• 제목/요약/키워드: Relationship outcome

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일부 암 종의 수술량과 병원 내 사망률의 관계에서 구조적 복잡성의 조절효과 (Moderating Effect of Structural Complexity on the Relationship between Surgery Volume and in Hospital Mortality of Cancer Patients)

  • 윤경일
    • 보건행정학회지
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    • 제24권4호
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    • pp.380-388
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    • 2014
  • Background: The volume of surgery has been examined as a major source of variation in outcome after surgery. This study investigated the direct effect of surgery volume to in hospitals mortality and the moderating effect of structural complexity-the level of diversity and sophistication of technology a hospital applied in patient care-to the volume outcome relationship. Methods: Discharge summary data of 11,827 cancer patients who underwent surgery and were discharged during a month period in 2010 and 2011 were analyzed. The analytic model included the independent variables such as surgery volume of a hospital, structural complexity measured by the number of diagnosis a hospital examined, and their interaction term. This study used a hierarchical logistic regression model to test for an association between hospital complexity and mortality rates and to test for the moderating effect in the volume outcome relationship. Results: As structural complexity increased the probability of in-hospital mortality after cancer surgery reduced. The interaction term between surgery volume and structural complexity was also statistically significant. The interaction effect was the strongest among the patients group who had surgery in low volume hospitals. Conclusion: The structural complexity and volume of surgery should be considered simultaneously in studying volume outcome relationship and in developing policies that aim to reduce mortality after cancer surgery.

조직지원과 성과평가공정성지각의 관계에 있어 성과평가결과만족도의 조절효과에 관한 연구 (A Study on the moderate effect of the Appraisal outcome Satisfaction in the Relationship of Perceived Organization Support and Perceived Appraisal Justice)

  • 박창윤;이광희;송교석;박동진;이종봉
    • 산업융합연구
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    • 제6권2호
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    • pp.57-74
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    • 2008
  • This study investigates the relationship among Appraisal outcome Satisfaction. Perceived Organization Support and Perceived Appraisal Justice. Several important findings emerge from this research. First. both distributive and procedural justice have a significant power in accounting for Perceived Organization Support. Second, it is evidenced that perceiving justice has a positive relationship with perceived organization support. Third, appraisal outcome satisfaction was higher, the level of distributive, procedural. interactional justice and perceived organization support were high. Future study. therefore. have to concentrate on the survey of casual relations among each concept in the framework of a longitudinal study. And to apply the results of this study to practical management, it is suggested that replicate research on various populations and through various experiments should be mand in the future.

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병원 간호조직의 구조, 과정, 결과적 차원의 관계 (The Relationship among Structure, Process, and Outcome Dimensions of Nursing Department in Hospitals)

  • 조미경
    • 간호행정학회지
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    • 제6권1호
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    • pp.19-29
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    • 2000
  • The purpose of this study was to analyze the relationship and the importance of relevant variables among structure, process, and outcome dimensions of nursing department in hospitals. The subject for this study was the registered nurses(N=400) working in medical, intensive care, and surgical units at 5 general hospitals with more than 500beds in Chungnam and Chungbuk. The research design was cross-sectional correlation among the variables based on their self description. The survey instrument was based on eleven structured questionnaires. The data were collected from April 26 to May 26, 1999. The SPSS/PC+ program and LISREL 8.12a program were used to analyze the data. Based on the data collected, the following results were obtained. The relationship among structural, procedural, and outcome dimensions 1. Structural dimension had a relationship with procedural dimension relating to decision-making of caregiving and working conditions, in particular, participation of the problem identification. 2. The extent of participation in decision-making had a relationship with organizational commitment and group effectiveness through the selection process among the total decision-making processes. 3. The structural dimension had a large direct effect rather than indirect effect through decision making processes on organizational commitment and group effectiveness. The relationship of structure, process, outcome dimensions was partially supported by this study. The information obtained from surveys in the field form the basis for the following recommendations for improving organizational effectiveness with in the nursing department in an hospitals. 1) Establishment of decentralized structure, environment, and culture in organizational settings would be desirable so that their members may actively participate in decision-making process. 2) Continuous education and training of nurses with theoretical Knowledge and skill of decision making, practical knowledge, and upright role perception should be highly emphasized for persons in nursing schools and in on-the-job training.

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리더십 유형과 조직성과와의 관계 분석 - 미국 오클라호마주 의용소방대를 중심으로 - (A Study on the Relationship between Leadership Styles and Organizational Outcome in Oklahoma's Volunteer Fire Department)

  • 신용식
    • 한국화재소방학회논문지
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    • 제28권4호
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    • pp.73-80
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    • 2014
  • 본 연구의 목적은 미국 의용소방대 조직에서 의용소방대장의 주도적인 리더십 유형을 확인하고 소방대장의 리더십 유형과 조직성과간의 관계를 분석하는데 있다. 본 연구는 미국 중남부에 위치한 오클라호마주 의용소방대원 205명을 대상으로 하였다. 연구결과, 가장 일반적인 의용소방대장 리더십 유형은 변혁적 리더십인 것으로 나타났다. 두 번째는 거래적 리더십으로 분류되었고 방임형 리더십은 가장 낮은 빈도의 유형으로 분석되었다. 본 연구에서 변혁적 리더십과 거래적 리더십은 조직성과와 정(正)의 상관관계가 있는 것으로 분석되었다. 방임형 리더십은 조직성과와 부(負)의 상관관계가 있는 것으로 나타났다. 또한 현재의 의용소방대장과의 근무연수가 증가할수록 자신들의 리더에 대해 변혁적, 거래적 리더십 능력이 감소한다고 평가하고 있는 것으로 분석되었다.

경력단절 여성의 진로결정 자기효능감과 경력계획의 관계에서 결과기대의 매개효과 (The Mediating Effect of Outcome Expectation on the Relationship between the Career Decision-Making Self-Efficacy and the Career Planning of Career Interrupted Women)

  • 이수분;이정희
    • 직업교육연구
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    • 제36권2호
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    • pp.51-67
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    • 2017
  • 본 연구의 목적은 경력단절 여성의 진로결정 자기효능감과 경력계획의 관계에서 결과기대의 매개효과를 확인하고자 하는 것이다. 이러한 연구목적에 따라 부산 경남지역에 소재한 여성인력개발센터에서 직업교육과 상담에 참여하고 있고, 취업의사가 있는 경력단절 여성 270명을 대상으로 진로결정 자기효능감, 결과기대, 경력계획 척도를 활용하여 자료를 수집하였다. 그리고 수집된 자료는 회귀분석방법으로 매개효과를 분석하였으며, 이에 대한 연구결과는 다음과 같다. 첫째, 경력단절 여성의 진로결정 자기효능감, 결과기대, 경력계획은 정적상관이 있는 것으로 확인되었다. 둘째, 경력단절 여성의 진로결정 자기효능감과 경력계획의 관계에서 결과기대의 매개효과는 통계적으로 유의미한 것으로 확인되었다. 그리고 마지막으로 본 연구결과에 기초하여 연구의 의의와 경력단절 여성의 경력개발을 위한 교육적 제언을 하였다. 본 연구는 이후 경력단절 여성의 경력개발을 위한 교육 및 상담에 의미 있는 기초자료로 활용될 것으로 기대된다.

국내 외식업체의 기업 환경 영향 요인 및 신상품 개발 성과 분석에 관한 연구 (A Study on the Relationship between Organizational Environment and the Outcome of New Product Development in Domestic Restaurant Business)

  • 김윤태
    • 한국조리학회지
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    • 제11권4호
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    • pp.134-149
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    • 2005
  • First, generally the more business employ the financial and non financial outcome analysis for evaluation process, the higher the success rate of new product development becomes in the domestic restaurant market. Second, the study shows that the financial outcome tends to be considered more than non financial outcome on deciding success of the new product development. Third, it is indicated that although detailed plans have a large impact on the outcome of new product development, communication between departments within a company is not a considerably important factor for deciding success of the new product. Fourth, 'market environment' has significant influence on deciding adoption level of financial and non financial outcome analysis, organizational resources and culture.

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A Study of the Relationship Between Cognitive Ability and Information Searching Performance

  • Kim, Chang-Suk
    • 한국도서관정보학회지
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    • 제35권1호
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    • pp.303-317
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    • 2004
  • The purpose of this study was to develop a framework for predicting searching performance through an understanding of how cognitive ability relates to searching process and outcome. Specifically, this study examined the relationship between spatial visualization, logical reasoning, integrative reasoning, and information searching process and outcome. Information searching process was assessed by seven search process indicators: (1) search command selection: (2) combination of search commands; (3) application of Boolean logic: (4) application of truncation; (5) use of limit search function; (6) number of search statements; and (7) number of search errors made. Searching outcome was assessed by the number of correct answers to search questions. Subjects first took three standardized cognitive tests that measured cognitive abilities, and performed online catalog searching in response to seven information search questions. The searches were logged using Lotus ScreenCam, and reviewed for the analysis. Factor analysis was used to find underlying structures of the seven search process variables. Multiple regression analysis was applied to examine the predictive power of three cognitive variables on three extracted factors, and search outcome. Results of the data analysis showed that individual differences in logical reasoning could predict information searching process and outcome.

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일부 질환들에서 진료량-진료비, 재원일수와의 관계에 대한 연구 (The Study on Volume Relationships in Several Diseases)

  • 이선희;좌용권
    • Journal of Preventive Medicine and Public Health
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    • 제27권4호
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    • pp.793-805
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    • 1994
  • Investigating the existence of volume-outcome relationships for specific disease groups relates directly to the policy issue of whether, and how, specific inpatient services should be regionalized. This study examined whether medical costs and lengths of stay as outcomes were affected by changes in volume within hospitals. Based on the claims data obtained from National Federation of Medical Associations, each six disease categories from medical and surgical conditions were selected and 29,720 cases from 1,266 hospitals were analyzed. Main findings of the research can be summarized as follows: 1. Analyzing volume and cost per case relationship, tonsillectomy class 1, hernia procedure class 0, appendectomy and cesarean section class 0,1 in surgical conditions showed negative relationship significantly. In cases of medical conditions, costs per case in respiratory neoplasm class 2, COPD class 1, 2, digestive malignancy were also related to volume negtively. 2. Comparing volume with length of stay per case, lens procedure class 0, hernia procedure class 0, appendectomy class 0,1, cesarean section class 1 in surgical conditions showed negative relationships significantly. In medical conditions, volume of respiratory neoplasm class 2, COPD class 1,2, digestive malignancy class 0 were associated with negatively. 3. Within same disease categories, changes in cost and length of stay per case to volume were more remarkable in severe cases. These results suggested a significant inverse relationship between disease cases and cost, length of stay per case as outcome variables.

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임상간호 질 평가를 위한 구조, 과정, 결과 기준지표의 비교 분석 연구 (Comparative Analysis of Structural, Process, and Outcome Indicators for Evaluating the Quality of Nursing Care)

  • 김영숙;김혜순;김정엽
    • 대한간호학회지
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    • 제28권1호
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    • pp.17-25
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    • 1998
  • This study was done to evaluate the quality of clinical nursing care using the variables of structure, process, and outcome and to analyze the relationship between the variables. This study also explored which variables are validating indicators to evaluate the quality of nursing care. The results analyzed by multiple regression showed that, generally structural variables did not contribute to the variance in outcome scores, but process variables of nursing care contributed significantly to the outcome variable of patient satisfaction. A combination of structure and process variables explained outcome variables more than structural variables alone. Also, patient satisfaction and hospital preference were significantly related to each other. Therefore, if nursing quality evaluation relies solely upon on structural variables such as number of available nurses and workload, it would be inaccurate because process variables of nursing care are strongly related to outcome variables and the two categories of structure and process variables helped to strengthen the relationships. Thus, it is important to focus on variables of structure, process, ant outcome together in evaluating nursing care quality.

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은행의 서비스품질이 고객만족과 관계지속의도 및 교차구매의도에 미치는 영향 (The Effect of Bank's Service Quality on Customer Satisfaction, Relationship Intention and Cross-Buying Intention)

  • 주영재;권혁기
    • 한국산업정보학회논문지
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    • 제22권3호
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    • pp.95-107
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    • 2017
  • 본 연구는 은행의 서비스품질을 결과품질, 물리적 환경품질, 상호작용품질로 구분하고 각 차원이 고객만족과 교차구매의도 및 관계지속의도에 미치는 구조모형을 제안하고 은행을 이용하는 고객들을 대상으로 실증 분석하였다. 분석결과 첫째, 서비스품질의 상호작용품질, 결과품질, 물리적 환경품질의 3가지 차원이 은행의 고객만족을 형성하는 하나의 원천임이 확인하였다. 둘째, 은행을 이용하는 고객들이 지각하는 은행의 상호작용품질, 결과품질, 물리적 환경품질을 높게 지각할수록 고객만족에 긍정적인 영향을 미치는 것으로 나타났으며, 그 영향력이 크기는 상호작용품질, 물리적 환경품질, 결과품질 순으로 나타났다. 셋째, 은행 서비스에 대한 고객만족은 관계지속의도 및 교차구매의도에 긍정적인 영향을 미치는 것으로 나타났다. 끝으로 이들 분석결과를 바탕으로 본 연구의 시사점과 향후 연구방향을 제시하였다.