• 한국병원경영학회지
• /
• 제23권4호
• /
• pp.53-64
• /
• 2018

Purposes: The hospitals needs to generate a minimum profit, in order to perform its own role such as providing high-quality medical services. The demand for hospital management is increasing, as the social demands are diversified and the financial transparency is emphasized. The purpose of this study is to compare hospitals management based on Dupont Identity, by various hospital classification. Methodology: This study is based on '2016 Statistics for Hospital Management' provided by the Korea Health Industry Development Institute. The hospitals were classified according to the scope of care, the type of establishment, the location, and the number of beds. We analyzed the general and financial characteristics of over 337 hospitals using the method of Dupont Identity. Findings: Net profit margin (PM) has the biggest impact on return of equity (ROE). By the number of beds, general hospital with 160-299 beds have the highest return on equity (ROE). By location, hospitals in local municipalities have higher return on equity than hospitals in urban municipalities. According to the type of establishment, public hospitals have lower business performance, and although they invest more than private hospitals. Practical Implications: This study can inspire interest and provide understanding in hospital management and financial structure, by analyzing through an intuitive indicator named Dupont identity. It is possible to provide basic data for hospital management methods for each financial elements, in order to increase the profitability of hospitals.

• Journal of Microbiology and Biotechnology
• /
• 제33권8호
• /
• pp.1091-1100
• /
• 2023

Human papillomavirus (HPV) types 16 and 18 are the major causes of cervical lesions and are associated with 71% of cervical cancer cases globally. However, public health infrastructures to support cervical cancer screening may be unavailable to women in low-resource areas. Therefore, sensitive, convenient, and cost-efficient diagnostic methods are required for the detection of HPV16/18. Here, we designed two novel methods, real-time ERA and ERA-LFD, based on enzymatic recombinase amplification (ERA) for quick point-of-care identification of the HPV E6/E7 genes. The entire detection process could be completed within 25 min at a constant low temperature (35-43℃), and the results of the combined methods could be present as the amplification curves or the bands presented on dipsticks and directly interpreted with the naked eye. The ERA assays evaluated using standard plasmids carrying the E6/E7 genes and clinical samples exhibited excellent specificity, as no cross-reaction with other common HPV types was observed. The detection limits of our ERA assays were 10⁰ and 10¹ copies/µl for HPV16 and 18 respectively, which were comparable to those of the real-time PCR assay. Assessment of the clinical performance of the ERA assays using 114 cervical tissue samples demonstrated that they are highly consistent with real-time PCR, the gold standard for HPV detection. This study demonstrated that ERA-based assays possess excellent sensitivity, specificity, and repeatability for HPV16 and HPV18 detection with great potential to become robust diagnostic tools in local hospitals and field studies.

• 농촌의학ㆍ지역보건
• /
• 제37권1호
• /
• pp.36-51
• /
• 2012

'건강 플러스 행복 플러스 사업'은 경상남도의 높은 표준화사망률을 감소시키고 지역 간 건강불평등을 완화하기 위하여 표준화사망비가 구조적으로 높은 40개 읍면동을 대상으로 수행되는 사업이다. 본 사업은 영국의 헬스 액션 존 사업의 방법론을 기반으로 하여 참여, 파트너쉽, 자원의 집중을 사업의 기본 원칙으로 설정하고 2010년부터 시작되었으며 2017년까지 진행될 예정이다. 총 사업비는 56억원이며, 2010년에는 17개 읍면동, 2011년에는 12개 읍면동, 2012년에는 11개 읍면동에 사업이 개시되었거나 개시될 예정이다. 2010년 사업의 경우, 사업대상지역인 17개 읍면동에 예산이 배정되었고, 관련 수단 및 지역 차원의 사업진행 틀을 만드는 과정을 거쳤다. 또한 사업대상지역의 건강결정요인을 파악하기 위하여 지역 사회조사를 실시하였으며 사업에 대한 교육훈련지원 및 기술지원을 위하여 교육훈련지원단과 사업운영지원단이 설치되었다. 그 결과 사업 인력들과 코디네이터에 대한 교육이 실시되었으며, 사업대상지역에는 사업팀과 사업추진위원회가 결성되었다. 지역사회조사 이후에는 지역사회조사결과 보고회를 통하여 지역의 건강결정요인과 건강수준을 지역주민들과 함께 공유하였으며 최종적으로 사업 관련 주민자치조직인 건강위원회가 17개 읍면동에서 출범하였다. 본 사업은 지역사회 참여 및 파트너쉽의 구축과 관련하여 아직 해결해야 될 과제들이 많으나 원칙에 근거한 사업이 지속적으로 진행될 수 있다면 경상남도의 건강불평등 완화를 통한 표준화사망률 감소 및 사업대상지역 주민들의 안녕 수준 향상에 기여할 수 있을 것으로 판단된다.

• 대한응급의학회지
• /
• 제29권6호
• /
• pp.585-594
• /
• 2018

Objective: This study was designed to report on the progress of the fire at Jecheon sports complex and to assess the adequacy of Disaster Medical Assistant Team (DMAT)'s activities in response to the fire disaster. Methods: We conducted a retrospective review based on camera recordings and medical records that were recorded at the disaster site for assessment of activities. We cooperated with firefighters, police officers, local hospital medical staffs and public health personnel in Jecheon in order to classify patients in the disaster field and to understand the patients' progress. Results: At 15:53, the first request for emergency rescue came to the 119 general emergency call center, and a request for DMAT activation came at 16:28. DMAT arrived at the site at 17:04 and remained active until the following day at 00:43. The total number of casualties was 60, including 27 minimal (Green) patients, 29 expectant (Black) patients, three delayed (Yellow) patients, and one immediate (Red) patient. There were 32 patients who received on-site care by DMAT. Two patients were transferred from a local hospital to Wonju Severance Christian Hospital for hyperbaric oxygen therapy. Conclusion: Twenty-nine victims were found in the sports complex building, and there were 31 mildly to moderately injured patients in this fire disaster. The main cause of death was thought to be smoke suffocation. Although DMAT was activated relatively quickly, it was not able to provide effective activity due to the late rescue and difficulty with fire suppression.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제27권4호
• /
• pp.301-307
• /
• 2001

There have been many trials to decrease the scar formation followed by wound treatment. $TGF-{\beta}$ plays a important role on wound healing in adult. Therefore the repression of $TGF-{\beta}$ expression will be helpful to decrease scar formation. Decorin is known to competitively inhibit $TGF-{\beta}$ expression. Decorin were subcutaneously administered in surgical wounds in rabbits to investigate the preventing effect of scar formation for clinical application. Histologic findings of wound healing progresses is similar with control and experimental group at 2week. $2.5{\mu}g$ decorin of administrated group was similar to those of control group at 4 and 8week. In wound healing process $10{\mu}g$ decorin of administrated groupsat showed that thickness of immature collagen fibers(scar) was decreased as compared with control group at 4, 8 weeks. $20{\mu}g$ decorin of administrated group showed similar histologic features to $10{\mu}g$ administrated group. The wounds of 8week experimental group(10, $20{\mu}g$) were completely recovered to the normal surrounding skin tissue including sweat gland and hair follicle. These results suggested that decorin can be of help to the prevention of local scar formation.

• 치위생과학회지
• /
• 제9권1호
• /
• pp.137-143
• /
• 2009

본 조사의 대상자 선정은 총 6주의 임상실습을 마친 경남, 울산지역의 일부 치위생과 학생을 대상으로 하였으며 보건(지)소 2주, 치과 병의원 4주로 자료수집 방법은 연구자가 직접연구의 목적과 취지를 설명하고 구조화된 총 200부의 설문지를 배부하여 회수된 198부를 분석에 이용하였다. 임상실습 시 경험할 수 있는 스트레스 요인 및 정도를 각 실습지 별로 파악하여 임상실습지도와 개선에 도움을 주며, 임상실습의 문제점을 파악하여 효율적인 임상실습 교육이 이루어 질 수 있도록 기초자료를 제공하고자 하였다. 1. 학년별 치위생과 지원동기는 졸업 후 "취업률이 높아서"가 2학년 64.8%, 3학년 62.2%로 나타났으며, 학년별 전공에 대한 만족도에서 "만족한다"가 2학년 29.6%, 3학년 73.3%로 나타났다. 2. 학년별 보건소, 병의원 실습에 대한 만족도에서 보건소 실습의 경우 "만족한다" 2학년 46.3% 3학년 46.7%로 나타났고, 병의원 실습의 경우 "만족한다" 2학년 50.9%, 3학년 66.7%로 나타났다. 3. 보건소 실습 시 느끼는 스트레스 요인 중 가치와 이상의 학교실습과 보건소실습과의 관계에서는 현장상황과 실습내용과의 차이에서 "느낀다"가 50.0%로 가장 높게 나타났다(p < 0.05). 4. 병, 의원 실습 시 느끼는 스트레스 요인 중 가치와 이상의 학교실습과 병원실습과의 관계에서 "느낀다"가 54.5%로 가장 높게 나타났고(p < 0.05), 이론과 지식의 실제적용 어려움에서는 "느낀다"가 62.1%로 가장 높게 나타났으며 (p < 0.05), 현장상황과 실습내용과의 차이에서는 "느낀다"가 58.1%로 가장 높게 나타났고(p < 0.05), 활동분야의 관련분야 지식부족에서는 "느낀다"가 50.5%로 가장 높게 나타났다(p < 0.05). 이상과 같은 결과에서 임상실습시 경험하는 스트레스요인을 최소화하기 위해서는 실습지에서 학교에서 배운 지식을 환자에게 직접 적용시킴으로써 학습에 대한 흥미유발과 실습에 대한 만족도를 높일 수 있도록 실습생에 대한 프로그램개발이 필요할 것으로 사료된다.

• 한국비블리아학회지
• /
• 제30권3호
• /
• pp.195-221
• /
• 2019

본 연구는 국외 병원도서관 환자대상 건강정보서비스 사례조사를 통한 시사점을 제시하고자 함이 목적이다. 총 89개의 국외 병원도서관을 대상으로 하였으며 여기에는 종합병원, 전문병원, 여성병원, 어린이병원, 재향군인병원 등이 포함되어 있다. 89개 병원도서관에서 일반적이면서 공통적으로 제공하고 있는 건강정보서비스를 조사하였으며 다음으로 차별화된 건강정보서비스를 조사하였다. 조사결과, 첫째, 국외에서는 병원도서관의 설치와 건강정보서비스 제공이 일반화되어 있음을 알 수 있다. 둘째, 건강정보서비스 제공을 위해 사서, 건강정보전문가, 의학전문사서, 사회복지사, 임상사서, 건강교육전문가, 자원봉사자 등의 다양한 인적자원을 활용하고 있다. 셋째, 인쇄자료뿐 만 아니라 전자자료, 웹사이트, 팸플릿, 브로우셔 등의 다양한 정보원을 제공하고 있으며 다양한 언어로도 건강정보를 제공하고 있다. 넷째, 건강(정보활용)교육 및 프로그램 제공에 있어 병원, 지역공공도서관, 지역공동체 등과의 연계를 통한 서비스가 제공되고 있다. 이를 통한 국내 병원도서관을 위한 시사점으로는 첫째, 병원도서관 설치 및 건강정보서비스 제공에 대한 인식의 전환, 둘째, 인적자원 양성을 위한 교육과정 및 협회의 지원과 계속교육의 필요성, 셋째, 병원도서관에서의 건강정보서비스 의무화 및 다양화를 위한 관련 기관과의 연계 등이 필요하다.

• 한국병원경영학회지
• /
• 제14권4호
• /
• pp.1-24
• /
• 2009

The purpose of this study was to find out the differences and relationships among balanced strategy, coordinating and learning mechanism, and perceived performance of hospitals in Korea, and provide some directions to establish effective strategic management of hospital. Measure items on balanced strategy, coordinating and learning mechanism, and perceived performance were developed from previous studies. Questionnaire was sent and received through Internet site and e-mail during May, 2008. Data were collected from key informant in each institutions, and analyzed using frequency analysis, T-test, ANOVA, correlation and regression analysis. The major findings of this study were as follows: 1. The level of strategic selection and external learning mechanism of private hospital was lower than that of medical corporation, and others corporation hospital. 2. There was little difference between hospitals in metropolitan and those in small cities. 3. Hospitals that have under 100 beds were statistically lower level in strategic selection and external learning mechanism than hospitals has over 100 beds. 4. Formal coordinating and external learning mechanism, and foundation form(medical corporation) were significantly influenced on profitability from specialized field. 5. Strategic selection and adaptation mechanism were significantly affected on total profitability. 6. Strategic selection and external learning mechanism were significantly influenced on competitive power around its local market. Hospitals that are to be competitive by specialization should have to establish mechanism for management such as balanced strategy, coordinating and learning mechanism.

• 보건행정학회지
• /
• 제33권3호
• /
• pp.355-362
• /
• 2023

Background: Financial efficiency in monetary units and operational efficiency in non-monetary units are separately classified and evaluated. This is done to prevent the duplication of monetary units and non-monetary units in inputs and outputs. In addition, analyses are conducted to determine the factors that affect each aspect of efficiency. To prevent duplication of monetary and non-monetary units in inputs and outputs, financial efficiency, consisting of monetary units, and operational efficiency, comprising non-monetary units, are separately classified and evaluated. Furthermore, an analysis is conducted to identify the factors that affect each aspect of efficiency. Methods: This study conducted a panel analysis of 34 regional public hospitals and influencing factors on efficiency for 5 years from 2015 to 2019. Financial efficiency and operational efficiency were calculated through data envelopment analysis. Moreover, multiple regression analysis was conducted to identify the factors that influence both financial efficiency and operational efficiency. Results: The factors that affect financial efficiency include the number of medical institutions within the treatment area and the ratio of patients receiving medical care. Additionally, operational efficiency is influenced by the type of medical institution, the number of medical institutions within the treatment area, and the number of nursing positions per 100 beds. Conclusion: In order for regional public hospitals to faithfully fulfill their functions and roles as regional base public hospitals, several measures are necessary. Firstly, continuous monitoring and reasonable support are required to ensure efficient operation and performance. Secondly, a financial support plan tailored to the characteristics of local medical centers is needed. Additionally, local medical centers should strive to enhance their own efficiency.

• Journal of Information Technology Applications and Management
• /
• 제31권1호
• /
• pp.1-9
• /
• 2024

Predicting the spread of COVID-19 remains a challenge due to the complexity of the disease and its evolving nature. This study presents an integrated approach using the classic SIR model for infectious diseases, enhanced by the chemical master equation (CME). We employ a Monte Carlo method (SSA) to solve the model, revealing unique aspects of the SARS-CoV-2 virus transmission. The study, a first of its kind in Korea, adopts a step-by-step and complementary approach to model prediction. It starts by analyzing the epidemic's trajectory at local government levels using both basic and stochastic SIR models. These models capture the impact of public health policies on the epidemic's dynamics. Further, the study extends its scope from a single-infected individual model to a more comprehensive model that accounts for multiple infections using the jump SIR prediction model. The practical application of this approach involves applying these layered and complementary SIR models to forecast the course of the COVID-19 epidemic in small to medium-sized local governments, particularly in Gangnam-gu, Seoul. The results from these models are then compared and analyzed.