• 제목/요약/키워드: Medical profit

검색결과 167건 처리시간 0.024초

효과적인 팀워크를 위한 프랜차이즈 호텔 조리장의 피그말리온 리더십 (The Chain Hotel Chef's Pygmalion Leadership for Effective Teamwork of Cooks)

  • 구동우;이새미;장해진
    • 한국프랜차이즈경영연구
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    • 제7권1호
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    • pp.13-20
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    • 2016
  • Purpose - In the past, the chain hotel chefs only serve food to their customers. However recently, the hotel chefs play a pivotal role in hotel including considering various customer preferences, safety and nutrition of food, and increasing profits through effective human resource management and inventory control. With the change of the chain hotel chef's' roles, pygmalion leadership, one of new leadership styles, focuses on the effect that leader's positive expectation let subordinates have motivation and more engage in work. This study investigates the effect of chain hotel chef's pygmalion leadership on leader trust and organizational trust. Research design, data, and methodology - This study was to investigate the structural relationships among chain hotel restaurant chefs' pygmalion leadership, hotel restaurant cooks' leader trust, organizational trust, and teamwork, and how leader trust and organizational trust play mediating roles in the relationship between pygmalion leadership and teamwork. In this model, pygmalion leadership includes 4 dimensions: Climate, Feedback, Input, and Output. Data were collected using self-administered questionnaire survey on cooks of Deluxe hotel restaurants located in Seoul and Gyonggi-Do. The samples for data analyses were 243 excepting unusable responses. Result - The findings can be summarized as follows: First, climate and feedback had a positive effect on leader trust, respectively. Second, feedback and output had a statistically positive effect on organizational trust, respectively. Third, leader trust had positive effects on organizational trust and teamwork. Fourth, organizational trust had a significant effect on teamwork. Conclusions - As a chain hotel chef treats his/her staffs sincerely, they will be more engaged in work by establishing trust in their leader. Ultimately, it leads to higher sales profit and customer satisfaction. In addition, a hotel can encourage chefs and other staffs to treat each other as if the student-instructor relations, not just commanding staffs. Then, cooks build up their trust to their leader and organization for its sustained growth and development, and the internal bond in organization including teamwork is strengthened. Therefore, to strengthen teamwork and organizational trust, there should be active communication, knowledge sharing, goal sharing, and cooperation between chefs and cooks.

노인 의료복지시설의 실태분석 및 시설체계에 관한 연구 - 부산광역시 노인 의료복지시설을 대상으로 - (A Study on the Current Status and System of the Elderly Medical and Welfare Facilities with the Subjects in Busan)

  • 김종구
    • 대한토목학회논문집
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    • 제30권6D호
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    • pp.685-695
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    • 2010
  • 이 논문은 노인의료복지시설의 현황과 시설체계에 관한 논문으로 부산시를 대상으로 하였다. 현황 분석과 설문조사을 통해 그에 따른 문제점을 분석하고, 해결방안으로 새로운 유형의 시설체계를 제시하였다. 현재 노인의료복지시설들은 입소대상자들을 다양하게 수용하고 있지 못하며, 각각 독립적으로 운영되고 있어서 한 시설 안에서 전문적인 치료와 요양을 동시에 할 수 없다. 이러한 문제점들을 토대로 본 논문에서는 그 해결방안으로 좀 더 넓은 범위에 걸쳐서 한 장소에서 요양과 전문적인 치료가 가능한 'one-stop service system' 체계를 제언하였다. 설문조사 결과들을 종합하여, 구상한 5가지 유형의 시설체계는 다음과 같다. 1) 무료전문요양시설 + 노인전문병원, 2) 유료전문요양시설 + 노인전문병, 3) 노인전문병원 + 실버타운 주거공간 형식의 입원실, 4) 실비전문요양시설 + 노인전문병원 + 실버타운 주거공간 형식의 입원실, 5) 노인전문병원 + 재가복지서비스. 노인관련시설은 더 이상 특수한 시설이 아니라, 누구든 언젠가는 이용 하게 될 시설이라는 점에 착안할 때, 그에 대한 대책 마련은 시급하다고 생각된다. 앞으로 노인의 질환의 종류 및 정도가 보다 중복, 중대화 될 것으로 보인다. 따라서 보다 다양하고 전문화된 시설이 요구될 것으로 예상된다.

글로벌 제약·바이오 기업의 개방형 혁신 특허가 기업 성과에 미치는 영향 (The impact of the patent through open innovation on the performance of the pharmaceutical and biotechnology firms)

  • 이병호;이상원
    • 한국산학기술학회논문지
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    • 제18권9호
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    • pp.356-365
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    • 2017
  • 본 연구는 글로벌 제약 및 바이오 기업을 대상으로 내부특허, 산학특허, 매입특허의 양적 수준이 경영성과에 미치는 영향을 분석함으로써 내부특허 중심으로만 이루어진 기존연구들의 단점을 보완하고자하였다. 기존의 연구방식으로는 산학협력 및 매입을 통해 특허를 확보하고 있는 글로벌 대기업들의 경영성과를 설명하는데 어려움이 있었다. 특히 제약 및 바이오 기업의 경우 M&A를 통한 특허의 매입이 빈번히 일어나고 있어 매입 특허의 분석이 매우 중요함에도 불구하고 하나하나의 특허 명세서를 추적해 권리관계의 변동을 조사해야하는 어려움 때문에 연구가 진행되지 못했었다. 또한 연구방법 측면에서도 기존 성장모형에 특허가 경영성과에 영향을 주는데 걸리는 시간을 감안해 t-3년까지의 유한 시차를 고려한 확장모형을 제시했다. 분석결과 양적 특허수준은 매출에 미치는 영향은 적었고 시장가치에 상대적으로 큰 영향을 미쳤으며 수익에는 중간 정도의 영향력을 미쳤다. 3가지 특허중 기업의 시장가치에는 내부특허가 가장 큰 영향력을 미쳤고 매출과 수익에는 매입특허가 가장 큰 영향력을 나타내었다. 제약 바이오 기업에 있어서 매입특허가 경영성과에 중요한 영향을 미치는 것으로 나오는 이유는 제약 및 바이오 기업의 연구개발이 오랜 시간과 비용이 소요되며, 여러 가지 기술의 융복합이 필요한 연구이기 때문에 빠른 시간 안에 기술을 확보하는 것이 중요하고 이를 위해 기업들이 특허를 매입하거나 M&A를 함으로써 문제를 해결하고 있기 때문으로 판단되어진다. 본 연구는 글로벌 제약 및 바이오 기업들이 최적 특허 포트폴리오 구성을 할 수 있도록 도움을 줄 수 있을 것으로 기대한다.

적정간호수가 산정모형 개발을 위한 연구 (Development of a Nursing Fee Schedule Model)

  • 조소영;박정호
    • 대한간호학회지
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    • 제23권1호
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    • pp.68-89
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    • 1993
  • This study was conducted to develop a model of a fee schedule for nursing services.'Regardless of the demand for skilled and professional nursing service today, the Korean health insurance system does not furnish a chapter for the nursing service fee schedule. A nation-wide survey of hospital nursing service fee schedules was to provide practical and realistic data about how the variety of nursing services are being charged. From September 1990 to April 1991, data from the fee schedule used by twenty hospitals located in eight large cities which are designated large medical regions in the Korea Health Care and Patient Referral System were collected. Nursing services and the fees charged for them were analyzed. The nursing services were subjected to a secondary analysis with referrence to reports on “nursing services to be charged in Korea”. The total number of nursing services recommended by the literatures was 177 : finally 141 types of nursing services were selected by investigator as chargable nursing services. In addition, data on managerial characteristics of the hospitals were collected to discover influential variables for a nursing fee schedule model. Under the assumption that all the managerial characteristics of the hospitals influenced the fee schedule, the following model was tested : Fee of nursing services (C) = f(A₁, A₂, A₃, A₄, A/sub 5/, A/sub 6/, A/sub 7/, A/sub 8/,) When, A₁ = number of nurses A₂ = the first salary of a nurse educated in a four year A₃ = scale of nursing management division A₄ = location of the hospital A/sub 5/ = the type of hospital management (profit / non-profit) A/sub 6/ = number of hospital beds A/sub 7/ = years of hospital operation A/sub 8/ = number and kinds of clinical divisions The results showed that the model should be built as follows : C = f (A₁, A/sub 4/, A/sub 5/) Each nursing service was applied to the fee schedule with consideration for the professional level and time-taken to provide the services. Detailed fee schedules were presented in the related tables. Of the 141 kinds of nursing services, 24.8% were chargeble to the Korea Health Insurance, 32.6% of the nursing services were being paid directly by the patienty. The rest of nursing services (42.6%) were not being charged to any source. It was recommened that the Korea Health Insurance Reimbursement system should add a classification system for nursing services that can be used in the national health care program. Further study is needed about how to include 32.6% of the nursing services now being paid for directly by the patients in the health insurance system.

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우리나라 병원의 평균재원기간의 추이 (A study on the trend in the length of hospital stay in Korea)

  • 조우현;전기홍;강임옥
    • Journal of Preventive Medicine and Public Health
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    • 제29권1호
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    • pp.51-65
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    • 1996
  • The purpose of this study was to examine the trends of length of hospital stay (LOS), which is most likely to be a major attribute to hospital performance. From 1984 to 1994, an average LOS of each hospital was analyzed by factors such as medical departments, bed size, occupancy rate, region and ownership. This study was analyzed changing rate of LOS during 11 years. This rate was calculated by simple regression, which was used only with hospital without missing data during 11 years. This study findings are as follows. 1. The results indicated that the average LOS was steadily increased until 1990 but it was slightly decreased after 1990. 2. This trend could be found in all hospital scale and all group of occupancy rate. Specifically this trends of LOS were found in internal medicine, corporate owned hospitals, and hospitals in major city. But LOS of individual owned hospital was continuously increased until 1994. 3. Means of changing rates of LOS were calculated from 1984 to 1994. If we devided it into two parts, before 1990 and after 1990, most changing rates of LOS before 1990 except individual owned hospital were found positive sign. The changing rates after 1990 were negative sign but small hospital(lesser then 200 bed), individual owned hospital, national & public hospital and hospital in small urban have little change of LOS after 1990. Finally from this results we thought that most hospitals in Korea began to be concerned with LOS. Nevertheless LOS of several hospital such as small hospital or individual owned hospital was increased. And this trend may be caused by a few patients, low occupancy rate, or low profit. This trend of LOS is different from that of other countries. Perhaps this phenomenon is resulted from the reimbursement method. Because of fee for service reimbursement system in Korea the hospitals didn't need to shorten LOS in order to save the cost and increase the profit. Therefore reform of hospital cost reimbursement method will be needed to reduce hospital cost in Korea. We thought that the Korean health authority should consider the reimbursement method by unit of bundle of services, for example DRG and prepayment in the United States. This study presents some limitations such as no insight of severity of disease, case-mix measurement of hospital, and other clinical characteristics that can. possibly affect LOS. However, this study reports an important trend in LOS from 1984 to 1994.

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병원급식 위탁관리의 운영 실태조사 (A Study on the Status of Contract Managed Hospital Food Services)

  • 김진수;양일선;김현아;박문경;박수연
    • 대한영양사협회학술지
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    • 제9권2호
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    • pp.128-137
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    • 2003
  • The purposes of this study were to investigate the current status of contracted hospital food services and to find out the difference in accordance with the number of beds in hospitals. Thirty six hospitals having more than 100beds in Seoul, Inchon and Kyungkido were the subjects of this study. Data was collected through surveys. The survey was conducted during March and April in 2002. The Questionnaires were mailed to the 36 directors of dietetic departments of the hospitals and 36 managers of contracting patient food services. Statistical analysis was completed using SPSS Win(11.0) for descriptive analysis and t-test. The results of the study are summerized as follows; Ⅰ. Hospital perspective : The range covered by contract food service was 63.3% and 36.7% in hospital food services, and medical nutrition services. The patient and employee food services were in 83.3%, and patient food services were in 6.7%. The methods selecting contractors are general, limited, selected and competitive biddings, and private contracts. The responsibility for supervision of contract food services was the dietetic department (51.7%) in most cases. Hospitals having personnel responsible for contracting affairs were in 75.9% of the cases and 24.1% did not have personnel. The biggest reason for contracting was facilitation of personnel management. The most important criteria on selecting food services contractors was the professionality of the contractor. Ⅱ. Contractor's perspective : The cost per meal in the year 2001 was composed of 1,905 won for food cost, 1,081 won for labor cost, 222 won for expenses, 114 won for VAT, 14 won for rent and 146 won for miscellaneous or controllable expense, representing 109 won loss per meal. The profit-and-loss contract cost is higher than the fee-contract cost. The ratios of food cost, labor cost and expenses are higher and the ratios of miscellaneous or controllable expense, VAT, rent and profit are lower in hospitals with more than 400 beds compared with those less than 400 beds. However, no significant differences are present between these two groups of hospitals. The actual contract period was 2.2 years upon initial contract and 1.2 years upon renewal. The initial investment cost was 53 million won and the cost of renovation and repair was 8.5 million won. Significant differences were present between two groups of hospitals. The conditions of employment and number of personnel hired by contractors for contract patient food services were significantly different according to the number of beds.

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잉여현금흐름가설의 관점으로 분석한 한국 병원의 규모별 잉여현금흐름(Free Cash Flow) 분석 (Analysis of Free Cash Flow(FCF) on Korean Hospitals in Terms of FCF Hypothesis)

  • 이주영;장하은;김경범;노진원
    • 한국콘텐츠학회논문지
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    • 제20권10호
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    • pp.510-521
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    • 2020
  • 최근 의료기관의 회계에 대한 투명성이 강조되고 있다. 그러나 현행 제도상의 문제와 구조적인 한계로 인해 국내 병원 등의 재무상태에 대한 진단이 부족한 실정이다. 본 연구는 국내 374개소 병원급 이상 의료기관의 100병상당 재무제표를 기초로 하여 병원 규모별 잉여현금흐름(FCF)을 잉여현금흐름가설의 관점에서 분석하였다. 의료기관의 당기 손익계산서를 통하여 영업현금흐름(OCF)을 도출 후, 전기·당기 재무제표와 OCF를 통해 FCF를 분석하였으며 재무 변수들 간의 상관관계를 확인하였다. 분석결과, 첫째, 160~299병상과 300병상 이상의 규모의 병원은 상대적으로 높은 FCF를 보유하였다. 둘째, 상급종합병원, 160병상 미만, 병원급의 경우 음(-)의 FCF를 보였다. 이에 따라 병원 규모에 따른 FCF의 격차를 줄여 적정 수준으로의 유지가 필요할 것으로 판단된다. 본 연구는 병원 규모에 따른 FCF 분석을 최초로 수행하였다는 점에서 의의가 있다. 향후 의료분야에서 새로운 회계 정책을 설립 시, 의료기관의 규모에 따른 차별화된 전략을 수립하는 데에 정보 가치가 있을 것으로 기대된다.

지방의료원의 운영효율성 평가에 따른 재무성과 분석 (Financial performance analysis based on efficiency evaluation of Regional Public Hospital)

  • 이진우
    • 한국산학기술학회논문지
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    • 제18권4호
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    • pp.614-623
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    • 2017
  • 본 연구는 지방의료원의 효율성과 재무성과를 평가한 후 효율성에 영향을 미치는 영향요인에 대한 분석을 시행하고자 한다. 또한 병원의 투입 및 산출요소를 선정하여 어떠한 요소가 효율성에 영향을 미치고 있는가 뿐만 아니라 지방의료원의 시장점유율과 운영방식, 그리고 병원 규모 등 환경적 요인을 이용한 효율성 분석을 하였다는 점에서 선행연구와의 차별성이 있다고 할 수 있다. 조사대상은 2012년부터 2014년까지 3년간 31개 지방의료원의 DEA지수와 재무성과를 산출하였으며, 분석방법은 ANOVA, 위계적 회귀분석 등을 이용하였다. 연구결과를 보면, 지방의료원의 도시규모, 병상 수 등 환경적 요인과 경영실적, 생산성, 공공성에 따라서 효율성의 유의한 차이를 나타났으며, 의료수익의료이익율(p<0.05), 인건비투자효율(p<0.05), HHI(p<0.05)가 효율성에 영향을 미치는 것으로 나타났다. 앞으로 지방의료원의 비효율성 파악과 효율성을 높이기 위해서는 위한 투입되는 자원에 대한 효율성 측정과 함께 비용절감의 노력이 필요하다. 또한 지방의료원이 민간병원과의 경쟁에서 경쟁우위를 확보 할 수 있는 진료의 특성화된 기능을 갖는 등 전문화 서비스 제공의 노력이 이어진다면, 운영효율성을 높여 공공의료기관으로서의 역할을 충실히 할 것이다.

20년간(1987년~2007년) 한의원 경영수지의 경향 연구 (Trend analysis of financial balance of Korean medicine clinics during 20years(1987~2007))

  • 김대훈;임병묵
    • 대한예방한의학회지
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    • 제16권2호
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    • pp.41-52
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    • 2012
  • Objectives : This study aimed to analyze the trend of financial balance of Korean medicine clinics during 20 years, and to provide basic information for adjusting the fee schedule of Korean medicine procedures in national health insurance(NHI). Methods : We collected 6 financial analysis reports for Korean medicine clinics from the Association of Korean Oriental Medicine(AKOM). The data on incomes, costs and EBIT(earning before interests and taxes) of subject clinics were abstracted, and their long-term trends were evaluated. Results : The proportion of insurance income in total income increased from 23% to 56% during 20 years. Among 5 treatment groups, 'non-insurance medication' took up 65~67% of total incomes in 1997, but its proportion decreased to 42.4% in 2007. 'medical procedure, physical therapy and others' increased from 12.4% in 1987 to 29.2% in 2007. The labor cost was major part of total cost and its proportion maintained from 52% to 54%. Cost of 'non-insurance medication' was on the decline from 41% in 1996 to 31.6% in 2007. EBIT were -17.4 million won in 1996, and 18.4 million won in 2007. Conclusions : Financial balance of Korean medicine clinics improved until early 2000, but it became worse in 2007. Though deficits from NHI procedures has been covered up by profit from 'non-insurance medication', health insurance became a major source of income during last two decades.

WIPO의 전통지식 등의 지재권 설정 논의에 관한 개략적 방안 모색 (Grope for a summary program about intellectual property protection of traditional knowledge(TK) etc. discussed in WIPO)

  • 이제현;김용진;최환수
    • 혜화의학회지
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    • 제12권2호
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    • pp.227-234
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    • 2004
  • The international government committee is progressing their agreements about intellectual property protection of traditional knowledge(TK), gene resource(GR), folklore(FL) in WIPO. It is in the course of selection with precedence of TK, GR, FL in WIPO, focused on discussions about listing of TK documents, standardization of DB construction, sharing and profit distribution of GR. There are disagreements between developed countries and developing countries about intellectual property protection agreements of TK, GR. The developed countries insist on using the existing intellectual property protection, but the developing countries ask new ones on character of TK, GR. It causes intangible assets to be valuable trade properties in future world trade. This research Groped for a summary program about intellectual property protection of traditional knowledge(TK) etc. debating in WIPO. This program confirms that such as TK, GR etc. not only to be the cultural property accumulated in human history, but also to be the original resource may be using at present. Therefore, we suggest that the focus of discussion should transfer to UNESCO instead of WIPO which only deal with the intellectual property protection. Besides, the main body which protecting and supporting TK should become its holding organization so as to achieve more effective management about it. In order to protect and support TK, the government should have firstly the recognition that TK is the property belongs to the country. By this viewpoint, it needs to setup DB through overall excavation of the unofficial knowledges in order to protect and support these TK, GR. Because the positive dealing with those WIPO's discussion means to support our TK, GR, so there should have some reorganization about existing related ones, and also needs systemic supporting policies & management' system.

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