• 한국간호교육학회지
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• 제15권2호
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• pp.205-215
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• 2009

Purpose: This paper was intended to identify various kinds of specialized in-service educational programs in the hospital. Method: The data was collected from June to July, 2006. The subjects were 67 general hospitals in Korea. Result: Specialized in-service educational programs were present at 36 general hospitals. Thirty-three programs were operating in the field of intensive care nursing. The purposes of specialized in-service education programs were to improve the quality of nursing care. Conclusion: Since the clinical nurse specialist was legally established in 2005 in Korea, various kinds of specialized in-service education programs for nurses are needed under the organized framework of the career development system.

• 한국산학기술학회논문지
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• 제14권8호
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• pp.3704-3714
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• 2013

일반병원과 특수 전문병원의 직무스트레스의 유형과 특성을 파악함으로써 각 병원별 특성에 맞는 스트레스 극복을 통해 안정된 직원관리와 완화프로그램의 방향을 제시하고자 하였다. 본 연구의 참여자는 일반병원종사자 109명, 특수 전문병원종사자 117명이 설문에 참여하였으며, 측정도구는 한국산업안전보건연구원에서 지난 2004년 정책연구사업의 일환으로 진행된 '한국인 직무 스트레스 측정 도구의 개발 및 표준화 연구'에 따른 한국형 직무스트레스요인 측정도구를 사용하였다. 본 연구결과 일반병원과 특수 전문병원간의 환경과 조직체계에 따른 서로 다르게 나타나는 스트레스의 특성이 파악되었으며 향후 이 연구 결과를 토대로 각 병원특성에 맞는 스트레스 극복 프로그램의 개발의 기초 자료로 활용되기 바란다.

• 한국산학기술학회논문지
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• 제20권8호
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• pp.313-320
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• 2019

본 연구는 중소병원들의 전문성역량을 강화하기 위한 방안을 모색하고 전문병원 운영전략 수립에 유용한 정보를 제시하고자 전문병원에 대한 기대수준과 전문병원 전문성역량 인식을 비교분석 하였다. 연구대상은 20세 이상 일반인과 임상 총 경력 3년 이상 병원종사자를 대상으로 하였으며, 연구도구는 선행연구와 보건복지부의 전문병원 지정요건을 고려한 전문병원의 전문성 요소 중요도와 전문성을 하위한 하위요인의 필요성으로 구성한 설문지로, 2018년 7월부터 8월까지 2개월간 자료를 수집하여 일반인 400명과 병원종사자 317명을 대상으로 분석하였다. 연구기간은 2018년 7월부터 2019년 5월까지였으며, 분석방법은 연구도구의 타당도와 신뢰도 검정을 실시한 후, t-test와 회귀분석을 사용하였다. 연구결과, 전문병원에 대한 기대수준은 일반인과 병원종사자 간에 차이가 없었으나, 전문병원에 대한 주관적인 기대수준에 영향을 미치는 전문성 요소는 일반인과 병원종사자 간에 다르게 생각하고 있다는 것을 알 수 있었다. 그리고 일반인과 병원종사자의 전문병원에 대한 기대수준에 영향을 미치는 전문성 요소는 의사에 대한 신뢰감이었으나 의사에 대한 신뢰감에 영향을 미치는 전문성 하위요인이 일반인은 해당분야의 탁월한 기술력, 병원종사자는 의사와 진료의 전문성과 해당 분야의 노하우로 일반인과 병원종사자가 서로 달랐다. 결론적으로 전문병원이 발전적인 전문성역량을 강화하기 위해서는 병원종사자들의 인식과 일반인들의 인식 간의 차이를 줄이는 노력이 필요할 것으로 사료된다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제13권2호
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• pp.53-60
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• 2007

Various changes in medical environments including growing elderly population, chronic diseases, deepening competition among hospitals since opening to foreign medical service, economic strategy for improvement of profit system have caused hospitals to be specialized. In this backgrounds, the purpose of this study is to receive basic data for architectural planning on the spatial organization of outpatient department in general hospital. The results of this study were as follows; First, major changes of outpatient department in general hospital are composed of 'co-work in medical examination and treatment', 'decentralization of diagnosis and treatment(D/T)' and 'patient-oriented medical service'. Changes by co-work system include appearance of medical offices for co-work, activation of specialized clinics, grouping of E/T section for outpatient and various types of specialized centers. Second, the grouping of E/T sections means the modification of E/T system and organization in general hospitals, and a new spatial organization will be needed. Third, the types of specialized centers are getting varied. they are classified into several types including disease-resource, social stratum-resource, human organ-resource, health-resource, rehabilitation-resource, alternative medical center and so on.

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2007년도 춘계학술대회 논문집
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• pp.216-221
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• 2007

This study is about an architectural change for traditional hospitals to meet the challenges of the rapidly changing general hospital through a case study on specialized centers in Korea. Rapidly changed social facts are made new paradigm which is not functional organization but patient centered. It makes many changes from traditional hospital to specialized center, such as disease based care organization, cancer center. The purpose of this study is to find architectural design guidelines for general hospitals which are struggling to change from to functionally organized hospital to the new disease and organ based care center that are patient focused. In order to find applicable design guidelines, analyze general hospital's organizational features and their factors.

• 보건의료산업학회지
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• 제14권1호
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• pp.31-42
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• 2020

Objectives: The purpose of this study was to explore how service quality in specialized hospitals influences customer loyalty under the mediating effects of customer trust and customer value. Methods: A statistical review was done based on the survey results of patients who had used a specialized hospital in Gyeonggi Province, South Korea. A total of 209 questionnaires were collected. After data collection, an empirical analysis was performed using SPSS 21.0 and AMOS 21.0 software. Results: Interaction quality (β = 0.254, p < 0.05) and result quality (β = 0.179, p < 0.05) significantly influenced customer trust, while physical environmental quality (β = 0.121, p > 0.05) did not. Customer trust (β = 0.571, p < 0.01) influenced customer value (β = 0.136, p < 0.05) and customer value influenced customer loyalty. In addition, customer confidence (β = 0.668, p < 0.05) was shown to have directly impacted customer loyalty without the mediating effect of customer value (0.078). Conclusions: The findings showed that interaction quality and resulting quality had important implications for customer loyalty. We therefore suggest compliance with appointment times, training to improve work-related skills for employees, improving customer satisfaction, and enhancing communication skills.

• 한국병원경영학회지
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• 제25권3호
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• pp.53-66
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• 2020

This study is aimed at investigated and compared the differences in the affect of hospital specialization according to hospital size using claims data of the Health Insurance and Review Assessment National Inpatient Sample in 2018 for diseases of the musculoskeletal system and connective tissue. To this end, we used multivariate hierarchical linear models(a.k.a., multi-level models) using two-tier data from 106,599 patients discharged after diseases of the musculoskeletal system and connective tissue from 734 hospitals. Multivariate results indicate that patients who were discharged with diseases of the musculoskeletal system and connective tissue from specialized hospitals with 200 beds or less stayed shorter and paid less inpatient charge than those who were discharged from less specialized hospitals. But for hospitals with 201-300 beds, no positive impact relationship was found between hospital specialization and operational performance. This finding may be limited evidence that the affect of a hospital's specialization strategy may vary depending on the size of the hospital. We discussed several managerial and health policy implications below.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제5권8호
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• pp.79-86
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• 1999

Because of the recent enlargement of the faculties due to the more specialized and subdivided medical field and the need for more diverse services, the easy wayfinding is necessary on the diverse approach and usage in general hospitals. The users' pattern and the architectural correspondence affected by this is one of the most important elements of design.

• 대한물리의학회지
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• 제16권4호
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• pp.67-75
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• 2021

PURPOSE: This study examined the level of awareness of the guidelines of the physical therapist specialization system. METHODS: This study was a cross-sectional survey of 364 clinical physical therapists working in hospitals. A structured questionnaire consisting of 17 questions was used. The questionnaire consisted of standards and management for the institutionalization of physical therapist specialization, intentions to acquire specialized physical therapist qualifications, specialized fields, and general information of the research subjects. RESULTS: At least five years of clinical experience and a bachelor's degree or higher were required to obtain a specialized physical therapist qualification. Many physical therapists said they would accept the qualification of a specialized physical therapist. Training and examination were appropriate for acquiring specialized physical therapist qualifications, and it was desirable to manage qualifications at the national level or the association of physical therapists. As for the specialized fields of physical therapy, musculoskeletal physical therapy, pediatric physical therapy, and nervous system physical therapy were prioritized, and electrotherapy was not recognized as a specialized field. CONCLUSION: A detailed discussion is needed on the system and cost for acquiring a specialized physical therapist qualification and economic benefits after acquiring the qualification.

• 간호행정학회지
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• 제6권1호
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• pp.147-159
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• 2000

This paper studied the factors that influence on RN staffing level in the 43 Specialized general hospitals. Market structure was analysed using the monopsony model. The degree of competition was estimated by Herfindal Index and market was defined as Great medical zone. As the result of the estimation, in the more competitive hospital market hospitals employed the higher level of RN staffing, so monopsony model was supported. Hospitals with above 1001bed employed more RN than hospitals with below 700bed did. Hospital type, hospital union and the number of medical doctor did not affect the level of RN staffing. There was positive correlation between the level of RN staffing and the number of nurse's aid. The structure of RN market in Specified general hospitals was proved monopsony market, it seems that government regulation will be needed to improve social efficiency and equity.