지표로 인한 보고서 작성과 평가의 어려움 등으로 확인되었다. 자체교육인증제의 개선방안으로는 첫째, 충분한 준비기간 제공과 준비자료의 세부 안내, 둘째, 구체적인 피드백과 함께 지속적이고 체계적인 관리, 셋째, 상시 성과기록 시스템 구축, 넷째, 별도 재인증 기준 마련, 다섯째, 학과 특성을 반영한 평가 기준 설정, 마지막으로 자체평가보고서의 공통 양식 제공 등이 제시되었다.

• 한국병원경영학회지
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• 제22권4호
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• pp.74-86
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• 2017

Purposes: This study was performed to understand the recognition about accreditation motives, support within the hospital and accreditation survey process for the hospitals that participated in the accreditation program and to find out whether these factors are related to hospital management performances, so that the study can suggest plans for activation and development of the accreditation program. Methodology: This study was performed targeting 98 hospitals answered th the survey among 189 acute care hospitals that acquired accreditation from December 2010 to February 2014. For data analysis, frequency analysis, ${\chi}^2$-test, reliability analysis, ANOVA, Kruskal-Wallis H test and multiple regression analysis with SPSS 21.0 were used. Findings: The hospitals that had staff in charge of patient safety had bigger hospital culture change than those that didn't have(p<.05). In addition, the hospital culture change was bigger as internal motives were bigger, and as CEO's will was bigger(p<.05). Meanwhile, as maintenance rate of internal management after accreditation was higher, and as CEO's will was bigger, process improvement level was higher(p<.05). The quality improvement and patient satisfaction level were higher as CEO's will was bigger, and as suitability of survey process was recognized to be high(p<.05). As a result of analyzing the factors that affect hospital management performances with hospital culture change, process improvement and quality improvement combined, as internal management maintenance rate was higher, as CEO's will was bigger, and as suitability of survey process was higher, performances were higher(p<.05). Practical Implications: Hospitals need to reinforce internal motives to improve internal competences such as the whole system maintenance opportunity and staff training. In addition, the will of hospital director is most important, and if there is hospital director's interest in quality improvement and improvement intention definitely, employees voluntarily participate in and cooperate with the accreditation program, so that prompt medical service provision and high quality of medical services can be guaranteed, leading to hospitals' management performances.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.233-243
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• 2020

본 연구는 학과 스스로 교육과정 전반을 점검할 수 있는 전공교육의 질관리 체계인 A대학교의 자체교육인증제도를 소개하고, 자체교육인증제가 역량기반 교육과정 질향상에 미치는 영향을 탐색해보고자 하였다. 이를 위해서 A대학교에서 매년 실시하고 있는 교육수요자 만족도 조사, 핵심역량 진단도구, 전공과목 강의평가 점수 분석 결과를 인증학과와 비인증학과로 구분하여 학생과 교수자의 교육성과를 분석하였다. 본 연구의 결과 및 시사점을 정리해 보면 다음과 같다. 첫째, 자체교육인증제의 효과로 인증추진 학과의 교육목표 및 교육과정 구성, 교육과정 운영, 교육과정 지원, 교육과정 개선의 만족도는 비인증 학과에 비하여 높은 것으로 확인되었으며, 이는 모두 통계적으로 유의미한 차이가 나타났다. 둘째, 학생 핵심역량은 자체교육인증을 취득하기 이전보다 취득한 이후에 보다 긍정적인 변화가 있는 것으로 나타났다. 셋째, 자체교육인증제는 전공과목 강의평가에 긍정적인 영향을 미치고 있는 것으로 확인되었다. 이러한 연구결과를 바탕으로 본 연구에서는 대학에서 자체교육인증 설계를 위한 기초자료를 제공하고자 하였다.

• 대한기관윤리심의기구협의회지
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• 제2권2호
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• pp.37-48
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• 2020

Purpose: The purpose of this study is to assess the operational status and level of understanding among IRB and HRPP staffs at a hospital or a research institute to the HRPP guideline set by the Ministry of Food and Drug Safety (MFDS) and to provide recommendations. Methods: Online survey was distributed among members of Korean Association of IRB (KAIRB) through each IRB office. The result was separated according to topic and descriptive statistics was used for analysis. Result: Survey notification was sent out to 176 institutions and 65 (37.1%) institutions answered the survey by online. Of 65 institutions that answered the survey; 83.1% was hospital, 12.3% was university, 3.1% was medical college, 1.5% was research institution. 23 institutions (25.4%) established independent HRPP offices and 39 institutions (60.0%) did not. 12 institutions (18.5%) had separate IRB and HRPP heads, 21 (32.3%) institutions separated business reporting procedure and person in charge, 12 institutions separated the responsibility of IRB and HRPP among staff, and 45 institutions (69.2%) had audit & non-compliance managers. When asked about the most important basic task for HRPP, 23% answered self-audit. And according to 43.52%, self-audit was also the most by both institutions that operated HRPP and institutions that did not. When basic task performance status was analyzed, on average, the institutions that operated HRPP was 14% higher than institutions that only operated IRB. 9 (13.8%) institutions were evaluated and obtained HRPP accreditation from MFDS and the most common reason for obtaining the accreditation was to be selected as Institution for the education of persons conducting clinical trial (6 institutions). The most common reason for not obtaining HRPP accreditation was because of insufficient staff and limited capacity of the institution (28%). Institutions with and without a plan to be HRPP accredited by MFDS were 20 (37.7%) each. 34 institutions (52.3%) answered HRPP evaluation method and accreditation by MFDS was appropriate while 31 institutions (47.7%) answered otherwise. 36 institutions answered that HRPP evaluation and accreditation by MFDS was credible while 29 institutions (44.5%) answered that HRPP evaluation method and accreditation by MFDS was not credible. Conclusion: 1. MFDS's HRPP accreditation program can facilitate the main objective of HRPP and MFDS's HRPP accreditation program should be encouraged to non-tertiary hospitals by taking small staff size into consideration and issuing accreditation by segregating accreditation. 2. While issuing Institution for the education of persons conducting clinical trial status as a benefit of MFDS's HRPP accreditation program, it can also hinder access to MFDS's HRPP accreditation program. It should also be considered that the non-contact culture during COVID-19 pandemic eliminated time and space limitation for education. 3. For clinical research conducted internally by an institution, internal audit is the most effective and sole method of protecting safety and right of the test subjects and integrity for research in Korea. For this reason, regardless of the size of the institution, an internal audit should be enforced. 4. It is necessary for KAIRB and MFDSto improve HRPP awareness by advocating and educating the concept and necessity of HRPP in clinical research. 5. A new HRPP accreditation system should be setup for all clinical research with human subjects, including Investigational New Drug (IND) application in near future.

• 아태비즈니스연구
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• 제11권1호
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• pp.93-114
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• 2020

Purpose -The purpose of this study is to analyze how the accreditation system affect the selection of business strategies in social enterprises, which create social value rather than maximize profits. Design/methodology/approach - This study collected survey data from 40 accredited and 53 non-accredited social enterprises. This research employs a Fuzzy-set/qualitative comparative analysis to compare the combinations of factors that affect a social enterprise's performance Findings - The results show that for accredited enterprises organizational capabilities are significantly more important than networking capabilities, whereas for non-accredited enterprises internal communication, governance capacities and networking competencies are most important capabilities to improving their social performance. And also The accreditation systems for social enterprises would entice social enterprise away from business strategies based on with local society, which is differentiated with commonly accepted social enterprise model. Research implications or Originality - This research suggests that the accreditation system for social enterprises should be redesigned for enticing social enterprises in Korea to be more localized to meet local needs in terms of positive changes of local society.

• 한국안전학회지
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• 제30권3호
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• pp.80-84
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• 2015

The industrial accidents in the construction business have decreased on the basis of the accreditation of KOSHA 18001, one of the occupational health and safety management system. However, the interest and investment into the KOSHA 18001 has grown down because of the worsened construction business so that the construction companies that maintain the system as a mere formality has begun to be displayed. In this regard, this study performed the interview with the internal and external review board as well as the question investigation from the persons concerned in order to apprehend the current problems in the KOSHA 18001. First of all, the internal reviewers in the KOSHA are lack in the comparison with the number of new and renew accreditation. Secondly, many persons concerned with the KOSHA has required the quantitative criteria for the accreditation. Consequently, the manpower supplement associated with the external reviewers, the grading evaluation would be strong solutions to improve the effectiveness of KOSHA 18001.

• 한국노년학
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• 제38권1호
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• pp.15-26
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• 2018

본 연구는 2013년 요양병원의 의무 인증제 이후 간호인력의 의료기관 인증제에 대한 인식과 환자안전관리 활동 정도를 조사하고, 인증제 인식과 환자안전관리 활동 간의 상관관계 및 환자안전관리 활동에 미치는 영향요인을 확인하여, 요양병원 간호인력의 환자안전관리 활동을 증진하기 위한 기초자료를 제공하고자 시행되었다. 본 연구는 서술적 조사연구로 서울, 인천, 부천 소재의 의료기관 인증을 획득한 6개 요양병원 소속 간호사 및 간호조무사 대상으로 2016년 4월 18일부터 4월 30일까지 구조화된 설문지를 활용하여 총 182명의 자료를 수집하였다. 수집된 자료는 SPSS/WIN 15.0 Program을 이용하여 t-test, ANOVA, Pearson's correlation coefficient, 다중 회귀분석을 실시하였다. 연구결과, 의료기관 인증제의 인식정도는 문항평균 3.60점(최고 5점), 환자안전관리 활동은 문항평균 4.39점(최고 5점)이었다. 의료기관 인증제의 인식과 환자안전관리 활동 간에는 유의한 양적 상관관계(r=.339, p<.001)가 있었고, 환자안전관리 활동에 가장 큰 영향을 미치는 변수는 '내부서비스 품질향상'(${\beta}=.362$, p<.001)이었고, 이외 '최종학력'(${\beta}=.194$, p=.005)이 유의한 영향을 미쳤으며, 이들 변수의 설명력은 16.4% 이었다. 따라서 요양병원 간호인력의 환자안전관리 활동이 증진되기 위해서는 의료기관 인증제에 대한 인식, 특히 '내부서비스 품질향상' 인식을 높이기 위한 기관의 인증제 교육프로그램 운용의 정규화 및 활성화를 위한 제고방안이 포함되어야 한다.

• 국제교류와 융합교육
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• 제1권2호
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• pp.31-47
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• 2021

본 연구는 제2주기 한의과대학 평가인증기준을 개발하여 타당화하는 과정에서 현장에서 직접적으로 요구되는 한의학교육의 지표는 무엇인지 고찰하고, 한의학교육계에 지표를 제시하고자 하였다. 이를 위하여 6인의 한의과대학 교육전문가를 대상으로 델파이 조사를 수행하였으며, 전문가 3인에게 내용타당도 검증 및 공청회를 거쳐 제2주기 평가인증기준을 개발하였다. 본 연구의 연구결과를 바탕으로 다음의 제언을 둔다. 첫째, 한의학교육기관의 지원을 고려해야 한다. 한의학교육기관은 각 기관명의 한방병원을 운영하고 있다. 병상 수와 학교의 지원을 고려하여 평가준거를 고려해야 한다. 둘째, 2주기 평가 당시 평가위원은 6인 모두 한의학과 교수를 대상으로 이루어졌으나, 향후 평가위원의 한 모둠당 1인은 외부 교육과정 및 평가전문가로 구성하여 교육에 초점을 둔 평가를 모색할 필요가 있다. 셋째, 교육프로그램 및 기관 평가인증기준을 개발 단계부터 교육과정 및 평가전문가 포함될 필요가 있다. 넷째, 한의학대학 교육과정 개발진으로 교육과정 전문가가 포함되어 구성되어야 한다. 본 연구는 한의학교육의 질적 향상을 위한 연구로서 그 의의가 있다.

• 디지털융복합연구
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• 제17권3호
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• pp.139-152
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• 2019

4차 산업혁명과 융복합 시대를 맞아 국내 대학들도 교육의 질 개선을 비롯한 적극적인 변화가 요구되는 상황에서 1주기 전문대학의 기관평가인증제에 대한 대학의 대응 노력이 대학의 BSC 관점의 지각된 경영성과에 미치는 영향에 대한 실증분석을 목적으로 하고 있다. 연구 모형을 검증하기 위하여 1주기 기관평가인증제 심사를 받은 전문대학을 대상으로 152부의 설문지를 표본으로 하여 SPSS v.18을 이용하여 검정하였다. 분석 결과 평가인증제에 대한 대학의 대응 노력 중 평가인증제에 대한 관심 정도는 학습과 성장 성과에만 영향을 미치며, 평가인증 준비의 적절성은 고객 성과, 내부프로세스 성과, 재무 성과에 영향을 미치며, 자체평가의 만족도는 BSC 4가지 관점의 성과 모두에 영향을 미치는 것으로 나타났다. 본 연구의 결과는 기관평가인증제를 통한 대학의 경영성과 관리방안을 강구하는데 유용하게 활용될 수 있을 것이다. 향후 기관평가인증제를 대학 경영성과의 확대로 연결 지을 수 있는 발전된 연구가 필요하겠다.