This thesis is a kind of case report on the managerial difficulties and strategies to overcome them for the rural hospitals in Korea. We examined environmental situations and SWOT(Strength, Weakness, Opportunity, Threat) of the hospitals, and suggested some strategies to improve the hospital business through analysing secondary data and brief survey to staffs and patients at 3 case hospitals. Among the strategies were included establishment of their identity as community hospitals, positioning towards high-touch services rather than high-tech services to improve their competence. For this positioning, patient satisfaction should be emphasized to make rapport with the residents in the community, and a few service areas should be selected and strengthened. Emergency care and geriatric health services are recommended to be covered strongly, because rural hospitals are usually the one and only hospital in the region and rural communities have aged population structure. In addition to these, networking is necessary among rural hospitals nationwide and with local clinics and tertiary hospitals near urban areas. And also, complementary role division with community health post should be developed to lessen the competitive relationship between public and private sectors. To support these strategies, fresh organizational culture should be built up to make hospital staff creative and enthusiastic on their job. Finally, inducement of governmental assistance will be necessary to make the environment advantageous to the rural hospitals.
Journal of agricultural medicine and community health
/
v.48
no.1
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pp.28-40
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2023
Objectives: This study aimed to identify the level of self-assessment of life satisfaction and various factors related to the life satisfaction of Korean physicians. Methods: This study is a secondary data analysis using the 2016 Korean physician survey Korean Physician Survey(KPS) data collected by the Research Institute for Healthcare Policy of the Korean Medical Association. The member database(DB) of the Korean Medical Association was used for sampling and the target population was formed and surveyed by using stratified quota sampling. A questionnaire was sent by E-mail as an online survey method and was conducted for a total of 7 weeks from November 21, 2016 to January 8, 2017. The final number of respondents was 8,564 (response rate 13.8%). In this study, a total of 7,228 physicians, excluding residents and public health doctors who are currently treating patients directly, were studied. Factors affecting the life satisfaction of physicians were analyzed using ordinal logistic regression analysis. Results: The physical factors positively related to the life satisfaction of physicians were those who were in their 60s, female, and thought they had good health status. As for psychological factors, stress was low. As for economic factors, satisfaction with income was high. As for social factors, the physicians lived with their families and were satisfied with the time they could spend with them. Also, the physicians were satisfied with the social respect they received as a doctors. Conclusions: Based on the results of this study, it is thought that a multifaceted approach is needed to increase the life satisfaction of physicians.
Park, Yong Won;Bai, Sang Wook;Jung, Young Nae;Lee, Hae Woo;Kim, Young Ran;Hong, Sun Bok;Park, Heun Ju;Tark, Kwan Chul
Quality Improvement in Health Care
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v.7
no.1
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pp.32-45
/
2000
Background : Critical pathway is an optional sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to minimize delays and resource utilization, and to maximize quality of care; abbreviated versions of case management plans that show critical outcome and key incidents that occur in a predictable and timely fashion to achieve an appropriate length of stay. This study is to develop a critical pathway for vaginal delivery and cesarean section to assess the degree of contentment of the patients and medical personnel and to implement clinical application to see how we could meet the need to guide patients to achieve continuum of care. Method : Critical pathways were developed for normal vaginal delivery and casarean section. LOS(length of stay) target for vaginal delivery was 1 day after delivery & 5 days after C-section. It was distributed to the mother at the OPD and explained thoroughly. It was applied when patients got into the Labor & Delivery Floor. We applied total of 42 patients (30 normal deliveries & 12 C-sections) from February to March, 2000. We performed patient satisfaction survey to all 42 patients, 24 nurses, and 7 residents for internal customer satisfaction. Results : Twenty six patients out of 42 responded to the survey. Twenty one patients out of 26 answered satisfactory. Eighty four percent of 21 respondents replied Critical pathway worked very well. Treatment column got the most compliance. Eleven out of 31 employees thought critical pathway is very helpful for the patient care. Eighteen people didn't see any difference. In their opinion, treatment got the least compliance, which is the contrary to patients opinion. Fifty eight percent of respondents thought that critical pathway can expedite early discharge. Conclusion : Patient satisfaction was higher than we expected but we still need to revise the form. It is recommended to analyze the cost and variance check in the future.
Measuring the quality of city life (QCL) is important for city marketing given that QCL influences the city brand image and resident city relationship. Despite its importance, most previous measures of community well being were developed in the context of small towns, and limited attention has been given to a subjective measure of QCL in the context of a large city. This study develops and tests a subjective measure of quality of city life (QCL) in the context of a large metropolitan city. Quality of city life (QCL) refers to the degree of need satisfaction and feelings of happiness one experiences during the course of city life. The results from a survey of 507 residents from 25 major districts in Seoul indicate that the QCL measure has convergent and discriminate validity. The results also indicate that QCL has predictive validity in relation to satisfaction with city services, trust in the city government, word of mouth communication, and a sense of citizen pride. The managerial and policy implications of this study are discussed.
Herr, Lan;Lee, Koeun;Kim, Mi Sun;Nam, Okhyung;Lee, Hyoseol;Choi, Sungchul
Journal of the korean academy of Pediatric Dentistry
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v.48
no.4
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pp.384-396
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2021
The 61st Korean Academy of Pediatric Dentistry congress was hosted online for the first time in 2020 due to coronavirus disease-19. The congress was operated using the ZOOM platform. The aim of this paper is to analyze and evaluate the overall satisfaction and feedbacks from congress participants via anonymous Google Forms online survey. A test meeting was previously organized before the actual congress to facilitate the smooth process and the participants overall showed high satisfaction. Members who participated in test meeting compared to those who did not, found it significantly helpful, which contributed overall higher satisfaction with the online congress. Abstracts were accepted from the current pediatric dentistry residents and the oral presentations were also held online for the first time. The presenters and the judges were overall very satisfied. In an unguaranteed situation of termination of coronavirus disease-19, the decision to conduct an online congress was a favorable option.
Journal of Korea Entertainment Industry Association
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v.13
no.2
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pp.279-287
/
2019
This study is a descriptive study to dentify gerotranscendence, family support, social support, self-esteem, and degree of fear of death and the relationship between old age. Through this study, it provide basic data that can help target elderly people do better in their later years. From June 2018 to October 2018, residents' self-governing centers, senior citizens' centers, and life-long education centers were visited to explain the purpose of the research, and those who voluntarily agreed to the research were selected. The following results were obtained by surveying 50 adults aged 60 or older in Seoul using structured questionnaire. The difference in the level of gerotranscendence, family support, social support, self-esteem, and fear of death according to the general characteristics of the target was analyzed as t-test and ANOVA. The correlation of gerotranscendence, family support, social support, self-esteem, and fear of death in early years of life was analyzed as Pearson correlation coefficient. Among the common traits, age was related to social support and death anxiety, marital status was related to family support, and life satisfaction was related to family support. There was a correlation between old age and fear of death, a correlation between family support and self-esteem, and social support related to self-esteem and fear of death. In conclusion, this study found that early retirement in the old age was associated with fear of death, and it was found that family support in the old age affected self-esteem and satisfaction in life. Future studies need to be conducted on groups of adults in the later years, including the degree of elderly age, satisfaction with living, and relationship between the elderly and the elderly.
Journal of Korea Society of Industrial Information Systems
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v.19
no.2
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pp.119-135
/
2014
This study is aimed at understanding the factors behind deciding to accept a social network service (SNS) from the viewpoint of tourists who are users of tourism SNS. The study also seeks to clarify the effects these deduced factors have on the intention of users to continuously use SNS. To this end, individual properties (such as self-efficacy, socio-cultural effects, social presence and people's innovativeness), systematic properties (like system quality and information quality)and usefulness/availability were used as factors with regard to the decision to accept tourism SNS based on previous studies and efforts were made to structurally clarify the effects of such previous factors on people's intention to continuously use SNS through perceived value and satisfaction. SNS had significant effects on satisfaction and, furthermore, significantly affected tourists' intention to continuously use it. Based on such study results, factors behind deciding to accept SNS from the viewpoint of tourists affected customers' perceived value and satisfaction and ultimately affected their intention to continuously use SNS. To achieve the purpose of the study, a survey was conducted on about 250 Busan residents who had used SNS in relation to tourist activities, such as exhibitions, conventions, accommodation, trips, aviation service and transportation. According to an empirical study, factors behind deciding to accept tourism SNS, including individual properties, systematic properties and usefulness/availability had statistically significant effects on perceived value. The usefulness/availability factor had the largest influence, in particular, followed by the systematic factor and individual factor. The value perceived in the process of using tourism SNS had significant effects on satisfaction and, furthermore, significantly affected tourists' intention to continuously use it. Based on such study results, factors behind deciding to accept SNS from the viewpoint of tourists affected customers' perceived value and satisfaction and ultimately affected their intention to continuously use SNS.
Journal of the Korean Institute of Landscape Architecture
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v.52
no.4
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pp.45-55
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2024
This study aims to distinguish between utilitarian walking and leisure walking activities and analyze the correlation between these types of walking and the walking environment. To measure the walking environment, we utilized Google Street View (GSV) and employed semantic segmentation deep learning techniques to quantitatively assess urban walking environment elements as perceived by pedestrians. A survey was conducted to measure utilitarian walking, leisure walking, and perceived walking environment satisfaction, collecting valid responses from 192 participants. Using the survey data, we visualized utilitarian walking, leisure walking, and perceived walking environment satisfaction, and analyzed the correlation between these variables and the walkability scores. The results indicated that leisure walking had a significant positive correlation with walkability (Pearson's r = 0.121, p-value = 0.012), while there was no significant correlation between utilitarian walking and walkability (Pearson's r = 0.093, p-value = 0.055). These findings suggest that people prioritize mobility efficiency over the walking environment for utilitarian walking, whereas the quality of the walking environment significantly influences the frequency of leisure walking. Based on these results, the study proposes specific strategies to improve the walking environment around residential areas to promote leisure walking. These strategies include creating vertical gardens or various forms of three-dimensional gardens on narrow walkways and improving sidewalk design. The findings of this study can contribute to promoting leisure walking by creating walk-friendly environments, ultimately enhancing urban sustainability and the quality of life for residents.
Journal of the Korean BIBLIA Society for library and Information Science
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v.29
no.4
/
pp.91-111
/
2018
This study was carried out on specialized library librarians to investigate the status and overall satisfaction of specialized services and to compare the degree of importance and satisfaction of specialized subject data, specialized service places, specialization programs, specialized subject area facilities and environment based on ISA technique in order to derive problems and improvement measures for the operation of specialized libraries. As results, first, it was found that a specialized library subject should be selected based on the characteristics, history, and resources of the library location as well as based on the demand survey of the local residents and users. Second, based on the appropriate program type of specialized subject and the results from users' demand surveys, specialized libraries should develop different types of experience-type, lecture-type, view-type and the likes. Third, specialized library space types can be divided into integrated type, independent-in-integration type, and independent type. Even though it is most ideal to provide independently specialized space, the space must be constructed considering the circumstances and subject of specialization of each library. Fourth, specialized libraries should have at least one dedicated specialist in the corresponding subject. Dedicated specialists should provide lending and reference services related to the specialization such as tidying, browsing, reading and operating specialized programs. And a dedicated specialist must be an expert in the specialized subject and also a librarian who is responsible of the general library operation.
Purpose: This study aims to identify factors that influence middle-aged men's attitude towards death. Methods: The study enrolled 204 middle-aged (range=40~59 years) male residents of Daegu in Korea. Using a structured questionnaire, data were collected in October 4~30, 2010. For data analysis, we used descriptive statistics, t-test, one-way ANOVA, Scheff$\grave{e}$'s test, Pearson correlation coefficient, and stepwise multiple regression with SPSS WIN 14.0. Results: Participants' attitude towards death significantly differed according to educational level, religion, volunteer activities, and perceived health status. Moreover, their attitude towards death was negatively correlated with life stress and depression and positively correlated with self-esteem, life satisfaction, and coping behavior. The factors influencing the attitude towards death were life satisfaction, daily stress, religion, and depression, which explained approximately 25.7% of the total variance. Conclusion: Middle-aged men perform a crucial role in our society, and their attitude toward death affects how they cope with a situational crisis such as a terminal cancer or withdrawal of life sustaining treatment. Therefore, it is necessary to develop and implement a support program for middle-aged men, which offers them with various strategies to better manage their daily stress and improve their life satisfaction and coping skills.
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