• Title/Summary/Keyword: Medical organization

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공공병원 조직구성원의 직종별 조직성과에 영향을 미치는 융복합적인 요인 (Convergence of factors that affect the job performance of Public Hospitals Employees by Job Category)

  • 이진우
    • 디지털융복합연구
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    • 제14권4호
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    • pp.315-324
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    • 2016
  • 본 연구에서는 공공병원 직원의 직종별 의사소통, 동기부여, 상호신뢰감, 근무환경, 공정한 보상, 직무성과 만족의 차이점을 살펴 본 후 조직성과에 영향을 미치는 요인을 파악하고자 한다. 이를 통해 공공병원 직원들의 조직성과를 극대화 할 수 있는 대안을 제시 하였다. 조사기간은 2014년 10월 05일부터 10월 31일까지 하였으며, 공공병원에서 근무하고 있는 232명으로부터 자료를 수집하여 분석대상으로 하였다. 분석방법은 ANOVA분석, 회귀분석을 실시하였으며, 결론을 보면 직종별로 의사소통, 동기부여, 상호신뢰감, 근무환경, 공정한 보상, 직무성과 만족에서 p<0.05이상에서 유의한 차이가 나타났다. 또한 조직성과에 영향을 미치는 요인으로 간호직은 의사소통, 공정한 보상(p<0.001)이 진료지원직은 연령, 고용형태(p<0.05), 공정한 보상(p<0.001), 행정직은 동기부여, 공정한 보상(p<0.05)이 조직성과에 영향을 미치는 요인으로 나타났다. 앞으로 병원 직원의 직종별에 대한 효율적인 인적자원관리 시스템이 필요하며, 조직구성들이 소속감을 고취시킬 수 있는 인적자원관리 개선 노력이 선행되어져야 할 것이다.

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

  • 김평웅;류규수;이용기
    • 한국병원경영학회지
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    • 제5권2호
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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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일-가정 균형을 위한 지역사회의 지원에 대한 고찰 (A Study on the Service Support Program for the Work-Family Balance in the Community)

  • 정지영;조성은
    • 가족자원경영과 정책
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    • 제12권1호
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    • pp.21-39
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    • 2008
  • The purpose of this study was to investigate service support programs for the work-family balance in the community. Service support programs in the community are at beginning stages of development, because it has taken about 10 years to put a self-governing system into practice in Korea. This study concentrates on service support programs developed by various service organizations in the city and does not include any rural districts. First, the developmental process of the work-family balance model and type of the service support program in the community were studied. Next, the situation of care service support was examined based on written articles. Finally, a few suggestions were made f3r work-family balance in the community. The developmental situation of work-flmily balance in Korea is in a stage which is shifting from the company-leading model to a family-company-community model. The most common type of service support program offered in the community until now has been the informal sector through relatives, neighbors or friends. However, service support programs, in the public sector by the government and in the voluntary sector by nonprofit organizations and corporations, has rapidly been growing and the number of services from each sector has also increased. Profit organizations in the private sector, such as medical and care service centers, are also now rapidly increasing. It appears that service support programs contributing to the work-family balance in the community come from a number of sectors, including public, voluntary, private and informal sectors, to suit consumer needs.

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Serial Comparisons of Quality of Life after Distal Subtotal or Total Gastrectomy: What Are the Rational Approaches for Quality of Life Management?

  • Park, Sujin;Chung, Ho Young;Lee, Seung Soo;Kwon, Ohkyoung;Yu, Wansik
    • Journal of Gastric Cancer
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    • 제14권1호
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    • pp.32-38
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    • 2014
  • Purpose: The aims of this study were to make serial comparisons of the quality of life (QoL) between patients who underwent total gastrectomy and those who underwent distal subtotal gastrectomy for gastric cancer and to identify the affected scales with consistency. Materials and Methods: QoL data of 275 patients who were admitted for surgery between September 2008 and June 2011 and who underwent subtotal gastrectomy or total gastrectomy were obtained preoperatively and postoperatively at 3, 6, 9, 12, 18, and 24 months. The Korean versions of the European Organization for Research and Treatment (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) and the gastric cancer specific module, the EORTC QLQ-STO22, were used to assess QoL. Results: QoL, as assessed by the global health status/QoL and physical functioning, revealed a brief divergence with worse QoL in the total gastrectomy group 3 months postoperatively, followed by rapid convergence. QoL related to restrictive symptoms (nausea/vomiting, dysphagia, reflux, and eating restrictions) and dry mouth was consistently worse in the total gastrectomy group during the first 2 postoperative years. Conclusions: The general QoL of patients after gastrectomy is highly congruent with subjective physical functioning, and the differences between patients who undergo total gastrectomy and subtotal gastrectomy are no longer valid several months after surgery. In order to further reduce the differences in QoL between patients who underwent total gastrectomy and subtotal gastrectomy, definitive preoperative informing, followed by postoperative symptomatic management, of restrictive symptoms in total gastrectomy patients is the most rational approach.

Investigation of Genetic Evidence for Sasang Constitution Types in South Korea

  • Lee, Mi-Kyeong;Jang, Eun-Su;Sohn, Ho-Young;Park, Jeong-Yeon;Koh, Byung-Hee;Sung, Joo-Hon;Kim, Jong-Il;Kim, Jong-Yeol;Seo, Jeong-Sun
    • Genomics & Informatics
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    • 제7권2호
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    • pp.107-110
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    • 2009
  • In Sasang constitutional medicine, both disease susceptibility and drug response are considered to be related to the characteristics of an individual's physiology and psychology: a theory which is central to traditional Korean medicine. Based on such observable characteristics, Sasang constitutional medicine classifies people into four constitutional types. Genetic studies of Sasang constitution would help reveal the inheritance patterns and models of the typological traits and, moreover, help with traditional medical diagnosis and treatment. To investigate the heritable aspect of Sasang constitution, we collected various pedigrees from South Korea. The study population has 101 pedigrees composed of 593 individuals. The determination of the Sasang constitution type of each individual was performed by doctors who diagnose the Sasang constitutional type of individuals as part of their professional practice. We calculated estimates of familial correlation and heritability. Parent-Offspring pairs showed the strongest familial correlation of Sasang constitutional type, with the correlation values of 0.21 and 0.28, followed by sibling pairs with the value ranging between 0.14 and 0.25. From the heritability analysis conducted with the Variance-Component method, the heritability of TE (Tae-Eum) type, SY (So-Yang) type, and SE (So-Eum) type were 55%, 41%, and 47%, respectively. This pattern of heritability was consistent with different set of analyses, which suggest the robustness of our result. Our result clearly shows that the Sasang constitution type is heritable, and further genetic analysis based on our result will shed light on the biological mechanism of Sasang constitution.

The effect of market attributes on Long-term Care(LTC) Service

  • Jeon, Gwon-Cheol
    • 한국컴퓨터정보학회논문지
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    • 제25권8호
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    • pp.119-128
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    • 2020
  • 본 연구는 노인장기요양서비스 이용만족도에 영향을 미치는 시장특성 요인을 파악하고자 노인장기요양기관 이용자 246명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 23.0 통계프로그램을 이용하여 분석하였다. 그 결과 첫째, 유형성에는 경쟁성, 행정규제, 과정의 체계성, 선택의 자율성이 정(+)의 방향으로 유의한 영향을 미치고 있었다. 둘째, 신뢰성에는 주택소유, 경쟁성, 행정규제, 선택의 자율성이 정(+)의 방향으로 유의한 영향을 미치고 있었다. 셋째, 대응성에는 기관규모, 월용돈, 경쟁성, 행정규제, 과정의 체계성, 선택의 자율성이 정(+)의 방향으로 유의한 영향을 미치고 있었다. 넷째, 보증성에는 월용돈, 경쟁성, 행정규제, 과정의 체계성, 선택의 자율성이 정(+)의 방향으로 유의한 영향을 미치고 있었다. 다섯째, 공감성에는 경쟁성, 행정규제, 합리문화, 과정의 체계성, 선택의 자율성이 정(+)의 방향으로 유의한 영향을 미치고 있었다.

시스템다이내믹스를 이용한 산업재해율 분석 (System Dynamics Modeling for Policy Analysis of Occupational Injuries)

  • 정희태
    • 디지털콘텐츠학회 논문지
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    • 제16권3호
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    • pp.417-424
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    • 2015
  • 산업의 고도화 및 새로운 기계의 도입, 화학물질 사용 등 산업재해의 다양한 양상과 더불어 생산설비들의 자동화, 대형화로 인해 산업재해 발생의 양상이 점차 다양해지고 있다.국내 산업재해는 OECD(Organization for Economic Cooperation and Development) 경제협력개벌기구대비, 상대적 하위수준에 있어 기업 발생 산업재해는 근로자들의 심리적 및 치료와 보상 손실에도 타격이 되어 기업 총 생산과 이윤 추구에도 중요문제가 야기되고 있다. 더불어, 장애자와 사망유족들의 증가로 생활 안정문제 등 사회적 문제도 제기된다. 이러한 동기에서 본 논문은 산업재해 통계와 산재예방사업을 분석하고, 시스템다이내믹스 법론을 이용하여 산업재해율을 예측하고 평가하는 모델을 개발하였다. 모델은 근로자수 모델, 재해자수 모델, 재해율 모델 등 총 12개의 모델로 구성되었고, 규모별 분석에서는 근로자수를 기준으로 12개 그룹으로, 업종별 분석에서는 제조업, 건설업 등 총 10개의 업종으로 구분하여 개발하였다. 개발된 모델을 토대로 업종별 규모별 산업재해율을 예측하고 산재예방사업을 다각도로 평가하는 방법론을 제시하였다.

A Training Intervention for Supervisors to Support a Work-Life Policy Implementation

  • Laharnar, Naima;Glass, Nancy;Perrin, Nancy;Hanson, Ginger;Anger, W. Kent
    • Safety and Health at Work
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    • 제4권3호
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    • pp.166-176
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    • 2013
  • Background: Effective policy implementation is essential for a healthy workplace. The Ryan-Kossek 2008 model for work-life policy adoption suggests that supervisors as gatekeepers between employer and employee need to know how to support and communicate benefit regulations. This article describes a workplace intervention on a national employee benefit, Family and Medical Leave Act (FMLA), and evaluates the effectiveness of the intervention on supervisor knowledge, awareness, and experience with FMLA. Methods: The intervention consisted of computer-based training (CBT) and a survey measuring awareness and experience with FMLA. The training was administered to 793 county government supervisors in the state of Oregon, USA. Results: More than 35% of supervisors reported no previous training on FMLA and the training pre-test revealed a lack of knowledge regarding benefit coverage and employer responsibilities. The CBT achieved: (1) a significant learning effect and large effect size of d = 2.0, (2) a positive reaction to the training and its design, and (3) evidence of increased knowledge and awareness regarding FMLA. Conclusion: CBT is an effective strategy to increase supervisors' knowledge and awareness to support policy implementation. The lack of supervisor training and knowledge of an important but complex employee benefit exposes a serious impediment to effective policy implementation and may lead to negative outcomes for the organization and the employee, supporting the Ryan-Kossek model. The results further demonstrate that long-time employees need supplementary training on complex workplace policies such as FMLA.

간호사의 직무스트레스와 직무만족도가 소진과 이직의도에 미치는 영향관계 실증연구 (Empirical study on the turn-over intention of university hospital nurses)

  • 방병문;이선영;정종원
    • 디지털융복합연구
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    • 제13권2호
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    • pp.205-213
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    • 2015
  • 본 연구는 직무만족도와 직무스트레스 요인이 소진(Burn-out), 이직 의도에 미치는 영향을 분석하여 그 관리적 함의를 도출하고 효율적인 의료종사자 인력관리 및 업무의 질 향상의 방안을 모색해 보고자 한다. 분석 결과, 직무적 특성에 따른 직무만족도 평균값 차이분석에 있어서 급여수준, 근무경력, 현 직위에 따라 직무만족도의 차이가 유의하게 나타났다. 경로분석의 결과, 의료조직 간호사들은 직무스트레스 자체가 오히려 그들의 조직생활을 유지시키게 하는 창조적 문제해결 기제로 사용되어 이직의도를 낮추는 변수로 나타났다. 하지만 직무스트레스가 정신적, 신체적 소진(Burn-out)상태로 전환될 경우, 낮은 자아개념과 부정적 태도로 이어져서 이직의도를 높이는 상황이 될 수 있음을 확인 할 수 있었다.

Occupational Hazards and Safety Measures Amongst the Paint Factory Workers in Lagos, Nigeria

  • Awodele, Olufunsho;Popoola, Temidayo D.;Ogbudu, Bawo S.;Akinyede, Akin;Coker, Herbert A.B.;Akintonwa, Alade
    • Safety and Health at Work
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    • 제5권2호
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    • pp.106-111
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    • 2014
  • Background: The manufacture of paint involves a variety of processes that present with medical hazards. Safety initiatives are hence introduced to limit hazard exposures and promote workplace safety. This aim of this study is to assess the use of available control measures/initiatives in selected paint factories in Lagos West Senatorial District, Nigeria. Methods: A total of 400 randomly selected paint factory workers were involved in the study. A well-structured World Health Organization standard questionnaire was designed and distributed to the workers to elicit information on awareness to occupational hazards, use of personal protective devices, and commonly experienced adverse symptoms. Urine samples were obtained from 50 workers randomly selected from these 400 participants, and the concentrations of the heavy metals (lead, cadmium, arsenic, and chromium) were determined using atomic absorption spectroscopy. Results: The results show that 72.5% of the respondents are aware of the hazards associated with their jobs; 30% have had formal training on hazards and safety measures; 40% do not use personal protective devices, and 90% of the respondents reported symptoms relating to hazard exposure. There was a statistically significant (p < 0.05) increase in the mean heavy metal concentrations in the urine samples obtained from paint factory workers as compared with nonfactory workers. Conclusion: The need to develop effective frameworks that will initiate the integration and ensure implementation of safety regulations in paint factories is evident. Where these exist, there is a need to promote adherence to these practice guidelines.