• 한국산업보건학회지
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• 제29권2호
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• pp.217-225
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• 2019

Objectives: The aim of this study is to evaluate the quality management systems of domestic asbestos survey and monitoring service providers and the relationships with the number of licenses or designations and sales performances. Methods: Data on quality management systems were collected by assessors who were assigned by the Korea Occupational Safety and Health Agency(KOSHA) during a pilot evaluation program for designated asbestos survey and monitoring service providers in 2016 using evaluation criteria developed by KOSHA. Basic characteristics, evaluated scores, and sales performance were gathered and statistically analyzed. Results: The median and arithmetic mean of the total scores were 0.64 and 0.66. Evaluation fields that scored highly with the highest percentages were sales performance, installation and availability of equipment, compliance with the mandatory minimum number of airborne samples, laboratory independence, and results of proficiency analytical testing, in that order. Evaluation fields that received low marks with the highest percentages were the training of personnel, blank field samples, calibration of flow rates, preliminary check and visual inspection of the work area prior to the clearance test, and review and approval of final reports, in that order. Comparison of normalized scores between service providers registered for asbestos and other tasks and those designated for only asbestos showed significant differences in their evaluated scores. Sales performance did not show a positive correlation with evaluated scores. Conclusions: The quality management systems of domestic asbestos survey and monitoring service providers were poor. High scores were recorded mostly in evaluation fields related to regulatory requirements. Low scores were recorded mostly in evaluation fields related to documentation and recordkeeping. Considering the low influence of quality on sales performance, the government needs to evaluate the quality management of asbestos survey and monitoring service providers and provide the results to public in order to address their low levels of quality management.

• 보건행정학회지
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• 제16권4호
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• pp.112-127
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• 2006

The purpose of this study is to develop performance indicators for quality of public health center based home healthcare through the study the major factors of registrated weaken poorly residents in the community based home healthcare. Various literature review was conducted to study the performance indicators for quality of public health center based home healthcare of advanced countries and Korea. Mail survey was conducted from national wide PHC(public health centers), sub health centers and primary health care posts. of the surveys mailed, 2,293 centers(67%) were returned within the allotted and we included in the analysis these who completed the questionnaire. Data was analysed by SPSS for windows 12.0. The major results of the research were as follows; Firstly, major factors of registrated weaken poorly residents in the community based home healthcare in the multivariate analysis were jurisdictional families per manpower(OR:0.78, 95%CI:0.64-0.94, P=0.011), weaken poorly families per manpower(OR:0.42, 95%CI:0.35-0.50, P<0.001), business vehicles per manpower(OR:1.13, 95%CI:1.04-1.24, P=0.007) type of public health center(OR:4.42, 95%CI:3.32-5.90, P<0.001), region of public health center(OR:0.53, 95%CI:0.32-0.89, P=0.017). Secondly, performance indicators for quality of public health center based home healthcare were developed as basic investigation, registration, intervention and discharge level. Preparing for Activation of public health center based home healthcare in Korea, the result application as follows is possible. Firstly, we can conclude that the major factors of registrated weaken poorly residents in the community based home healthcare are jurisdictional families per manpower, weaken poorly families per manpower, type of public health center, region of public health center, business vehicles per manpower. Secondly, the new developed performance indicators which are divided into basic investigation, registration, intervention, discharge for public health center based home healthcare could be applied it for improving quality of home healthcare services.

• 한국치위생학회지
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• 제18권4호
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• pp.477-488
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• 2018

Objectives: The purpose of this study was to investigate career competency, tasks, and job satisfaction of public servants, public institutions, and researchers. Methods: The survey was conducted about career competency, job satisfaction, and satisfaction on work life. Next, they interviewed on the characteristics of each job by two or three dimensions. The following conclusions were obtained from July to August 2017. Results: Career competencies were GPA with 3.87, 818 points of TOEIC score, and ITQ certification. Public servants required the information on literacy skills for employment and job performance, while civil servants need more than one year of clinical experience in the dental hospital. The non-commissioned officer needed a written test and fitness training. The health insurance review and assessment center required more than one year of experience from general hospital or medical institutions. Researchers required a research career, language skill, and professors required research and teaching experiences with clinical experience more than three years. The main job tasks were as follows; for public servants, they were official document processing and community projects. For the civilian workers and military/noncommissioned officers, they were medical assistant and administrative works. The employees of the health insurance review and assessment service are examining the medical expenses and the medical examination, the researchers are experimenting, researching and writing articles, and the teaching staff are lecturing and conducting individual research. Conclusions: The results of job satisfaction survey showed that occupational satisfaction was the highest in civil servants, researchers, and teaching professions. Job security was the highest in health workers and health inspectors' evaluation centers, and time vacancy was the highest in civilian workers and military/noncommissioned officers. If you want to work in such an institution, you should prepare elements that match your basic literacy and job specific characteristics. And we should try to increase the satisfaction of work even after work.

• 품질경영학회지
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• 제28권1호
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• pp.151-174
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• 2000

Total quality management (TQM) has been adopted in the U.S. as a way of management strategies by private enterprises as well as by the public sector. The ultimate goal of all quality management techniques and strategies is to improve quality by reducing waste, improving production process, and involving all members of the company in quality management. The purposes of this study are to review the performance of TQM activities and, based on the results, practically examine whether TQM is necessary or not in enhancing the performance of medical service institutions (hospitals) by assessing the status of TQM activities of medical service institutions and comparing such activities. A questionnaire survey was conducted against employees working for general hospitals in Seoul and other provincial areas. The questionnaire contained organized questions that were answered in writing by the target employees. A total of 184 questionnaires were collected and analyzed. The results of this study are summarized as follows. First, TQM activities and performance were found to be positively correlated. Second, TQM activities and performance differed according to ownership types. Third, TQM activities and performance differed according to geographical locations. Fourth, TQM activities and performance differed according to leadership types.

• 경영정보학연구
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• 제13권3호
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• pp.83-97
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• 2011

민간기업의 양질의 고객 서비스에 익숙해 진 국민들은 공공서비스에 대해서도 같은 수준의 서비스를 기대하고 있다. 이에 따라 공공기관들은 서비스의 질을 향상시키기 위해 다각적 측면의 노력을 하고 있다. 우선 국민들의 요구를 파악하기 위한 고객 만족도 조사를 시행 후, 그 결과분석을 통해 서비스 개선 전략을 수립하고, 서비스 품질 향상을 도모하고 있으며, 직원들의 복리 개선을 위해서 직원만족도 조사를 시행하는 동의 근무환경을 개선하고자 하는 노력도 기울이고 있다. 하지만 이들의 연계한 분석은 이루어지지 않고 있으며, 고객만족도와 직원들의 KPI를 달성하기 위한 노력여부와의 연관성을 살펴 본 연구는 거의 없다. 선순환적인 공공서비스 개선을 위해서는 공공기관은 직원들에게 일방적인 고객서비스 개선만을 요구 할 것이 아니라 조직이 직원들에게 제공하는 직원서비스 개선을 동시에 도모해야 할 것이다. 이에 본 연구에서는 고객만족도(CSI)조사, 직원만족도(ESI)조사를 통해 핵심성과지표(KPI)를 도출하는 방안을 제시했으며, 핵심성과지표의 목표달성도(KPI achievement)와 각 조사결과의 연계분석을 통해 공공기관의 서비스 경영혁신을 도모할 수 있는 서비스 개선 전략을 제시하고자 한다.

• Journal of Preventive Medicine and Public Health
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• 제45권3호
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• pp.127-136
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• 2012

The challenge facing the Korean National Health Insurance includes what to spend money on in order to elevate the 'value for money.' This article reviewed the changing issues associated with quality of care in the Korean health insurance system and envisioned a picture of an effective pay-for-performance (P4P) system in Korea taking into consideration quality of care and P4P systems in other countries. A review was made of existing systematic reviews and a recent Organization for Economic Cooperation and Development survey. An effective P4P in Korea was envisioned as containing three features: measures, basis for reward, and reward. The first priority is to develop proper measures for both efficiency and quality. For further improvement of quality indicators, an electronic system for patient history records should be built in the near future. A change in the level or the relative ranking seems more desirable than using absolute level alone for incentives. To stimulate medium- and small-scale hospitals to join the program in the next phase, it is suggested that the scope of application be expanded and the level of incentives adjusted. High-quality indicators of clinical care quality should be mapped out by combining information from medical claims and information from patient registries.

• 한국병원경영학회지
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• 제15권3호
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• pp.1-16
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• 2010

As a cross-sectional study, this study was aimed to investigate and compare the job efficiency and satisfaction of nurses according to the hospital grade. Survey was conducted by mail on June 2009, and the respondents were 1,016 nurses working in 15 hospitals which are 9 high-grade general hospitals and 6 general hospitals. The percent of nurses acknowledging their hospital grades is 34.5%, and that is 20.5% at high-grade general hospitals. As the result of review of studies, it is concluded that under the circumstance that differential rates are contracted to calculate fees for hospital services and copayment of patients are according to nursing grades and hospital grades, the degree of nurses' awareness of insurance fees impact on their performance like recording of care and prescription. In order to improve nurses' performance, they need to be educated about the national insurance fee system. In hospitals with higher nursing grade and more beds, the levels of nursing quality and faithfulnes and their job satisfaction were higher. Nurses' awareness of their hospital nursing grade was related to the quality of nursing but not the faithfulness. Nurses working in higher nursing-grade hospital are more self-respect and satisfied at their jobs, and their job efficiencies are not significantly different. The current nursing fees based on the proper number of nurses per beds of nursing units should be changed to be based on the amount of job per nurse by their nursing protocol, and the nurse staffing standard should be differentiated between nursing grades. As the aspect of nursing, 24-hours patient care, it is difficult to improve nurses' job satisfaction, and in the other hand, that tends to depend on their income level. In the current circumstance, comprehensive research is required to investigate the propriety of 25% of the inpatient fees as the nursing management charge.

• 경영과정보연구
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• 제32권3호
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• pp.43-59
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• 2013

본 연구는 강원도 공무원에 대한 교육의 현업적용도에 영향을 미치는 요인을 실증분석을 통해 찾아내고, 현업적용도를 높일 수 있는 정책적 방안을 도출하여 공무원교육의 양적 질적 개선을 도모하는 것을 목적으로 하였다. 이에 공무원 교육 후 현업적용에 영향을 미치는 요인을 크게 학습자 내적특성, 교육내용 및 설계, 직무수행환경 등 3가지로 구분하여 분석하고, 각 영향요인을 도움(촉진)요인과 방해요인으로 구분하여 도움요인들은 더욱 활성화시키고 방해요인은 제거하는 방식으로 교육과정 설계에 적용할 수 있는 대응방안을 설계하였다. 강원도 공무원교육 현업적용도 제고를 위한 제언으로 역량모델링에 따른 교육설계, 강원도 자체 교육프로그램 설계 및 교육 후 관리제도의 강화를 제시하였다.

• 한국병원경영학회지
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• 제18권1호
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• pp.42-58
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• 2013

The purpose of this study was to investigate the awareness of long-term care hospitals on pay for performance(P4P) program in Korea. We conducted a cross-sectional, self-administered, the internet based survey from September to October in 2010. The questionnaire was consisted of the levels of awareness and agreement about the program, their preferred design and its possible effects and unintended consequences etc. Among 837 eligible long-term care hospitals in Korea, 114 hospitals(13.6%) were participated in the survey. About one-thirds of long-term care hospitals were not aware of P4P, namely it is important to heighten an awareness of P4P. There were pros and cons on introduction of P4P in Korea. The two major reasons of objections of P4P were the concerns of unintended consequences and the possibility of strengthening government control by implementing P4P. In conclusion, to successfully implement P4P to long-term care hospitals, the Health Insurance Review & Assessment Service(HIRA) in Korea should obtain the long-term care hospitals'opinion as to implementation of P4P.

• 대한토목학회논문집
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• 제29권6D호
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• pp.703-709
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• 2009

본 연구는 교통약자의 이동시설에 대한 실태 및 의식조사를 바탕으로 향후 지하철역사에 추가 도입될 교통약자 시설 개선의 전략 수립시 기초자료를 제시하는 것이 목적이다. 본 연구를 위해 선행연구와 교통약자의 이동편의 증진법의 이동시설 관련 평가항목을 선정하고, 설문조사 및 변형된 중요도-만족도(M-IPA) 분석을 수행하였다. 본 연구는 장애인이 시급히 개선을 요구하는 사항에 대한 개선전략을 수립하는 것이 목적이므로 장애인을 중심으로 결과를 서술하였다. 첫째, 종합적인 측면의 M-IPA 분석결과 장애인은 안내시설에 대한 개선이 필요한 것으로 나타났다. 둘째, 세부적인 측정지표별 M-IPA 분석결과를 살펴보면 보행접근로, 안내방송 및 표지판, 경보 및 피난시설, 장애인화장실에 대한 시설개선이 필요한 것으로 나타나 일반인들에 비해 지하철 역사로의 접근과 정보제공에 대한 부분이 중점적으로 부각되는 것을 알 수 있었다. 따라서 장애인들을 위한 시설개선시 접근과 정보제공에 대한 시설을 시급히 개선하는 것이 지하철 역사의 접근과 이동성 제고를 위해 가장 우선순위 높은 개선사항이라 할 수 있을 것이다.