• 보건의료산업학회지
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• 제14권2호
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• pp.29-40
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• 2020

Objectives: To investigate the effect of authentic leadership and servant leadership on job engagement among hospital employees, focusing on the mediating effect of job crafting and moderated mediating effect of positive psychological capital. Methods : Data were collected from 329 employees working at hospitals through a self-administered questionnaire-based survey. Results : Job crafting had a direct positive effect on job engagement and a mediating effect between the servant leadership and job engagement. Self-efficacy among positive psychological capital had a moderating effect on the relationship between job crafting and job engagement and a moderated mediating effect on the relationship among servant leadership, job crafting, and job engagement. Conclusions : Results imply that manager's authentic leadership and servant leadership is required to instill enthusiasm among hospital employees regarding their job crafting and job engagement. Additionally, development of self-efficacy among employees would lead to the improvement of job engagement.

• Journal of Preventive Medicine and Public Health
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• 제34권1호
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• pp.28-34
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• 2001

Objectives : To investigate the changing pattern of medical utilization claims following the economic crisis in Korea. Methods : The original data consisted of the claims of the 'Medical insurance program of self-employees' between 1997 and 1998. The data was selected by medical treatment day ranging between 8 January and 30 June. Medical utilizations were calculated each year by the frequency of claims, visit days for outpatients, length of stay for inpatients, total days of medication, and the sum of expenses. Results : The length of stay as an inpatient in 1998 was decreased 4.7 percent in comparison to 1997. However, inpatient expenses in 1998 increased 10.8 percent as compared to 1997. Inpatient hospital claims in 1998 increased 6.2 percent over 1997, although general hospital inpatient claims in 1998 decreased 3.3 percent in comparison to 1997. The outpatient claim frequency decreased 7.3 in 1998 percent as compared to 1997 Outpatient visit days of in 1998 were decreased 8.5 percent in comparison to that recorded in 1997. Outpatient claim frequencies of 'gu region' in 1998 decreased 10.5 percent comparison to that in 1997, but 'city and gun region' decreased less than 'gu region'. Conclusions : Medical utilization in 1998 deceased in relation to 1997 Medical utilization by outpatients decreased more than that of inpatients. Medical utilization by 'gu region' decreased mere than the other regions.

• 한국의료질향상학회지
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• 제27권2호
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• pp.30-44
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• 2021

Purpose: The aim of this study was to investigate the changes in perception of the New Diagnosis-Related Group (DRG)-based payment system, make overall evaluation after participation, and examine opinions on further policy improvement among employees of a public hospital participating in the pilot project in Korea. Methods: We investigated changes in perception of the New DRG-based payment system before and after participation in the pilot project using a qualitative research method. We conducted individual in-depth interviews with the management and healthcare professionals and Focus Group Interviews (FGIs) with the staff in the nursing and administrative departments. Results: Before implementing the pilot project of the New DRG-based payment system, the management was in favor of participating in the pilot project, whereas the healthcare professionals were strongly opposed to participation in the pilot project, and the staff in the nursing and administrative departments were slightly opposed to participation. After implementing the pilot project, there were remarkable changes in the perception of the New DRG-based payment system among healthcare professionals and the administrative staff. Healthcare professionals' perception was altered in a positive way, while the administrative staff's perception of the system became negative. Conclusion: There were no restrictions on clinical practice or deterioration of quality of care observed in association with the participation in the New DRG-based payment system. However, certain unintended consequences of the New DRG-based payment system may arise as well. Therefore, the government needs to examine the problems identified in this study to reflect on and improve the New DRG-based payment system for stable expansion.

• 한국병원경영학회지
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• 제1권1호
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• pp.1-20
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• 1996

This study is purposed to compare PR activities among the 5 large hospitals in Seoul and Kyonggido. The research methods are used in interview survey for employees and Questionnaires survey for patients or their relatives. The 427 patients or their relatives(response rate: 85.4%) were surveyed. The hospital which is below, is more active than any others in special PR activities. 1. Distribution of hospital information books: E, P, A 2. Distribution of calendar: P 3. Broadcast in hospital: E 4. Education of employees about PR : E, A 5. Education of employees about service: all hospitals are active. The PR sectors are organized under the Department of planning(S,J,E) or CEO(P,A). And the budget of PR activities is almost a similar level among all. The degree of recognition and utilization for PR activities is not different among hopitals by the sociodemographic variables of patients. And the average of correlation ratio between recognition of each hopital's PR activities and its utilization is 62.01%(range:51.29%-67.98%) average.

• 농촌의학ㆍ지역보건
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• 제37권2호
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• pp.67-75
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• 2012

최근, 정부차원의 공공보건의료 개선을 위한 노력이 진행 중이지만 실제 의사, 간호사, 보건직등 의료기관 종사자들의 공공보건의료에 대한 역할의 필요성에 대한 인식과 책임감에 대한 조사는 부족한 실정이며 성공적인 공공보건의료의 역할 수행을 위해서는 모든 의료 종사자들의 역할 인식과 직종간의 유기적인 협력이 필요하다. 이에 일개 국립병원 의료 종사자들을 대상으로 공공보건의료에 대한 역할 인식과 기능수행에 대한 조사를 시행하였다. 일개 국립대학병원 직원을 직종별로 20%를 무작위 추출하여 323명을 대상으로 설문 조사를 시행하였다. 의사직 103명(38.9%), 간호직 98명(37.0%), 기타직 64명(24.1%) 등 총 265명(80.2%)이 참여하였다. 의료 종사자들은 공공보건의료시책의 수립 시행 및 평가 지원사업, 국가 또는 지방자치단체의 보건의료 활동에의 참여 및 지원사업, 민간보건의료기관에 대한 기술지원 및 교육사업, 취약계층에 대한 보건의료, 노인, 장애인, 정신 질환자 등 타 분야와의 연계가 필수적인 보건의료, 아동과 모성에 대한 보건의료 등 공공보건의료의 필수적인 6가지 항목에 대하여 공공보건의료 기관으로서의 역할 인식이 부족하였다. 반면 주요 질병관리사업, 공공보건의료에 관한 전문적인 연구 및 검사사업, 보건의료인의 교육훈련사업, 전염병 예방 및 관리, 응급환자의 진료, 민간보건의료기관이 담당하기 어려운 예방보건의료 등 6 가지 항목에 대해서는 중요하게 인식하고 있었다. 대체적으로 보건의료기관 종사자의 공공보건의료기관으로서 역할과 책임의식에 대한 인식이 부족하며 앞으로 공공병원의 공공성 강화를 위하여 공공보건의료 전담인력 확보와 계획적인 공공보건사업에 대한 교육이 필요할 것으로 사료된다.

• 한국병원경영학회지
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• 제20권4호
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• pp.62-71
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• 2015

The purpose of this study is to investigate the intra CSR for the sustainable hospital management. The company was proactive stance on CSR carried out in the environmental field as a preemptive countermeasures movement of citizens and government regulations. CSR, while performing for employees, is recognized as a problem within the enterprise, it was reluctant to respond to the performance and results published. This study aims to determine whether the effect is substantially reflect If you want to include in the process of demonstrating the impact of CSR within the organization to make decisions in labor union composed of employees of internal stakeholders as a parameter. In particular, research in the field of performing a public function such situations, hospitals are lacking. Internal CSR performance of the general hospital (professional) in this study was found to have mad that the generally positive effect on improving labor productivity within the organization. In particular, its performance was more positive than in the virtuous cycle that meets the expectations and internal performance improvements improve equity executives expect employees to be borne if your blood and your liver collaborative decision-making behavior. Therefore, the internal CSR awareness by investing in sustainable management of the partnership is expected to achieve improved financial performance and labor productivity by performing more active at the same time.

• 산경연구논집
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• 제11권12호
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• pp.7-15
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• 2020

Purpose: This study aims to explore the feasibility of expanding complex wards to provide efficient hospital management and high-quality medical services to local residents of Gangneung Medical Center (GMC). Research Design, Data and Methodology: There are four research designs to achieve the research objectives. We analyzed Big Data for 3 months on Social Network Services (SNS). A questionnaire survey conducted on 219 patients visiting the GMC. Surveys of 20 employees of the GMC applied. The feasibility to expand the GMC ward measured through Focus Group Interview by 12 internal and external experts. Data analysis methods derived from various surveys applied with data mining technique, frequency analysis, and Importance-Performance Analysis methods, and IBM SPSS statistical package program applied for data processing. Results: In the result of the big data analysis, the GMC's recognition on SNS is high. 95.9% of the residents and 100.0% of the employees required the need for the complex ward extension. In the analysis of expert opinion, in the future functions of GMC, specialized care (△3.3) and public medicine (△1.4) increased significantly. Conclusion: GMC's complex ward extension is an urgent and indispensable project to provide efficient hospital management and service quality.

• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.295-309
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• 1996

The purpose of this study is to investigate the effect of job stress and social support on the organizational effectiveness of hospital employees and to examine the role of social support in the experience of job stress among the employees. Previous studies have yielded mixed results regarding the role of social support. Some studies provide supporting evidence for the buffering effect of social support, while others do not. Still others report findings about reverse buffering effects. These inconsistent findings are, in part, accounted for by methodological problems such as poor measurement, small sample size, and the existence of high multicollinearity. To examine more rigorously the role of social support in relation to the negative effects of job stress, this study was carefully designed to overcome methodolgical shortcomings found in the past research. In addition, unlike the previous studies, which were concerned mostly with health-related variables as consequences of job stress, in this study, three work-related variables (job satisfaction, organizational commitment, and intent to stay) which had close relationships with organizational effectiveness were examined as output variables. The sample used in this study consisted of 353 employees from a university hospital in the surburbs of Seoul. Data were collected with self-administered questionnaires and analyzed using canonical analysis and hierarchical regression analysis. The results of this study indicate that; (1) job stress has negative main effects on job satisfaction, organizational commitment, and intent to stay; (2) social support has positive main effects on the same three output variables, (3) social support does not moderate the harmful effects of job stress on the three outcome variables, and (4) the three-way interaction effects of (social support * job stress * gender) and of (social support * job stress * education) are not supported. The implications of these findings for the management of human resources are discussed.

• 한국병원경영학회지
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• 제4권1호
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• pp.21-40
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• 1999

This study attempts to analyze the relationship between various job-related factors and the intent to turnover of employees working at different types of hospitals/clinics in urban and rural areas. The data was compiled from 1,506 employees in 21 hospitals and 10 clinics located in Kyung-gi Do. Korea, using a self-administered questionnaire. Major findings are as follows: 1) The intent to turnover was higher for the employees of small hospitals located in rural areas. It was also higher when the employees were less than 30 in age, female, single, had not received college education, and had worked for 2-5 years in their hospitals. 2) An important factor affecting the intent to turnover was job satisfaction, which in turn had a strong correlation with the job itself(opportunity of utilizing abilities and skills, subjective value attached to the current job, sense of accomplishment) and had a rather weak correlation with salary, supervision, promotion and co-worker relationship. 3) In the analysis by job category, it was found that, besides job satisfaction, the intent to turnover was significantly affected by the job itself in case of administrative personnel and by the level of salary in case of nurses. 4) For a successful management of turnover, hospitals need to develop (a) programs for improving adaptive abilities of 'new' employees(who have worked for less than 2 years), and (b) for the other employees(who have worked for more than 2 years), strategies for enhancing job satisfaction by providing the environment where they can show their maximum abilities.

• 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.