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The Impact of Doctors' Communication Styles on Patient Satisfaction: Empirical Examination (의사의 커뮤니케이션 스타일이 환자만족에 미치는 영향에 관한 연구)

  • Seo, Pan-Soo
    • Korea Journal of Hospital Management
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    • v.7 no.4
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    • pp.57-101
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    • 2002
  • These days, the environment of hospital marketing is changing rapidly. The level of expectation and demand of patients have become greater and more diversified, and patients have more alternatives in selecting hospitals. The standard of hospital selection and the type of using hospital have been changed, and competition among hospitals has been accelerated due to the opening of the medical market through globalization. Accordingly, differentiation strategies are critical in hospital marketing. The quality of medical service oriented toward patient satisfaction becomes a strong strategic weapon to secure a hospital's competitive advantage. Therefore, marketing and communication strategies should be focused on patient-oriented, rather than hospital-oriented. Considering the changes in the hospital environment and the increase in the patients' expectation level, this study categorizes doctors' communication styles into four different ones: trust-type, professional-type, cooperation-type, and control-type. The effects of these communication styles on patient satisfaction were empirically examined. The moderating roles of the patient's characteristics and clinical characteristics between the doctors' communication styles and patient satisfaction were also investigated to find out managerial implications for hospital management. To achieve such goals, data were collected from patients of 12 general hospitals in Busan. The data were analyzed to test research hypotheses that examine 1) the relationships between doctors' communication styles and patient satisfaction, 2) the moderating roles of the patient characteristics and clinical characteristics in the research model, and 3) the impact of patient satisfaction on positive word-of-mouth and repurchase. The following summarizes the major results of this research. First, the data showed that patient satisfaction varied across doctors' communication styles. Trust-type style had the strongest impact on patient satisfaction while control-type style had the weakest influence on patient satisfaction. Professional-type style and cooperation-type style also had positive effects on patient satisfaction but the impact of the two are not statistically different. Second, significant differences in terms of patient satisfaction were found depending upon demographic variables such as gender, marital status, age, occupation, and education. Patient satisfaction, however, was consistent across varying income groups. Third, patients' medical insurance types were also related to patient satisfaction. It implies that a doctor may need to use different communication styles depending on a patient's medical insurance type. Fourth, out-patient and in-patient showed a different level of satisfaction with varying communication styles. Fifth, highly professional knowledge and strong control can influence patient satisfaction depending on the characteristics of the patient treatment field. Sixth, patient satisfaction were proved to have significantly positive effects on word-of-mouth and repurchase. The implications drawn from this study must be tempered by its limitations. First of all, the subjects used in this study were patients in Busan and small- and medium-size hospitals were excluded from the research. Therefore, future research should examine the research model by using a variety of hospitals and clinics throughout Korea. Another research agenda has to do with finding more determinant and moderating variables which will increase an explanatory power of the model. In short, this study may be the first empirical research that investigates the effects of doctors' communication styles on patient satisfaction. Interestingly enough, the results showed that each communication style had a unique impact on patient satisfaction. The findings from this research can be very useful in developing hospital marketing strategies.

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Productivity and Economic Analysis of Sandwich Panel Construction Work by Shop Fabrication (공장가공에 따른 샌드위치 패널공사의 생산성 및 경제성 분석)

  • Cho, Dong-Ryul;Son, Jae-Ho;Lee, Seung-Hyun
    • Korean Journal of Construction Engineering and Management
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    • v.10 no.5
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    • pp.113-122
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    • 2009
  • The domestic construction market started to expand steadily since 1970s. The building market which utilizes a sandwich panel with advantages of economical construction expenses and convenient construction has grown rapidly in recent years. However, the companies which specialize in constructing sandwich panels are relatively small or medium size, compared with other construction companies. As a result, studies on the improvement of productivity have not been conducted sufficiently. In this study, the construction sites of sandwich panel are investigated, and the work processes by each team are analyzed. Additionally, the productivity and the construction cost of each work group are analyzed by constructing a model using the Web-Cyclone. It analyzed sensitivities about change of productivity and work costs following in processing place of the panel which is one of the productivity effect factors, so it assayed the optimized productivity by each work group and work costs. Analysis showed that 30% of productivity has improved compared with the factory processing work group, and analysis of work costs showed that about 15% of work costs was increased. Also sensitivity analysis of opening ratio showed that the work costs optimization will be accomplished when about 20% of opening was processed from the factory.

Technology Valuation Evaluation Model of Decision Making System using Income Approach for Commercialization in LNG Plant Construction (수익접근법을 활용한 LNG 플랜트공사의 의사결정지원시스템 기술가치 평가)

  • Park, Hwan Pyo;Han, Jae Goo;Chin, Kyung Ho
    • Korean Journal of Construction Engineering and Management
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    • v.15 no.4
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    • pp.58-67
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    • 2014
  • The proportion of investment in national R&D projects in construction and transportation has been increasing continuously; in terms of the size of R&D projects, there are many medium- to large-sized projects of over KRW 10 billion. However, in spite of such continuous increase in R&D investments, there are many technologies developed but not commercialized, i.e., the quiescence of technology. Accordingly, it is necessary to link the R&D results to commercialization by expanding the scope of R&D projects. In this context, this study presented objective reference prices to be used in contracting/transacting technology and implementing commercialization strategy by conducting technology valuations against on-going research projects with earnings approach, and by estimating value of patented technology. Sum of free cash flow (business value) that can be generated during the life of the technology was estimated as KRW 512 million by reflecting a discount rate of 16.34% to convert it into the present value. In addition, the technology value was computed as KRW 227million by applying a technology factor of 44.39% to the above value. Based on the technology value estimated in this way, it is necessary to establish industrialization and commercialization strategy of the technology.

A Study on the Safety Handling Method of KCG's Water Jet Propulsion Ship (해양경찰 Water Jet 추진함정의 안전 조함법 연구)

  • Yun, Chong-Gum;Pak, Chae-Hong;Park, Deuk-Jin;Jung, Cho-Yeong
    • Journal of Navigation and Port Research
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    • v.41 no.6
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    • pp.373-380
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    • 2017
  • Operational errors caused by human factors, which is the major cause of marine accidents, include lack of knowledge, misunderstanding knowledge, and inadequate procedures. Recently, the type of propulsion mounted on KCG cutters has been diversified. In particular, the water jet propulsion unit, which was mainly installed in small boats, have been gradually expanded to medium and large size Coast Guard cutters, reaching 50% of the total. Axes types are divided into 2 to 4, and the bucket types are divided into Double Reverse Bucket(DRB) and Single Reverse Bucket(SRB); in these, the backward and steering control methods are completely different. Diversification of these operating systems can increase factors causing human error by the ships' operators. However, there is a lack of research on the maneuvering methods, considering the inherent active characteristics of each type of water jet. In this paper, we analyze the sideway method suitable for the condition of Coast Guard Exclusive wharf without assistance, based on the astern performance of each type. Then, a ship handling simulator was used for the experiment; they compared and verified through interviews of captains.

The Post-IMF firm strategy and the corporate restructuring in the heavy & chemical industrial district: the case of Ulsan, Korea (울산 중화학공업의 재구조화 특성 - IMF 체제 이후의 기업전략을 중심으로 -)

  • Park, Yang-Choon
    • Journal of the Korean association of regional geographers
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    • v.7 no.2
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    • pp.17-34
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    • 2001
  • This paper is to analyze how firms in a large firm-led industrial city have carried out the restructuring in the face of radical shifts, with focus on the strategy and the restructuring of firms in Ulsan, a typical industrial district in Korea that is specialized in heavy & chemical industry. It has been well known that the local economy has been led by a small number of large firms, including affiliates of chaebol, and its industrial structure has also been characterised as a clear dichotomy between large firms as a customer and small and medium-size firms as a supplier, which can be called not horizontal but vertical relations. It can identify some tendencies, however, that local companies have been rather dynamically changing in response to increasingly turbulent environment since the Asian crisis. Some are radical, but some incremental. These can be summarized in four distinctive but interlinked ways. First, more than half of local companies surveyed have attempted to change their production systems, mainly from the fordist mass production towards the flexible mass production, seeking both economies of scale and scope. Second, local firms have vigorously continued to reorganize the boundary of the production and the organization, by specializing products and focusing on the core competence in order to save costs and cope with radically changing customer demands in a flexible way. Third, there have been various strategies for the organizational innovation such as the introduction of team organization, the boundary blurring between the managerial and production workers and the intra-firm spin-offs, so as to improve managerial efficiency and competence in the use of internal labour market. Finally, they have tried to be more sensitive to the market and customers. These tendencies seem to be increasingly critical to sustain their competitiveness. To do so, they tend to focus increasingly not only on the competing via the product quality rather than through price, but also to seek to diversify the market and customer firms beyond national boundary.

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An Analysis of the Economy of Scale for Domestic On-site Hydrogen Fueling Stations (국내 분산형 수소충전소의 규모의 경제성 분석)

  • Gim, Bong-Jin;Kim, Jong-Wook
    • Journal of Energy Engineering
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    • v.16 no.4
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    • pp.170-180
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    • 2007
  • This paper deals with the economy of scale for domestic on-site hydrogen stations fueled with natural gas and naptha. We evaluate the economic feasibility of on-site hydrogen stations with hydrogen production capacities of $30Nm^3/hr,\;100Nm^3/hr\;and\;300Nm^3/hr$. We build a classical economic feasibility model and we make some sensitivity analyses by changing the values of input factors such as the hydrogen sale price and the discount rate. The estimated hydrogen prices of steam methane reforming stations with production capacities of $30\;Nm^3/hr,\;100\;Nm^3/hr\;and\;300\;Nm^3/hr$ are 18,472 won/kg, 10,689 won/kg and 7,758 won/kg, respectively. Also, the hydrogen prices are about the same if we use naptha as a raw material for hydrogen energy instead of natural gas. It turns out that small and medium size domestic on-site hydrogen stations will not be economical in the near future. This indicates that we need to construct large scale on-site hydrogen fueling stations even for the initial phase of the hydrogen economy.

Surveys on Reproduction Status and Calf Production of Hanwoo Farmers (한우 농가의 번식우 관리와 송아지 생산 현황)

  • Yang, Byoung-Chul;Kang, Sung-Sik;Kim, Ui-Hyung;Jang, Sun-Sik;Yang, Boh-Suk;Lee, Seok-Dong;Cho, Sang-Rae
    • Journal of Embryo Transfer
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    • v.32 no.3
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    • pp.171-176
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    • 2017
  • This study was conducted to investigate the breeding status of farms to improve the production efficiency of Hanwoo calf. The study was conducted on 45 farms divided into two groups. This study was conducted to investigate the breeding size and breeding area of Hanwoo cows. The average age at first delivery of Hanwoo was 28.7 months. The number of artificial insemination per pregnancy was $1.45{\pm}0.32$, and the number of artificial insemination days after birth was 119.8 days. Conception rates were $75.2{\pm}16.93%$ for small farms and $70.6{\pm}17.46%$ for medium sized farms and $71.4{\pm}11.03%$ for large farms. When we looked at farming methods, 'the farmers using estrus observation aids' had 10.42% higher calf production rate than the 'unused farmers'. The farms vaccinated with IBR and BVDV for breeding cattle showed a 4.41% decrease in abortion, stillbirth and mortality. According to farming conditions, conception rate and delivery rate improved by 3.47% and 18.29%, respectively, when grazing and exercising were performed. Observation, immunization and grazing were found to be important indicators for improving calf production efficiency in Hanwoo farm. This study can be used as a research data to improve the reproductive rate of farmhouse sites through the survey on the breeding status of Hanwoo farmers.

Study on the Germinability of Sesame Seeds at Lower Temperature (참깨 품종들의 저온발아성에 과한 연구)

  • Jung-Il Lee
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.27 no.3
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    • pp.261-267
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    • 1982
  • The objective of this study was to test germinability of sesame (Sesamum indicum L.) varieties at low temperatures. Seeds of III sesame varieties representing different maturity groups and countries were tested at four different temperatures between $10^{\circ}C$ and $16^{\circ}C$. Average germination percentages of III varieties were 92%, 57% and 3.3% at $16^{\circ}C, 14{\circ}C$ and $12^{\circ}C$.respectively. The highest daily germination percentage was observed after 4 days of incubation at $16^{\circ}C$, while it was after 8 days at $14^{\circ}C$. A regression analysis indicated that $15^{\circ}C$ as the minimum temperature for satisfactory germination in field conditions. In general, Korean local collections had better germinability than introduced varieties from 6 countries at different latitudes. 'San dong', a Korean local cultivar. showed the highest germination percentage (24%) at $12^{\circ}C$ when the average germination percentage of all varieties was as low as $3.3^{\circ}C$. Early maturity varieties germinated better at $12^{\circ}C$ and $14^{\circ}C$ than medium or late maturity groups, but no difference was observed at $16^{\circ}C$. Although larger seeds showed better germinability within a variety, there seems to be no relationship between seed size and germinability in sesame.in sesame.

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Expression of in vitro-tested ribozyme against cucumber mosaic virus RNA in tobacco plant (시험관내에서 합성한 오이모자이크 바이러스 RNA단편을 성공적으로 절단한 ribozyme의 식물체내의 발현)

  • Park, Sang-Gyu
    • Applied Biological Chemistry
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    • v.39 no.5
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    • pp.355-360
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    • 1996
  • In vitro-tested ribozyme against synthesized cucumber mosaic virus (CMV) RNA (Agric. Chem. & Biotech. 37:56-63(1994)) was expressed in tobacco plant to develop virus resistant plants. The ribozyme sequence was linked to cauliflower mosaic virus 35S promoter and nopaline synthase(nos) terminator and this chimeric 35S-ribozyme-nos gene was sequenced. The sequenced chimeric gene was transferred to Agrobacterium tumefaciens LBA4404 using tri-parental mating system. The E. coli HB101 containing chimeric gene was incubated with E. coli HB101(pRK2073) as a helper and Agrobacterium tumefaciens LBA4404. Then Agrobacterium cells containing the ribozyme construct was cocultivated with tobacco leaf pieces. Ten different plants were regenerated from kanamycin containing MS medium. The presence of the ribozyme construct in the transgenic tobacco plants was confirmed by polymerase chain reaction (PCR). Seven different transgenic plants in ten different kanamycin resistant plants showed the expected size (570 base pairs) of 35S-ribozyme-nos gene fragment. Total RNAs were isolated from four different transgenic plants and separated on a 1% agarose gel containing formamide. Northern hybridization with 35S-ribozyme-nos gene fragment as a probe indicated that ribozyme transcripts may be degraded tv nuclease. Therefore, nuclease-resistant ribozymes are needed for the development of virus-resistant transgenic plants using ribozymes.

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Quality Tests for the Knee-Orthosis Velcro and Locking System (무릎보조기 벨크로 및 잠금장치에 대한 품질시험 연구)

  • Jung, Se-Wook;Seo, Won-San;Cho, KiHun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.275-283
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    • 2016
  • In this study, three knee-orthoses (dial lock type, medium size, right side) were used for a quality level test (static bending test and solidity test of the locking system) of the knee-orthosis locking system. In the static bending test, a smaller maximum load was observed in samples A and C compared to the reference standard value (KS P 8408 standard value: 1000 N, sample A: 865 N, sample C: 833 N). In addition, in the solidity test of the locking system, a smaller maximum load was observed in the all samples compared to the referenced standard value (KS P 8411 standard value: 200 N, sample A: 41 N, sample B: 97 N, sample C: 54 N). Korean industrial standards for knee-orthoses and systematic test methods are lacking. Therefore, a systematic management plan for knee-orthoses is required. The result of the current study showed that a systematic management plan for the knee-orthosis locking system is required. In particular, the development of a quantitative and objective test method is needed. The findings of the current study may be useful for monitoring the quality of the knee-orthosis locking system and may provide foundational information for the development of a quantitative and objective test method.