• Title/Summary/Keyword: Medical organization

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Measuring Expectations in Assessment of Consumer Satisfaction by SERVQUAL (기대수준 측정방법에 따른 고객만족도 측정에 관한 연구 - SERVQUAL 척도를 중심으로 -)

  • 이선희;최귀선;강명근;조우현
    • Health Policy and Management
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    • v.10 no.3
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    • pp.155-168
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    • 2000
  • The SERVQUAL scale is based on the gap theory, which indicates the difference between consumers' expectations and their actual performance. In SERVQUAL scale, the expectations are defined as a "feasible ideal point"(ex, An Excellent hospital has up-to-date equipment). But empirical research identified important problems concerning the conceptual definitions of expectations. They suggests the usage of "desired expectations". Desired expectations are defined as the level at which the consumer predict the service that the organization they visited will perform(ex, $\bigcirc\bigcirc$ hospital has up-to-date equipment). The purpose of this study was to compare the feasible ideal point expectations with desired expectations in assessment of consumer expectations using SERVQUAL scale. We developed two types of questionnaires : (1) to measure feasible ideal point expectations, (2) to measure desired expections. Questionnaire were distributed to ambulatory patients who used the medical service. Total 329 patients participated the hosiptal satisfaction questionnaire(167 for feasible ideal point expectations, 162 for desired expectations). The major finding is as follows: (1) the SERVQUAL scale which was computed by the feasible ideal point showed the higher explanatory power in consumer satisfaction ($R^2$=0.26) than the other identified alternatives(desired expectation, $R^2$=0.11) The results of a study suggests that the feasible ideal point were more conceptually suitable to assess of consumer satisfaction using SERVQUAL scale.SERVQUAL scale.

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An Empirical Analysis of The Relationship between Hospital Employees' Perception of Organizational Politics, Organizational Effectiveness, and The Moderating Role of Organizational Trust (병원조직 구성원의 조직정치지각과 조직유효성과의 관계: 조직신뢰의 조절효과)

  • Yi, Kyunghee;Yoon, Hyejeong;You, Myoungsoon;Lee, Wang-Jun
    • Korea Journal of Hospital Management
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    • v.22 no.2
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    • pp.70-86
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    • 2017
  • The purpose of this study was to empirically investigate the relationship between hospital employeesʼ perceptions of organizational politics, organizational effectiveness such as job satisfaction, organizational commitment, and turnover intention. We also evaluated the moderating effect of organizational trust on the relationships between POPs and organizational effectiveness. By analyzing 726 employeesʼ data including physicians, nurses, medical technicians, and administrators from one private hospital, POPs was found to have had a highly negative relationship with job satisfaction and organizational commitment while a highly positive relationship with turnover intention. Furthermore, organizational trust moderated the relationship between POPs and job satisfaction, and also POPs and turnover intention, while no moderating effect appeared between POPs and organizational commitment. Within the organization, employees who are in a group with high organizational trust have low job satisfaction and high turnover intention when they have high POPs rather than a group with low organizational trust. Further the implications of these results and future directions of the study have been discussed.

Affecting Factors of Hospital Nurses' Emotional Labor and Social Support on Organizational Commitment (병원간호사의 감정노동과 사회적 지지가 조직몰입에 미치는 영향)

  • Hong, Seongsuk;Kwon, Myung Soon
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.4
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    • pp.259-269
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    • 2015
  • Purpose: The study is to identify a correlation among hospital nurses' emotional labor, social support and organizational commitment and to analyze the effects on organizational commitment. Methods: The participants are 300 nurses working at two general hospitals located in Gyeonggi-do, who agreed to join the study. Data collection were done from July to September in 2014. The collected data are analyzed a descriptive statistic, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and multiple regression and SPSS/WIN 15.0 Program was used in the process. Results: Organizational commitment was negatively correlated with emotional works but it was positively correlated with social support. The factors affecting organizational commitment were informational support and evaluative support which were sub-domain of social support as well as level of emotional expression which was a sub-domain of emotional works, their positions and level of education. Conclusion: To increase the level of an organizational commitment, a method of coping in difficult situations and information relating to private assessments is recommended. Also, the organization should prepare a plan that members can properly manage their emotions face-to-face with clients.

A Study on the Type of Conflict Control by the Members of Hospitals (병원조직구성원의 갈등관리유형에 관한 연구 -전라북도 병원의 행정부서와 진료지원부서 근무자를 대상으로-)

  • Kim Tae-Sung
    • Management & Information Systems Review
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    • v.5
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    • pp.227-247
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    • 2000
  • This study is aimed at searching for the ways to effectively cope with the conflicts found among the members of the hospitals by analyzing the conflict control practiced differently depending on the scale of the organization and characters of its members. The result of analysis into the types of conflict control by the members of the hospital comprising a multitude of manpower is presented as follows. 1. The hypothesis 1 which assumes that the sex will determine the type of conflict control is adopted in part at the level of p<0.05. 2. The hypothesis 2 which assumes that the working position will determine the type of conflict control is adopted in part at the level of P<0.05. 3. The hypothesis 3 which assumes that the age will determine the type of conflict control is adopted in part at the level of p<0.05. 4. The hypothesis 4 which assumes that the size of hospitals will determine the type of conflict control is adopted in part at the level of p<0.05. 5. The hypothesis 5 which assumes that the career will determine the type of conflict control is adopted in part at the level of p<0.05. 6. The hypothesis 2 which assumes that the educational background will determine the type of conflict control is adopted in part at the level of p<0.05. This study requires extended follow-up study to cover the cause of conflict and job satisfaction of the medical manpower.

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Algin-Impregnated Vascular Graft II. Preliminary Animal Study

  • Jin Ho Lee;Byu
    • Journal of Biomedical Engineering Research
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    • v.12 no.3
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    • pp.157-164
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    • 1991
  • Microvel $^{\textregistered}$ double velour graft impregnated with a biodegradable algin was studied as a new vatscular graft. It is impervious to blood but still retains high porosity. This graft does not require preclotting during implantation and has good tissue ingrowth and biological healing properties. Two vascular grafts impregnated with algin (6mm in diameter) were implanted in the aorta of mongrel dogs without preclotting. Two identical grafts were preclctted and served as controls. The grafts were harvested 2 and 4 months postoperatively, and the healing pattern was examined by a light microscope after hemRtoxylineosin staining. It was observed that endothelial cells were incompletely covered on both algin-impregnated and control grafts after 2 month Implantation, while they were fully covered on both grafts after 4 month. There were no significant differences in subendothelial granulation tissue organization and fibrinoid material absorption between the algin-impregnated and control grafts. The algin-impregnated graft did not show any harmful effect on the healing and thus can be a new promising graft which is not necessary preclotting during the implantation.

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Genetically Optimized Fuzzy Polynomial Neural Network and Its Application to Multi-variable Software Process

  • Lee In-Tae;Oh Sung-Kwun;Kim Hyun-Ki;Pedrycz Witold
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.6 no.1
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    • pp.33-38
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    • 2006
  • In this paper, we propose a new architecture of Fuzzy Polynomial Neural Networks(FPNN) by means of genetically optimized Fuzzy Polynomial Neuron(FPN) and discuss its comprehensive design methodology involving mechanisms of genetic optimization, especially Genetic Algorithms(GAs). The conventional FPNN developed so far are based on mechanisms of self-organization and evolutionary optimization. The design of the network exploits the extended Group Method of Data Handling(GMDH) with some essential parameters of the network being provided by the designer and kept fixed throughout the overall development process. This restriction may hamper a possibility of producing an optimal architecture of the model. The proposed FPNN gives rise to a structurally optimized network and comes with a substantial level of flexibility in comparison to the one we encounter in conventional FPNNs. It is shown that the proposed advanced genetic algorithms based Fuzzy Polynomial Neural Networks is more useful and effective than the existing models for nonlinear process. We experimented with Medical Imaging System(MIS) dataset to evaluate the performance of the proposed model.

The Process Evaluation of Community Home Nursing Program (미국 CHAP 인정도구에 의한 지역사회 가정간호 시범사업의 평가)

  • Yi, Sung-Eun;Kim, Sung-Sil;Kim, Chun-Gil;Ahn, Yang-Heui;Yang, Soon-Ok;Park, Gyung-Suk
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.13 no.1
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    • pp.46-53
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    • 2006
  • Chunchoen Community Home Nursing Program (CCHNP) sponsored by Chuncheon City and Gangwondo Nurses Association was the first trial of community based home health nursing in Korea. The services have started since 1996. The purpose of the study was the evaluation CCHNP to establish standard of community based nursing program in Korea. The methods of evaluation were quantitative and Qualitative approaches. Evaluation for organization and management were conducted by the American Community Health Accreditation Program Standards With the result. several recommendations were suggested : It is necessary to expand the program to all the Gangwondo cities. And the liaison system is necessary between medical care facilities and community nursing home agency to establish the continuity of health care delivery system in home nursing program. Also it is necessary to set up the supporting system between community home nursing care agency and hospital home nursing department. Finally, the National Health Insurance should cover the cost of community home nursing care.

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Standard-based Integration of Heterogeneous Large-scale DNA Microarray Data for Improving Reusability

  • Jung, Yong;Seo, Hwa-Jeong;Park, Yu-Rang;Kim, Ji-Hun;Bien, Sang Jay;Kim, Ju-Han
    • Genomics & Informatics
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    • v.9 no.1
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    • pp.19-27
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    • 2011
  • Gene Expression Omnibus (GEO) has kept the largest amount of gene-expression microarray data that have grown exponentially. Microarray data in GEO have been generated in many different formats and often lack standardized annotation and documentation. It is hard to know if preprocessing has been applied to a dataset or not and in what way. Standard-based integration of heterogeneous data formats and metadata is necessary for comprehensive data query, analysis and mining. We attempted to integrate the heterogeneous microarray data in GEO based on Minimum Information About a Microarray Experiment (MIAME) standard. We unified the data fields of GEO Data table and mapped the attributes of GEO metadata into MIAME elements. We also discriminated non-preprocessed raw datasets from others and processed ones by using a two-step classification method. Most of the procedures were developed as semi-automated algorithms with some degree of text mining techniques. We localized 2,967 Platforms, 4,867 Series and 103,590 Samples with covering 279 organisms, integrated them into a standard-based relational schema and developed a comprehensive query interface to extract. Our tool, GEOQuest is available at http://www.snubi.org/software/GEOQuest/.

A literature study on cancer therapy of warm-hot oriental medicine (암(癌)의 온열약물(溫熱藥物) 치료법(治療法)에 대(對)한 고찰(考察))

  • Cho, Chin-Ho;Son, Chang-Gyu;Cho, Chong-kwan
    • Journal of Haehwa Medicine
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    • v.9 no.2
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    • pp.223-239
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    • 2001
  • A literature study on cancer therapy of warm-hot oriental medicine was done, and the results were as follows. 1. In oriental medicine, oncogens are six exopathogens, seven modes of emotion, overwork, pathogenic factors, and especially related with pathologic cold situation. 2. There are many capillaries in tuomr, and because temperature of inner space of tumor is higher than normal organization. Tumor cell has a character which is weak for high temperature. 3. Warm-hot herb drugs have effects of dissipating mass, warming kidney to reinforce yang and dispering, so it has a function of suppressing tumor as well as improving immunity in cancer therapy. 4. In traditional medical books, main prescriptions of cancer therapy are xinzhiyinyanggongjiwan(新製陰陽攻積丸), qianjinxiaoshiwan(千金硝石丸), feiqiwan(肥氣丸), xibenwan(息賁丸), fuliangwan(伏梁丸), beiqiwan, bentunwan(賁豚丸), zengsunwujiwan(增損五積丸), and these are composed of warm-hot herb drugs. 5. In current, the study of warm-hot drugs is progressed in immunological capacity, anti-tumor activity, stimulating bone marrow and regulating hormone secretion. It will be expected that advanced study of these must be accomplished in cancer patients.

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Factors Influencing Happiness Index of Hospital Nurses (병원간호사의 행복지수 영향요인)

  • Nam, Moon Hee;Kwon, Young Chae
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.3
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    • pp.329-339
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    • 2013
  • Purpose: This study was conducted to provide basic data on the nursing Happiness Index and identify factors influencing nurses by describing their perception of lifestyle, health behavior, nursing professionalism, Happiness Index, and turnover intention. Methods: On July 2012, 700 nurses from 10 general hospitals were surveyed, but 23 were omitted due to missing or incomplete data. The focus of this study was the Organization for Economic Co-operation and Development (OECD) Happiness Index, consisting of 11 OECD identified topics concerning living conditions and quality of life. Data were analyzed using $x^2$-tests, t-test, ANOVA, Pearson correlation coefficients and multiple regression with SPSS/WINdow 14.0. Results: Mean score for nurses' Happiness Index was 3.03 on a scale of 5. There were significant differences on the Happiness Index for the following: age, marriage, children, education, position, work experience, wages, number of beds, medical institution, health behavior, weight, and meal patterns. There was a positive correlation between the happiness index and nursing professionalism but a negative correlation between the happiness index and turnover intention. Conclusion: Results indicate that factors influencing happiness are autonomy, sense of calling and turnover intention suggesting the need to improve nursing professionalism for a life of happiness among hospital nurses.