• Title/Summary/Keyword: Private Hospital

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Antecedents of Employee's Public Service Motivation in Healthcare Organization (병원종사자의 공공서비스동기와 영향요인)

  • Yoon, Hyejung;You, Myoungsoon
    • Korea Journal of Hospital Management
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    • v.24 no.2
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    • pp.38-55
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    • 2019
  • Purpose / Approach : This study aims to analyze the level of public service motivation and its antecedents by using survey data of 1,498 professional employees in public and private hospitals. Findings : Among job-related, organization-related, and socialization-related factors of professional employees, the socialization factors have a strong effect on individual's overall and the four sub-dimensions of public service motivation. While the effect of organizational identification is prominent in the public hospital, professional identification is more powerful in the private hospital. Person-job fit and person-organizational value fit also play a significant role in determining public service motivation. Organizational vision salience in public hospital has negative effect on public service motivation and attraction-to-public-service dimension. The significant determinants and its effect size are different according to hospital type and each sub-dimension of public service motivation. Practical Implications : The empirical findings show that individual's level of public service motivation in hospitals could be enhanced through the interaction between individual and their organization, and various organization-related factors. Further implications of the study are discussed from human resource management perspective in hospitals.

Factors affecting use of the emergency department at superior hospitals on public holidays (상급종합병원 응급실 공휴일 이용의 영향 요인)

  • An, Byeung-Ki
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.11-20
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    • 2019
  • The purpose of this study was to identify the factors affecting the use of superior general hospitals on public holidays by using the medical use model (Dutton's medical use model) with the medical panel data. The study found that 34.2% of superior general hospital emergency rooms were used on public holidays and the factors which made statistically significant influences on the use of superior general hospital emergency rooms on public holidays were whether patients were operated or emergency care and inspection etc. Also, there was a difference depending on whether the type of establishment of the medical insititution is national or private. In other words, patients who received emergency care and examinations were found to make more frequent visit to hospital emergency room on pubic holiday, compared to patients who underwent surgery and those who visited emergency rooms in the private superior general hospital did so, compared to those who visited emergency room in the national general hospital(OR, 4.4, 3.386, respectively). Therefore, it is necessary to consider the introduction of integrated care of health and social care medical service that focuses on primary care in Denmark, which focuses on patients, and pre-The Canadian Triage and Acuity Scale(pre-CTAS) in the UK.

Efficiency of Public Hospitals and Their Social Role (공공병원의 效率性과 사회적 역할)

  • 정형선;이기호
    • Health Policy and Management
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    • v.6 no.2
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    • pp.1-13
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    • 1996
  • To evalate the efficiency of public and private hospitals, the author used Data Envelopment Analysis(DEA), a mathematical linear programming method calculating the of ficiency of a unity(DMU: Decision Making Unit) in relation to the other units in analysis. DEA was applied to thirty three (10 public and 23 private) general hospitals wiwith 160 to 299 beds. In respect to productivity, public hospitals appeared to be a little more efficient than private ones, even though it's statisticansignificant. However, the efficiency score for profitability conversed that these contrary results were due to the caring of more medical protection patients in public hospitals, who brought less revenlue to te hospital than other patients. Public hospitals' superiority to private counterparts in productivity, which are aguged mainly based on cared patients, suggests that the former contributes so much positively to social utility. In particular, the fact that public hospitals are caring more medical protection patients, namely the poverty group whom the society should bear a burden of by all means, seems to be desirable in respect of role of publi hospitals.

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Establishing the Direction of Healthcare R&D through Private Nonprofit Organizations (민간비영리 조직을 통한 보건의료 R&D 방향 설정)

  • Lee, Byeonghui;Ahn, Bekay;Yoo, Ki-Bong;Kim, Tae Hyun;Kim, Bongshin;Park, Hyunchun;Lee, Yejin;Noh, Jin-Won;Lee, Seung Hoon
    • Korea Journal of Hospital Management
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    • v.22 no.3
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    • pp.74-87
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    • 2017
  • Purposes: The purpose is to establish the direction of healthcare R&D through private nonprofit organization. Methodology: The data is divided into two groups: 12 physicians and pharmacists, and 16 persons including professors related to university donation, non-profit foundation executives. Each group was subjected to two Delphi surveys. To analyze the validity of the opinion, the content validity ratio and the consensus of experts were verified. Findings: Funding should be invested in 'development research' and 'application research'. The factors that hinder the donation culture are 'donation prevention system such as tax imposition system and rebate double penalty system', 'insufficient motivation of fund raising person', and 'lack of fund specializing specialist'. The fund raising strategy should be centered on a small number of large donors or a balance between large and small donors. The fund raising target should be effective to raise funds for corporate and individual donors. It is necessary to clarify the purpose of the social problem to be solved by the campaign strategy for promoting donation, to announce the validity of the trust and transparency of the institution, and to emphasize the social investment by the private sector. Practical Implications: It is necessary to present directions through private nonprofit organizations for the future development of healthcare R&D. The legal and institutional deficiencies of the domestic nonprofit organization fundraising infrastructure should be improved. In order to create a social investment climate, it is necessary to improve the awareness of donations and develop various donation programs for the private sector.

Individual Characteristics Associated with the Market Size Change of Private Health Insurance Premium in Korea (민간의료보험 시장 규모 변동에 영향을 미치는 개인 특성)

  • You, Chang-Hoon;Kang, Sung-Wook;Kwon, Young-Dae
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.165-177
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    • 2012
  • This study examined market size of private health insurance premium and individual characteristics associated with the market size change in Korea, using wave 1 (2008) and wave 2 (2009) of Korea Health Panel. The market size was 24.4 trillion Korean won in 2008 and 26.9 trillion in 2009. The increase rate of private health insurance premium among those who were the elderly, single, or the poor was higher than that among their counterpart respectively. Health status and utilization were insignificant in determining the increase rate of private health insurance premium. These findings were more obvious among the uninsured in 2008 than among the insured in 2008. The increase of private health insurance premium in Korea imply the increase of willingness-to-pay for health risk through private sector. The authors suggest policy intervention for accessability to health care for the underprivileged and weak through enlargement of Korean social health insurance benefit.

A Study on the Performance Indicator Development of Public Hospital (공공의료 책임운영기관의 성과지표 개발에 관한 연구)

  • Kim, Young-Hoon;Choi, Young-Jin
    • Journal of Digital Convergence
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    • v.6 no.4
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    • pp.13-23
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    • 2008
  • Changed the business environment, private sector focuses on the performance management, so to manage the performance he uses BSC that overcomes the limitation of financial indicators. Also, it is getting emphasized to evaluate the performance about services that the public sector provides and obliged for the public sector to be responsible for managing and improving its performance as the private sector has been doing. But lacks of knowledge and experience on performance management and evaluation are blocking the public sector from introducing and implementing new performance management systems. To solve those problems, this study has derived general guidelines and KPIs that public sector should keep in mind when BSC is introduced new management system. This study focused on the public hospital which is the performance management and evaluation system of Government administration.

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Comparative Analysis of Value Added to Personnel Expenses between General Hospitals and Regional Public Hospitals (민간종합병원과 지방의료원의 인건비 투자효율성 비교분석)

  • Lim, Jeong-Do
    • The Korean Journal of Health Service Management
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    • v.11 no.4
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    • pp.67-76
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    • 2017
  • Objectives : This study compared Value added to personnel expenses between 12 private general hospitals and 12 regional public hospitals, based on location and size, to examine industry competitiveness in terms of management. Methods : From 2011 to 2015, the value added and value added to personnel expenses were calculated by year. and a SPSS statistical program was used to determine and influential factors between private general hospitals and regional public hospitals. Results : The total value added to personnel expenses was 26.85 percent lower than general hospitals compared to regional public hospitals. The product category most influenced by the value added to personnel expenses was Stationeries & expendables at general hospitals and Outsourcing at regional public hospitals. Conclusions : Regional public hospitals have relatively low value added to personnel expenses compared to the general hospitals. Therefore, it is necessary for hospital management to reexamine gross revenue relative to total manpower.

Short-term, Multi-center Prospective Clinical Study of Short Implants Measuring Less Than 7mm

  • Kim, Young-Kyun;Yi, Yang-Jin;Kim, Su-Gwan;Cho, Yong-Seok;Yang, Choon-Mo;Liang, Po-Chin;Chen, Yu-Yal;I, Lee-Long;Sim, Christopher;Tan, Winston;Ser, Go Wee;Yue, Deng;Yi, Man;Ping, Gong
    • Journal of Korean Dental Science
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    • v.3 no.1
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    • pp.11-16
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    • 2010
  • Objective : This prospective study sought to verify the stability of three types of short implants measuring 7mm or less. Materials and methods : Implants measuring 7mm or less were placed in patients at multicenter dental clinics in Korea, China, Taiwan, and Singapore. Initial stability, intraoperative and postoperative complications, crestal bone loss, and survival rate of the implant were prospectively evaluated. Results : The primary stability of a 6-mm implant was lower than that of a 7-mm implant. The marginal bone loss of short implants measuring less than 7mm was minimal. Complications such as wound dehiscence, implant mobility, and peri-implant mucositis developed, and these were associated with initial implant failure. The short-term survival rate of 6-mm implant was 93.7%, and that of 7-mm implant, 96.6%. Conclusion : Short implant for the mandible with insufficient height for the residual ridge can be selectively used. Poor primary stability and wound dehiscence can cause osseointegration failure and alveolar bone loss.

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